J. Orthod.
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Journal of Orthodontics, Vol. 28, No. 1, 76-81, March 2001
© 2001 British Orthodontic Society

Current Products and Practice Section

Functional Occlusion: I. A Review

J. R. Clark, B.D.S.,M.SC.,F.D.S.(ORTH.), M.ORTH., R.C.S.(ENG.)1 and R. D. Evans, B.SC., B.D.S., M.SC.D., F.D.S.R.C.S.(ENG.), D.ORTH., M.ORTH., R.C.S.(ED.)2

1 Department of Child Dental Health, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK
2 Orthodontic Department, Guys Dental School, London SE1 9RT, UK

Abstract

The features that constitute an ‘ideal’ functional occlusion have not been conclusively established.Orthodontic treatment has the capacity to change static and functional occlusal relationships fundamentally.In this article, we present the evidence on which features of the occlusion are reported to be detrimental to the teeth and masticatory system Deficiencies in this research area are highlighted, together with the need for prospective longitudinal trials to clarify the requirements of an ideal functional occlusion Based on the existing evidence this paper suggests which occlusal features may be significant in producing an ‘ideal’ functional occlusion As no long-term studies exist to measure the impact of non-ideal occlusal relationships on the dentition, it is debatable whether orthodontic treatment should be prolonged in order to ensure that ‘ideal’ occlusal contacts are achieved As the occlusion tends to ‘settle’ in the period following appliance removal, we propose that it may be more appropriate to examine the functional occlusal relationships after retention has ceased rather than prolong active orthodontic treatment to achieve ‘ideal’ functional occlusal goals.

Key words: Canine Guidance, Functional Occlusion, Group function, Occlusal Interference, Occlusion.






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