Summary
Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest. Static occlusion refers to contact between teeth when the jaw is closed and stationary, while dynamic occlusion refers to occlusal contacts made when the jaw is moving. The masticatory system also involves the periodontium, the TMJ (and other skeletal components) and the neuromusculature, therefore the tooth contacts should not be looked at in isolation, but in relation to the overall masticatory system. One cannot fully understand occlusion without an in depth understanding of the anatomy including that of the teeth, TMJ, musculature surrounding this and the skeletal components. The Dentition and Surrounding Structures The human dentition consists of 32 permanent teeth and these are distributed between the alveolar bone of the maxillary and mandibular arch. Teeth consist of two parts: the crown, which is visible in the mouth and lies above the gingival soft tissue and the roots, which are below the level of the gingiva and in the alveolar bone. The periodontal ligament unites the cementum on the outside of the root and the alveolar bone. This bundle of connective tissue fibres is vital in dissipating forces that are applied to the underlying bone during the contact of teeth in function. The teeth are highly specialised and different teeth are involved in specific functions. The masticatory system is largely influenced by these intra and inter-arch relationships and a wider understanding of the anatomy can greatly benefit those who want to understand occlusion.Skeletal Components The maxilla forms a crucial aspect of the upper facial skeleton. Two irregularly shaped bones fuse at the intermaxillary suture during development forming the upper jaw. This forms the palate of the oral cavity and also supports the alveolar ridges that hold the upper teeth in place.
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