Keeping patient satisfaction (function) as top priority, which method is best?
One techniquealthough not the best one, in my opinionis to cross the posterior teeth as you would rotate tires on your vehicle. The upper left teeth would be set on the lower right and opposed by the lower left teeth; conversely, the upper right teeth would be set on the lower left and opposed by the lower right teeth. Most of the time this allows you to set the teeth over the ridge. However, I think this technique severely compromises esthetics. My preference is to use the teeth in their normal position with the following changes: • Keeping the teeth over their respective ridges, use a larger mold on the lower to compensate for the larger arch form. • Spot grind the opposing teeth together to provide good centric, working and balancing occlusion. According to my clients, this method works very well for their patients.
