Quadrant dentistry is fairly predictable. You take a quadrant scan, take a buccal bite, design your crown, adjust your occlusion on the CEREC software, deliver your restoration and boom, everything is good.
Where we start to doubt this process is for larger scans. Full arch scans that everyone has taken result in inconsistent occlusion. You take the buccal bite on the right side, the occlusion is heavy on the right side and the left side is wide open. Conversely, you take the bite on the left side and the right side is wide open.
So you take a larger buccal bite and hope that corrects the problem. Well, not really as you can see from the screen shot below:
So how do we improve on this? Is it where you take the buccal bite? Or is it something else? We decided to do some investigation and see if there were steps we could take to get the occlusion and the models- as accurate as possible. I would love to hear your comments and feedback on the situation.