Microns and Proprioception
Consider to what level of articulating paper thickness or mylar shim do most clinicians routinely check their patients bites? 100 microns, 60 microns, 40 microns, 12 microns, etc.?
The human incisors can discriminate 14 micron thickness between the teeth.9 Some investigators suggest discrimination below 10 microns.10 Patient’s that present with a high level of discrimination may require a high level of precision and treatment from their dentist. If the dentist is not aware that his or her patient is a highly detailed proprioceptively discriminating patient and is only using procedures and techniques that are below the patient’s proprioceptive requirements, it is possible that frustration and misunderstandings can occur between the doctor and patient. If the doctor is using 60 micron articulating paper to check the bite and the patient unknowingly demands 10-17 micron level of treatment there may be a mismatch in ability to meet the needs of that particular high occlusally aware patient.