Introduction: Occlusal instability or trauma from functional or parafunctional forces cause damage to teeth and it's attachment apparatus by exceeding it's adaptive and reparative capacities. An unstable occlusion is also a common cause for numerous post restorative complications. Establishing a stable and a harmonious occlusion goes a long way in preventing the deterioration of the dentition and it's associated structures. This can be achieved by occlusal equilibration which is a minimally invasive therapy involving reshaping of the teeth when improper biting forces are located.
Summary: This presentation will attempt at giving a practical protocol and help remove guesswork grinding of tooth structure. The primary purpose is to eliminate deflective occlusal contacts that interfeare with the physiologic function of the TMJ. A systematic approach in the sequence of equilibration will help improve the long term successful rehabilitation of patients by establishing a occlusion which is in harmony with the envelope of function.
Conclusion: Proper equilibration on a properly selected patient done in a proper sequence is one of the most predictable service a dentist can perform and one of the most rewarding. It goes a long way in developing neuro-occluso-muscular harmony and an optimum anterior guidance.
