Occlusal Equilibration Ain’t Dead! With Dr Koray Feran – PDP094

Published: Oct. 27, 2021, 7:26 p.m.

"Wait, Dentists still carry out Equilibration?!", that was the reply in our recent discussion on the Protrusive Telegram group when I announced this episode. Yes, Saranga, they still do! The topic of occlusal equilibration is a very controversial one. In this episode you'll realise the WHY and HOW an equilibration is carried out by one of the best Dentists I ever had a pleasure of shadowing (and also one of the most precise and OCD Dentists I know!) Dr Koray Feran. https://www.youtube.com/watch?v=0CjKu24R5GU Check out the full episode on the Protrusive YouTube Channel! Need to Read it? Check out the Full Episode Transcript below! Let us learn more about the potential benefits and challenges of equilibration with Dr. Koray Feran, who is a wet fingered practitioner of the highest calibre. Protrusive Dental Pearl: When you have a patient who has a crowding and they want veneers, and you want to convince them to have some orthodontics first..... Instead of saying, “Oh, I have to remove this part of the tooth.” You could instead say “I don't want to have to remove your healthy body parts to be able to achieve this goal.” Language is powerful! “Equilibration is one bit of the pie, it's a tool. It's not a magical process. It's to resolve a situation that you've diagnosed.” - Dr. Koray Feran In this episode, we talked about, Does equilibration matter? 9:38What is equilibration? 11:59What are we trying to achieve in equilibration? 21:12When should finding centric relation be a part of examination protocol? 29:18We discuss full mouth comprehensive dentistry and preventing failure 33:32Orthodontics is full mouth rehab! 49:26Risks and Benefits of Equilibration 46:00Fundamental rules of Occlusal Equilibration 52:33Protocol after equilibration 57:09Why is equilibration not routinely practiced by Dentists?  1:02:12 To learn more about equilibration, check out Dr. Koray's occlusion course! If you loved this episode, you will definitely like If You’re Not In CR, You Will Die with Dr Kushal Gadhia! Click below for full episode transcript: Opening Snippet: And then suddenly you're through the enamel. Ouch that hurts. Equilibration should never be, never go through the enamel, never. Okay? If the equilibration has to go through that enamel you finally have to chop a large amount of a tooth. You should consider orthodontics or you should consider additive reconstruction to the whole occlusion. You shouldn't need to adjust three, four millimeters off a tooth. It's ridiculous... Jaz's Introduction: Equilibration is just one of those really controversial topics within occlusion and within dentistry in general, right? It can really split a room. Like the other day on Facebook and on the telegram group when I asked you guys which episode Do you want next? And I suggested we could have one about a Equilibration. My buddy Saranga said, Hey, we still do a Equilibration? I thought we didn't do equilibration anymore? And I remember attending a BDA event. I think I was maybe one year qualified. And Professor, actually I was a dental student, and Professor Robert Ibbotson, who was there, you know, very experience towards the end of his career, restorative consult at that time, he said he hadn't done an equilibration since 1984. And he thought it was pointless. Whereas I know other great clinicians who I really respect who carry out equilibration, a fair amount because they're doing bigger cases, and they see it as a really vital tool, a really vital step as part of their reconstruction. So which is the right answer? Hopefully in today's episode, you'll get a bit more information about equilibration, which is actually really difficult to find if you open your textbooks or if you search online, it's not much out there about equilibration, which is why I'm so excited to bring on an absolute superstar guest today. His name is Dr. Koray Feran, an absolute legend. I saw him lecture when I was just two months qualified...