Prosthodontics & Occlusion · single question

A patient with an occlusal guard returns repeatedly saying 'there's something wrong with my bite,' and multiple guard adjustments have not helped. What is the most appropriate next step?

1. Fabricate a soft guard instead
2. Perform a minor occlusal adjustment by selective grinding of the natural teeth
3. Reassure the patient and continue adjusting the existing guard
4. Refer for imaging studies to evaluate the joints and rule out intra-articular or other pathology

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