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What is the ideal thickness of the discluding elements, and are there options for night or exercise?

The ideal interocclusal thickness of a discluding element is just enough that the posterior occlusion is ever so slightly open in maximum intercuspation or centric occlusion. A discluding element taller than needed is usually not a problem for most patients, but patients who consciously chew on or abuse the elements can develop muscle discomfort, and too much disclusion can contribute to myofascial pain disorder (MPD). In a case with an exaggerated curve of Spee, the elements may be made taller specifically to eliminate posterior contact.

Some patients consciously flatten or macerate the elements to force their back teeth into contact; these patients may need awareness and biofeedback therapy to relax the jaw muscles, and they should be warned at delivery that premature wear-through may bring a remake charge.

Night and exercise options. A different (thicker) night version is available. For workouts or exercise, where bracing is understandable but accelerates wear, ROE recommends changing the outer overlay and increasing the discluding-element thickness for added protection.

 

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