Introduction to the Book
What is Practical Applications in Dental Occlusion: Analog to Digital about?
Practical Applications in Dental Occlusion: Analog to Digital by Michael Radu, DDS, MS, is a 2024 publication by Quintessence Publishing that demystifies the often-confusing subject of dental occlusion. This book bridges traditional analog techniques with modern digital workflows, offering dentists a clear, actionable guide to managing occlusion in everyday practice. With a foreword by Frank Spear, DDS, MSD, it focuses on two key clinical scenarios—working with an existing bite or creating a new one—and provides protocols to ensure predictable treatment outcomes.
Who is Michael Radu, the author?
Michael Radu is a seasoned dentist with over 40 years of experience across three countries and two continents. As the founder of the Boca Institute for Dental Education in Boca Raton, Florida, he brings a wealth of practical and academic expertise. His passion for simplifying occlusion through science and mentorship shines through, with contributions from Daniel Radu, DMD, and Lee Culp, CDT, enhancing the text.
What sets this book apart?
Unlike many occlusion texts that drown readers in theoretical details, this book prioritizes practicality. It distills occlusion into manageable concepts, using analogies, illustrations, and step-by-step protocols. Its blend of analog and digital techniques, rooted in physics and clinical experience, makes it a unique resource for modern dentistry.

Overview of the Book’s Chapters
What does the book cover in its 12 chapters?
The book is divided into two parts, spanning 12 chapters, each building a cohesive understanding of occlusion:
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- Part One: Foundational Principles
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- Chapter 1: Why Do We Need Occlusion? – Examines occlusion’s complexity and its critical role in dentistry.
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- Chapter 2: Practical Principles of Occlusion – Introduces three core principles linking intercuspation and mandibular position.
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- Chapter 3: The Occlusion Formula – Presents a mathematical model (O = IC + MP) to simplify occlusion analysis.
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- Chapter 4: There Are Only Two Bites – Categorizes clinical scenarios into existing (“no problem”) and new (“problem”) bites.
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- Part One: Foundational Principles
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- Part Two: Clinical Applications
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- Chapter 5: Clinical Techniques and Principles of Interocclusal Registrations – Outlines foundational techniques for recording bites.
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- Chapter 6: Techniques for Examination and Treatment Planning – Details screening and planning processes.
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- Chapter 7: Techniques for Interocclusal Registration of an Existing Occlusion – Covers methods for capturing a current bite.
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- Chapter 8: Techniques for Interocclusal Registration for a New Occlusion – Guides creation and recording of new bites.
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- Chapter 9: Techniques for Equilibration of the Occlusion – Explains adjusting occlusion for stability.
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- Chapter 10: Techniques for Recording the Envelope of Function – Addresses dynamic occlusion recording.
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- Chapter 11: Techniques for Communicating with the Laboratory – Focuses on effective lab collaboration.
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- Chapter 12: Analog Versus Digital Techniques for Interocclusal Registration – Compares traditional and digital workflows.
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- Part Two: Clinical Applications
How is the content organized?
The book progresses logically from theory (Part One) to hands-on application (Part Two). It includes a supplementary Notes section for deeper context, ensuring a balance of simplicity and depth. Each chapter is concise, with practical workflows and visual aids like mind maps and figures.
What additional resources are provided?
Beyond the main text, the book offers a Notes section with theoretical insights, an index for quick reference, and numerous illustrations (e.g., Figs. 1-1 to 3-5) that clarify concepts like the mandibular tripod and occlusion formula.
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In-Depth Review: Strengths and Suitable Audience
What Makes Practical Applications in Dental Occlusion Exceptional?
How practical is the book for daily use?
The book excels in translating occlusion’s complexity into actionable steps. Its protocols—e.g., recording bites with a tripod system—save time and reduce errors, making it a go-to guide for routine procedures like crowns or extensive prosthodontics.
Why is the occlusion formula a game-changer?
The formula (O = IC + CP + ARP + EoF) breaks occlusion into digestible parts—intercuspation, condylar position, anterior reference point, and envelope of function. This clarity empowers dentists to analyze and adjust bites systematically.
Are the analogies effective?
Yes, Radu’s analogies—like comparing occlusion to cooking or driving a car—make abstract ideas relatable. The “mandible as a tripod” model, for instance, simplifies stability concepts for visual learners.
How do illustrations enhance understanding?
The book’s figures (e.g., Fig. 2-4, the tripod model) and mind maps (e.g., Fig. 1-2) visually reinforce text, aiding comprehension of mandibular dynamics and clinical workflows.
Is it grounded in science?
Absolutely. Radu draws from physics, biomechanics, and mentors like Dawson and Spear, ensuring a scientific backbone. The Notes section adds research depth, citing works like Okeson’s Management of Temporomandibular Disorders.
What Could Be Better?
Are there any missing topics?
While comprehensive, the book could delve deeper into temporomandibular disorders (TMD) beyond Note F. More on integrating occlusion with orthodontics or sleep apnea appliances would broaden its scope.
Is the digital focus sufficient?
The digital techniques (Chapter 12) are insightful, but emerging tools like AI-driven occlusal analysis could be explored further to keep pace with technology.
How accessible is it for beginners?
The scientific tone and terminology might challenge novices. A glossary or introductory primer could ease Dental occlusion into the content.
Who Benefits Most from This Book?
Is it suitable for dental students?
Yes, it’s ideal for students learning occlusion basics. Chapters 1-4 provide a solid theoretical foundation, while Part Two offers practical skills for clinical rotations.
How does it help dental residents?
Residents in prosthodontics or restorative dentistry will find the protocols and lab communication tips (Chapter 11) invaluable for mastering complex cases.
Can practicing dentists use it?
Definitely. General dentists and specialists alike benefit from its streamlined approach to bite management, especially for full-mouth rehabilitations or implant cases.
Is it relevant for dental technicians?
Technicians collaborating with dentists will appreciate Chapter 11’s focus on clear communication, ensuring accurate restorations.
What about educators or researchers?
Dental educators can use it as a teaching tool, while researchers will value its references and novel occlusion formula for further study.
Detailed Question-and-Answer Evaluation
Introduction Questions
What inspired Michael Radu to write this book?
Radu’s 40-year career and frustration with occlusion’s confusion drove him to create a practical guide. His preface reflects a desire to empower dentists, inspired by mentors like Spear and Dawson.
How does it fit into modern dental literature?
Published in 2024, it aligns with the shift toward evidence-based, tech-integrated dentistry, offering a fresh take on occlusion amidst a field often stuck in dogma.
What’s the book’s main objective?
To simplify occlusion, making it predictable and manageable via protocols, so dentists can confidently treat patients without relying solely on adaptability.
Chapter Content Questions
What does Chapter 1 reveal about occlusion’s importance?
It frames occlusion as a multifactorial system—psychology, anatomy, physics—stressing its necessity for treatment success beyond “tap, tap, and grind.”
How does Chapter 2 simplify occlusion?
It introduces three principles: intercuspation ties to mandibular position, the mandible acts like a tripod, and stability is key—providing a practical lens.
What’s the significance of Chapter 3’s occlusion formula?
The formula (O = IC + CP + ARP + EoF) quantifies occlusion, offering a model to analyze static and dynamic bites, crucial for decision-making.
Why does Chapter 4 claim there are only two bites?
It categorizes bites as “no problem” (existing, stable) or “problem” (new, requiring intervention), streamlining clinical approaches.
What techniques does Chapter 5 cover?
It lays out principles for interocclusal registrations, emphasizing stability and precision using tripods and mandibular landmarks.
How does Chapter 6 aid examination and planning?
It provides a screening process—joint loading, muscle palpation—and planning guidelines, ensuring occlusion integrates with treatment goals.
What’s taught in Chapter 7 about existing occlusion?
It details analog (e.g., PVS paste) and digital (e.g., intraoral scanners) methods to record stable, existing bites, like single-tooth preps.
How does Chapter 8 tackle new occlusion?
It offers workflows for creating and recording new bites in edentulous or full-arch cases, using tools like leaf gauges and anterior stops.
What’s the focus of Chapter 9 on equilibration?
It explains adjusting occlusion—limited or complete—to enhance stability, with analog and digital trial methods.
How does Chapter 10 address the envelope of function?
It covers recording dynamic occlusion (EoF) for esthetic and functional outcomes, using wax-ups and digital scans.
Why is Chapter 11 vital for lab communication?
It ensures dentists convey occlusion accurately to labs via facebows, digital mounts, and protocols, minimizing errors.
What does Chapter 12 compare?
It weighs analog vs. digital workflows, highlighting digital’s time-saving precision (50% faster) and analog’s accessibility.
Strengths Questions
Why is its practicality a standout feature?
The step-by-step protocols (e.g., Chapter 8’s new bite registration) make occlusion approachable, saving chair time and boosting success rates.
How does the formula enhance understanding?
By breaking occlusion into components (IC, CP, ARP, EoF), it provides a repeatable framework, reducing guesswork.
Are the visual aids impactful?
Yes, figures like the tripod (Fig. 2-2) and mind maps (Fig. 1-1) clarify complex ideas, making them memorable and applicable.
Why is the scientific approach valuable?
Rooted in physics and validated by citations (e.g., Dawson, 2006), it builds trust and aligns with evidence-based practice.
How does it cater to different learners?
Analogies (e.g., cooking) and visuals complement the text, appealing to both analytical and creative minds.
Areas for Improvement Questions
What topics could be expanded?
More on TMD management or digital innovations like AI could enhance its clinical breadth.
Is the digital coverage future-proof?
It introduces digital workflows well, but lacks depth on cutting-edge tools, which could evolve rapidly.
Could it be more beginner-friendly?
Simplifying jargon or adding a basics section would ease novices into its scientific depth.
Audience Suitability Questions
Why should students read it?
It offers a clear entry to occlusion, blending theory (Part One) with skills (Part Two) for preclinical and clinical learning.
How does it benefit residents?
Its protocols and lab tips refine hands-on skills, ideal for prosthodontic or restorative training.
What’s in it for practicing dentists?
It streamlines complex cases—e.g., implants or full-mouth rehab—with efficient, science-backed methods.
Can technicians gain from it?
Chapter 11’s focus on collaboration ensures they align with dentists, improving restoration outcomes.
Why is it useful for educators?
Its structured approach and visuals make it a teaching gem, while researchers can build on its formula and references.
Conclusion
What’s the verdict on Practical Applications in Dental Occlusion?
Michael Radu’s book is a triumph of clarity and utility, transforming occlusion from a daunting puzzle into a manageable science. Its protocols, visuals, and scientific grounding make it a standout resource.
Who should get this book?
Dental students, residents, practicing dentists, technicians, and educators will find it invaluable. It’s a must for anyone aiming to master occlusion with confidence.
How does it shape dental practice?
By offering a practical, evidence-based roadmap, it elevates treatment precision and patient care, making occlusion a strength rather than a struggle.
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