Occlusal disease is one of the three main challenges to maintaining a healthy dentition. Recognizing the signs on the teeth and restorations allows the dentist to initiate treatment to minimize the effects and avoid restoration failures from occlusal trauma. The occlusal examination includes an evaluation of the dynamic and static components of the mouth, as well as the function of the joint. Treatment can consist of an occlusal adjustment of the teeth, or a bruxism splint to protect both the teeth and restorative care. Finally, the decision to use a semi-adjustable articulator, or a simple hinge is predicated on the occlusal and esthetic status of the patient.