ICAGDImmediate Complete Anterior Guidance Development (occlusal adjustment process)
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The protocol for ICAGD is to start by recording the traces of all mandibular movements using T-scan [Figures 1-3].
When we equilibrate occlusion by ICAGD technique, keep asking the patient--where is the highest pressure point in the bite, do you have any rocking points, is it equal on the left and right side, is it very light at the back end when you bite, is it hurting in temples, face, neck,or ears when you bite, do you feel blocked when you want to glide from side to side, is there raised tension in your face when you bite, and do you have anything that you do not like about your bite.
Treatment objective was to free the contact mandibular movements in all eccentric directions by occlusal equilibration as described by Glickma and Kersteins ICAGD techniqu.