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Why static bite records are not enough
for complex dental cases

Introduction

Static bite records capture a single mandibular position, recorded at a precise moment in time. This approach works well in many straightforward situations.

However, complex dental cases behave very differently. They are dynamic by nature, and this is where the limitations of static records become evident.

A static record tells us where the mandible is at one moment. It does not tell us how it moves nor how it functions during daily activities such as chewing or speaking.

Simple cases

single restorations

limited occlusal impact

Complex cases

multiple teeth

changes in vertical dimension

muscular adaptation

neuromuscular coordination


These parameters cannot be properly assessed from a single static position.

Clinical challenge : when static records reach limits

The patient presented with an esthetic concern associated with generalized dental wear.
At first glance, the static bite record appeared acceptable, with contacts that seemed stable and coherent.

But as it often happens in more complex cases, the static record only described a position. It did not reflect the patient’s functional reality.

Why static bite records fail in complex cases

Static intraoral scans and digital occlusal visualizations may suggest a plausible occlusion during the design phase.
However, they do not capture key functional elements, such as :

  • Opening and closing paths
  • Lateral and protrusive movements
  • Chewing patterns
  • Movements related to speech

A static bite record captures a moment. Function unfolds over time.

Clinical consequences of missing dynamic data

In daily practice, occlusal problems in complex cases rarely appear during the digital design phase. They tend to emerge after delivery, once the patient starts using the restorations in real-life conditions.

Common consequences include :

  • Occlusal adjustments : chairside occlusal correction at delivery
  • Patient discomfort : functional issues after placement
  • Functional unstability over time : occlusion changes over time
  • Prosthetic remakes : increased time and cost

Many occlusal issues are not design problems, they are functional problems.

Why digital dentistry did not fully solve this issue

Digital workflows have significantly improved precision and reproducibility.
Scanning technologies and CAD/CAM systems allow clinicians and laboratories to design restorations with remarkable accuracy.

However, most digital workflows are still built around static data.

There is currently a missing link in the digital workflow when it comes to function. In the analog era, clinicians relied on tools such as manual facebows or axiographs to capture elements of mandibular dynamics. While these systems had limitations, they acknowledged an essential principle: occlusion is not only positional, it is functional.

In many contemporary digital workflows, clinicians scan, record a static bite, and transfer the data directly to the laboratory. The process is efficient and precise, but it often omits real functional movement.

Digital dentistry has perfected shape and alignment, yet function still requires dynamic information that static data cannot provide.

From static position to functional movement

Improving predictability in complex dental cases requires a shift in perspective.
Rather than focusing solely on static positions, clinicians need to incorporate functional movement into their diagnostic and planning process.

This approach makes it possible to evaluate function before treatment delivery, instead of correcting occlusal issues afterward.

The role of MODJAW in complex cases

MODJAW is a jaw motion capture system designed to record real-time mandibular movement and integrate functional data into digital dentistry workflows.

In this case, dynamic motion analysis revealed findings that could not have been anticipated from static records alone.

MIP evaluation

During opening and closing movements, the patient did not return consistently to the MIP captured during the intraoral scan.
This situation is relatively common, as patients may present a functional occlusion that differs from the static scanned position.

Protrusive movement evaluation

During protrusive movements, mandibular motion extended well beyond what static records suggested.
This revealed functional guidance patterns that would have remained invisible with static data alone.

Vertical dimension evaluation

The patient’s esthetic project was combined with dynamic motion data. This allows to virtually test the treatment outcome and assess whether the vertical dimension should be maintained or modified, without additional chair time or rescanning.

Digital transfer to the dental laboratory

Both static and dynamic patient data were transferred digitally to the laboratory. The dental technician is able to design restorations based on real mandibular movement and identify potential interferences at an early stage. Virtual adjustments can be made in advance and help reduce chairside occlusal corrections after delivery.

What motion adds compared to IOS scans alone

Compared to static intraoral scans, motion data provides several practical advantages :

  • Patient communication
    Visualizing function helps patients better understand treatment decisions.
  • Clinical decision-making
    Vertical dimension can be evaluated using the patient’s natural movement, without rescanning.
  • Risk reduction
    Functional interferences can be identified earlier in the workflow.
  • Lab communication
    Motion-based parameters support more predictable occlusal design and posterior morphology.

Static bite records capture a position. Complex dental cases require an understanding of movement.

The more complex the case, the more function matters.
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