Occlusal adjustment is the modification of the biting surfaces of a tooth, or teeth, to improve function or morphology. Occlusal adjustment is often used in conjunction with prosthetic placement and involves the grinding and shaping of selected tooth surfaces to improve contact patterns. Bite adjustments may also be made due to night-grinding issues and the discomfort or disfunction this causes for patients. The results of the occlusal adjustment procedure cannot be reversed, which means significant study of the patient’s mouth, tooth surfaces, and bite must occur before any action is taken. This study is usually accomplished through studying the bite contact within the patient’s mouth as well as through the use of dental impressions. Side effects of dental bite adjustment may include some pain or discomfort, though these are usually mild. Occlusal adjustment cost may vary depending on the dental insurance and the extent of the bite adjustment procedure.