Sometimes, the presentation of the lower teeth does not allow for a stable and contact-free attachment of the clutch, compromising the outcomes of the condylographic examination. Here https://www.thejpd.org/article/S0022-3913(25)00608-0/fulltext, you can find the instructions for manufacturing an individualized paraocclusal clutch fixator, consisting of an occlusally open thermoplastic mask for the patient’s mandibular teeth onto which the clutch can be bonded. This simple and effective tool can be used in case of a deep bite, exostosis, or missing teeth. It can also save you from tedious cleaning if brackets are present. Don´t forget to watch the supplementary video. Curious fact: Already in the 1980s, Prof. Rudolf Slavicek applied this solution, but used acrylic resin, which was available at that time.
