Shadeguides Finding the Centric Relation The Kois Deprogrammer

Size: px
Start display at page:

Download "Shadeguides Finding the Centric Relation The Kois Deprogrammer"

Transcription

1 Maciej Zarow Shadeguides Finding the Centric Relation The Kois Deprogrammer 21 Jun 2018 Finding the centric relation might sometimes seem hard, but with appropriate devices, such as the Kois Deprogrammer it ll become just obvious. The centric relation (CR) can be defined as the physiological position of the condyle in the fossa, when centered and in the most superior and anterior position, and when the meniscus is correctly placed against the posterior incline of the articular eminence. It is also described as the musculoskeletal stable position when it coincides with maximum intercuspation (MI) and occlusal and temporo-mandibular joint (TMJ) stability. The correspondence of the CR and MI provides occluso-articular stability and avoids overloading. This is of utmost importance for preventing TMJ lesions related to occlusion.â Many studies concerning full-mouth rehabilitation associated with increasing the OVD have shown that it is preferable to plan such cases in a Centric Relation position this being acceptable and reproducible. CR has been well-described in the literature and, although easy to understand, clinical success is often elusive. A partial list of appliances and techniques to find the CR, includes the Lucia Jig, the leaf gauge, and the bilateral manipulation technique. However, anyone who has attempted to mount cases in CR knows that some patients can be extremely difficult to manage regarding accurate bite relationships. The deprogrammer has been found to be an effective device for achieving these bite registrations.â What is a Kois Deprogrammer? The Kois Deprogrammer is a removable, plastic appliance that covers the hard palate and creates a single point of contact between the lower central incisor and the anterior bite plane. How to fabricate the Kois Deprogrammer? Page 1 of 21

2 Fig. 1 The lower and upper jaw impressions should be taken with alginate paste Page 2 of 21

3 Fig. 2 Then the casts are poured. Page 3 of 21

4 Fig. 3 And trimmed appropriately. Page 4 of 21

5 Fig. 4 Casts are then mounted in the articulator in the maximum intercuspal position (MIP). The face bow and bite records are not necessary. Page 5 of 21

6 Fig. 5 The facial bow of the deprogrammer is made out of wire and extended from the most distal tooth on each side of the arch, in order not to interfere with any occlusal surface of the tooth.â The facial bow should be made so as to be adjustable for the dentist, in order to regulate the retention and stabilization of the deprogrammer inside the patientâ s mouth.â Page 6 of 21

7 Fig. 6 Then the horseshoe palatal coverage is obtained with an acrylic resin and anterior platform opposing the lower central incisors is fabricated. Page 7 of 21

8 Fig. 7 The platform should be trimmed to be 3 mm wide and parallel to the labial bow, and should disclude all remaining teeth approximately mm. Page 8 of 21

9 Fig. 8 In the end, the appliance is polished and ready to deliver to the mouth of the patient. Page 9 of 21

10 Fig. 9 How to deliver the Deprogrammer? After receiving the deprogrammer from the lab Page 10 of 21

11 Fig. 10 The platform should be checked (Fig 10) in order to ascertain that it is not wider than 3 mm. Page 11 of 21

12 Fig. 11 If it is wider then 3 mm, it should then be narrowed. Page 12 of 21

13 Fig. 12 Then, the appliance should be placed in the mouth and checked to establish whether the insertion is passive. Page 13 of 21

14 Fig. 13 Appropriate stabilisation is achieved by means of palatal plate accurately fitted to the palatal surface and by the labial bow.â Page 14 of 21

15 Fig. 14 There should be a separation of mm between the lower and upper posteriorsâ occlusal surface. Page 15 of 21

16 Fig. 15 Page 16 of 21

17 Fig. 16 Then, the patient should lie back in the chair, and be asked to occlude on the appliance through the articulating paper and slide forward and back.â Page 17 of 21

18 Fig. 17 The excess of the acrylic platform palatal to the most retrusive contact should be relieved. Page 18 of 21

19 Fig. 18 The contact on the platform should be narrowed so that it touches toward the midline of one of the lower incisors.â Page 19 of 21

20 Fig. 19 When the patient closes their mouth and the same initial contact is confirmed the patient is deprogrammed. Repeatability is the key criterion to determine when the patient is deprogrammed. For how long should the Deprogrammer be worn? It is worn until the necessary muscle deprogramming is accomplished (days or weeks if necessary, usually 2-4 weeks). For some patients, it may be necessary to wear the deprogrammer up to 24 hours per day (except when eating) for old muscle memory to be erased and become completely deprogrammed.â It has been has shown that, in patients with a centric prematurity introduced for a short period of time, a percentage of them may take days or weeks to lose the muscular uncoordination in the muscles of mastication once the prematurity is removed. This explains why some patients will not deprogram instantly or in a few hours. Confirmation of Deprogramming The initial point of contact should be marked with articulating paper. This must be a single spot, and has to be repeatable and achieved spontaneously upon closing the mouth of the patient, not with any manipulation of the mandible. When the patient closes their mouth and the same initial contact is confirmed the patient is deprogrammed (Fig 19).  Repeatability is the key criterion to determine when the patient is deprogrammed. The Kois Deprogrammer has several uses: 1. It can be used as a diagnostic tool to determine if the mandible needs to move in the anterior or posterior direction to reach CR from the maximal intercuspal position (MIP). Page 20 of 21

21 2. It is an invaluable tool in diagnosing the three most common types of abnormal occlusal attrition: occlusal dysfunction, parafunction (e.g. bruxism), and constricted path of closure. 3. It can be used during bite registration. This procedure, with the Kois Deprogrammer in place, allows control of the vertical dimension of occlusion (VDO) during bite registration. 4. It facilitates finding premature contacts i.e. any contact encountered during mandibular closure with the condyles in CR before reaching MIP. If occlusal adjustment needs to be obtained, the KD ensures control because the deprogramming will be maintained. Are there any contraindications for the Kois Deprogrammer? 1. When structural problems of TMJ are suspected (positive load test) the Kois Deprogrammer is not indicated. In this case, the patient requires posterior support and a Michigan splint is indicated.â 2. Periodontally involved lower incisors. In this case, consider splinting the mandibular anterior teeth or prepare a Michigan splint.â 3. Patient is gagging. Consider reducing the acrylic palatal plate in order to avoid contact with the extensive part of the soft palate. Page 21 of 21

Deprogrammers made. Deprogrammers can be used for... How do deprogrammers work?

Deprogrammers made. Deprogrammers can be used for... How do deprogrammers work? Deprogrammers made asy Easy Deprogrammers made Deprogrammers can be used for... Headache sufferers Bruxers and/or clenchers Muscle relaxation Determining proper joint position Protection against wear Diagnosis

More information

Horizontal Jaw Relation

Horizontal Jaw Relation Horizontal Jaw Relation Horizontal Jaw Relation It is the relationship of the mandible to the maxilla in a horizontal plane. It can also be described as the relationship of the mandible to the maxilla

More information

Splint Appliance. Selection Guide. Great Lakes. See inside...

Splint Appliance. Selection Guide. Great Lakes. See inside... Great Lakes Splint Appliance Selection Guide This guide includes helpful tips on how to choose the right splint for your patient and information on standard function and specifications for Great Lakes

More information

Dr Mohammed Alfarsi Page 1 9 December Principles of Occlusion

Dr Mohammed Alfarsi Page 1 9 December Principles of Occlusion Dr Mohammed Alfarsi Page 1 9 December 2013 Principles of Occlusion Overview: The occlusion is a very large, yet easy to manage once properly understood, topic. Thus, no one handout is enough to fully understand

More information

AD2 MEASURES CONDYLE DISPLACEMENT (MCD) MANUAL

AD2 MEASURES CONDYLE DISPLACEMENT (MCD) MANUAL AD2 MEASURES CONDYLE DISPLACEMENT (MCD) MANUAL Dr. Jorge Ayala Puente, DDS* Dr. Gonzalo Gutiérrez Álvarez, DDS* Dr. José Miguel Obach M., DDS Translation: Dr. Barbara Fernández Lübbert, DDS Edited: Dr.

More information

529-A Treatment and Management of the Edentulous Patient. Upon completion of this course the student should be able to:

529-A Treatment and Management of the Edentulous Patient. Upon completion of this course the student should be able to: Course & Title: Session & Topic: 529-A Treatment and Management of the Edentulous Patient Jaw Relations General Goal: To understand the principles of orientational, horizontal and vertical jaw relations

More information

Nine Steps To Occlusal Harmony

Nine Steps To Occlusal Harmony Nine Steps To Occlusal Harmony Dr. Ali Tunkiwala has graduated from Nair Hospital Dental College in 1996 & completed his Masters Degree in Prosthetic Dentistry from Mumbai University (GDC, Mumbai) in 1998.

More information

Concepts of occlusion Balanced occlusion. Monoplane occlusion. Lingualized occlusion. Figure (10-1)

Concepts of occlusion Balanced occlusion. Monoplane occlusion. Lingualized occlusion. Figure (10-1) Any contact between teeth of opposing dental arches; usually, referring to contact between the occlusal surface. The static relationship between the incising or masticatory surfaces of the maxillary or

More information

Restoring Severe Anterior Wear Cases; A Step by step Process

Restoring Severe Anterior Wear Cases; A Step by step Process 0 Restoring Severe Anterior Wear Cases; Solving the Most Difficult Cases: A Step by Step Process" A Step by step Process Friday, February 6, 2015 Glenn E. DuPont, D.D.S. 1 The presence of worn dentition,

More information

Methods of determining vertical dimension of occlusion

Methods of determining vertical dimension of occlusion Methods of determining vertical dimension of occlusion 1) Pre-extraction records a) Willis gauge This device could used to measure V D O before teeth extraction and then recorded in the patient record.

More information

Jaw relation registration in RPD

Jaw relation registration in RPD Jaw relation registration in RPD Why to Record the Jaw Relations? To establish and maintain a harmonious relationship with all oral structures and to provide a masticatory apparatus that is efficient and

More information

Jaw relations and jaw relation records

Jaw relations and jaw relation records Lecture 11 Prosthodontics Dr. Osama Jaw relations and jaw relation records Jaw relations can be classified into 3 categories 1-Orientation jaw relation 2-Vertical jaw relation 3-Horizontal jaw relation

More information

Prosthetic Management of TMJ Disorders

Prosthetic Management of TMJ Disorders Prosthetic Management of TMJ Disorders Mohammed Alfarsi BDS, MDSc(Pros), PhD www.drmohdalfarsi.com com.+*()ا&%$ر"!. www Mohd@DrMohdAlfarsi.com @DrMohdAlfarsi DrMohdAlfarsi 056 224 2227 Overview Overview

More information

Horizontal jaw relations: The relationship of mandible to maxilla in a

Horizontal jaw relations: The relationship of mandible to maxilla in a Horizontal relations Horizontal jaw relations: The relationship of mandible to maxilla in a horizontal plane (in anteroposterior and side to side direction). a- Protruded or forward relation. b-lateral

More information

Principle of Occlusion

Principle of Occlusion Principle of Occlusion Mohammed Alfarsi BDS, MDSc(Pros), PhD www.drmohdalfarsi.com com.+*()ا&%$ر"!. www Overview Principle of Occlusion Overview Principle of Occlusion Point centric Long centric Freedom

More information

PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases.

PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases. PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases. By Matt Roberts The most predictable comprehensive restorative techniques revolve

More information

Using the Lucia Jig to take an accurate & reliable centric relation bite registration

Using the Lucia Jig to take an accurate & reliable centric relation bite registration Trimming Instructions Trimming the silicone bite records is an important step to ensure an accurate fit on the model. Trimming eliminates all the interferences so there is no movement once the models are

More information

Prosthodontics. Dental articulator. 1-Allow most of the prosthetic work to be done in the absence of the patient.

Prosthodontics. Dental articulator. 1-Allow most of the prosthetic work to be done in the absence of the patient. Prosthodontics Dental articulator Definition: It is a mechanical instrument that represents the TMJ and jaw members to which the maxillary and mandibular casts are attached to simulate some or all mandibular

More information

INSIGHT & INNOVATION. Envelope of Parafunction: 7 Steps of Treatment Planning Many methods and theories have been

INSIGHT & INNOVATION. Envelope of Parafunction: 7 Steps of Treatment Planning Many methods and theories have been Envelope of Parafunction: 7 Steps of Treatment Planning Many methods and theories have been employed in regard to treatment planning and correct restorative sequence. Assuming that the patient has healthy

More information

Dzakovich Conclusions

Dzakovich Conclusions Definitions Attrition Tooth wear resulting from contact between opposing teeth. Erosion A gradual tooth-surface loss process caused by an electrolytic or chemical mechanism without bacteria being involved.

More information

SPLINT THERAPY: WHAT WORKS, WHAT DOESN T AND WHY?

SPLINT THERAPY: WHAT WORKS, WHAT DOESN T AND WHY? Clinical Research Foundation (A non-profit Foundation for Research and Charitable Endeavors) SPLINT THERAPY: WHAT WORKS, WHAT DOESN T AND WHY? Terry T. Tanaka, DDS Clinical Professor, Advanced Education

More information

Reestablishment of Occlusion with Prosthesis and Composite Resin Restorations

Reestablishment of Occlusion with Prosthesis and Composite Resin Restorations Bull Tokyo Dent Coll (2009) 50(2): 91 96 91 Case Report Reestablishment of Occlusion with Prosthesis and Composite Resin Restorations Alício Rosalino Garcia, Renato Herman Sundfeld* and Rodrigo Sversut

More information

RELINING AND REBASING

RELINING AND REBASING RELINING AND REBASING Relining: The process used to resurface the tissue side of a denture with new material layer, thus producing an accurate adaptation to the denture foundation area. Rebasing: The laboratory

More information

Arrangement of the artificial teeth:

Arrangement of the artificial teeth: Lecture Prosthodontic Dr. Osama Arrangement of the artificial teeth: It s the placement of the teeth on a denture with definite objective in mind or it s the setting of teeth on temporary bases. Rules

More information

Complex Occlusal Rehabilitation: A Case Report

Complex Occlusal Rehabilitation: A Case Report Complex Occlusal Rehabilitation: A Case Report DR. ALI TUNKIWALA INTRODUCTION The most difficult problems in clinical practice are those where there is interaction of various pathogenic factors with consequent

More information

ALTERNATE OCCLUSAL SCHEMES

ALTERNATE OCCLUSAL SCHEMES ALTERNATE OCCLUSAL SCHEMES The same basic concepts need to be applied to all occlusal schemes. Some challenges include missing teeth, transposed teeth, crossbites, and anterior open bites. POSTERIOR CROSSBITES

More information

Ready to crown. McReynolds, David. Journal of the Irish Dental Association. Download date 12/10/ :52:38.

Ready to crown. McReynolds, David. Journal of the Irish Dental Association. Download date 12/10/ :52:38. Ready to crown Item Type Article Authors McReynolds, David Publisher Journal of the Irish Dental Association Journal Journal of the Irish Dental Association Download date 12/10/2018 03:52:38 Link to Item

More information

The Effect of the Central Bearing Plate Form on the Fischer Angle

The Effect of the Central Bearing Plate Form on the Fischer Angle The Effect of the Central Bearing Plate Form on the Fischer Angle Yasuhiro Kamimura, D.D.S. Kobe City, Japan INTRODUCTION The Fischer angle, which has been defined as "the angle between the inclinations

More information

Connect your Scanner to SomnoMed Canada. SOMGauge Protrusive Bite Recording - Manual. Scanning Impressions - Lower and Upper

Connect your Scanner to SomnoMed Canada. SOMGauge Protrusive Bite Recording - Manual. Scanning Impressions - Lower and Upper IOS Instructions How to create and submit the best scans to SomnoMed Canada for the creation of a custom SomnoDent Sleep Apnea Appliance Its a simple process: STEP 1 Connect your Scanner to SomnoMed Canada

More information

Occlusion & Prosthodontics

Occlusion & Prosthodontics Occlusion & Prosthodontics Occlusion and Prosthodontic Treatments Babak Shokati DDS, MSc. MSc. Candidate (Prosthodontics) Occlusion: A Controversial Issue Occlusion related issues and contradictory debates:

More information

Interim Denture Interim Complete Dental Prosthesis Clinical Steps

Interim Denture Interim Complete Dental Prosthesis Clinical Steps Interim Denture Interim Complete Dental Prosthesis Clinical Steps Diagnostic Appointment Comprehensive Exam Extra oral Intra oral Address: Main complaint Esthetic concerns Other concerns Discuss (if present)

More information

Full-mouth rehabilitation of a patient with severe attrition using the Hobo twin-stage procedure

Full-mouth rehabilitation of a patient with severe attrition using the Hobo twin-stage procedure Full-mouth rehabilitation of a patient with severe attrition using the Hobo twin-stage procedure Saurav Banerjee, Nabarun Chakraborty, Rajwinder Singh, Tapas Gupta Abstract Excessive occlusal wear can

More information

Tooth preparation for posterior fi xed partial denture (FPD) Tooth preparation for anterior fi xed partial denture (FPD)

Tooth preparation for posterior fi xed partial denture (FPD) Tooth preparation for anterior fi xed partial denture (FPD) CHAPTER 17 Tooth preparation for posterior fi xed partial denture (FPD) 1 Defi nition and feature of FPD 2 Actual sequence of tooth preparation for posterior FPD Verify abutment teeth Occlusal guide groove

More information

Case Report Prosthodontic Rehabilitation of the Patient with Severely Worn Dentition: A Case Report

Case Report Prosthodontic Rehabilitation of the Patient with Severely Worn Dentition: A Case Report Case Reports in Dentistry Volume 2012, Article ID 961826, 4 pages doi:10.1155/2012/961826 Case Report Prosthodontic Rehabilitation of the Patient with Severely Worn Dentition: A Case Report Mahnaz Hatami,

More information

Fixed Twin Blocks. Guidelines for case selection are similar to those for removable Twin Block appliances.

Fixed Twin Blocks. Guidelines for case selection are similar to those for removable Twin Block appliances. Fixed Twin Blocks Development of Fixed Twin Blocks Dr Clark has enjoyed the cooperation of Dynaflex in developing the Fixed Twin Block. Six years of clinical testing has confirmed that this technique produces

More information

A Systematic Approach for Rehabilitation of Occlusion in Fixed Partial Denture

A Systematic Approach for Rehabilitation of Occlusion in Fixed Partial Denture Rita Zarina et al Mini Review 10.5005/jp-journals-10052-0097 A Systematic Approach for Rehabilitation of Occlusion in Fixed Partial Denture 1 Rita Zarina, 2 JL Jaini, 3 Rajan S Raj ABSTRACT Long-term success

More information

Removable partial dentures

Removable partial dentures Removable partial dentures Feb, 4, 2015 McCracken's Removable Partial Prosthodontics, Twelfth Edition Carr, Alan B 1 Prosthesis that replaces the missing teeth and associated supporting structures in a

More information

Occlusion in complete denture

Occlusion in complete denture Occlusion in complete denture Occlusion is a concept that is pertinent to all dental patients wheather they have their own teeth or not.it is a term used to describe the contact relationship between the

More information

Aesthetic and functional restoration of the severely worn dentition

Aesthetic and functional restoration of the severely worn dentition A SYSTEMATIC APPROACH TO FULL-MOUTH RECONSTRUCTION OF THE SEVERELY WORN DENTITION JAY LERNER Aesthetic and functional restoration of the severely worn dentition represents a significant clinical challenge.

More information

Jaw relation (Maxillomandibular relationship): any one of the infinite

Jaw relation (Maxillomandibular relationship): any one of the infinite Maxillo-mandibular Relationship Jaw relation (Maxillomandibular relationship): any one of the infinite spatial relationships of the mandible to the maxilla. Jaw relation record: It is a registration of

More information

Kois Dento-Facial Analyzer System Instructions

Kois Dento-Facial Analyzer System Instructions These instructions apply to the following items: M Panadent Corporation 580 S. Rancho Avenue Colton, California 92324, USA Tel: (909) 783-1841 USA & Canada (800) 368-9777 Kois Dento-Facial Analyzer System

More information

How to provide intraoral scans to SomnoMed for the production of SomnoDent device.

How to provide intraoral scans to SomnoMed for the production of SomnoDent device. How to provide intraoral scans to SomnoMed for the production of SomnoDent device. KEY QUESTIONS: 1. Where do I send my Case? Send intra-oral scan files (maxilla and mandible in protrusive bite) and an

More information

Removable Prosthodontics. Complete Denture Procedures for a Team Approach in the Home

Removable Prosthodontics. Complete Denture Procedures for a Team Approach in the Home Department of General Dentistry Division of Removable Prosthodontics Complete Denture Procedures for a Team Approach in the Home For Competency #9 1 Rev. April 2010 Ronni A. Schnell, D.M.D., M.A.G.D. and

More information

Complete Denture Clinic Complete Removable Dental Prosthesis Procedures

Complete Denture Clinic Complete Removable Dental Prosthesis Procedures Complete Denture Clinic Complete Removable Dental Prosthesis Procedures Diagnostic Appointment Comprehensive Exam Extra oral Intra oral Discuss current dentures Main complaint Esthetic concerns Prosthetic

More information

ANTERIOR OPEN BITE AS A COMPLICATION OF THE TREATMENT OF BRUXISM WITH ANTERIOR BITE PLANE: A CASE REPORT

ANTERIOR OPEN BITE AS A COMPLICATION OF THE TREATMENT OF BRUXISM WITH ANTERIOR BITE PLANE: A CASE REPORT CLINICAL DENTISTRY AND RESEARCH 2011; 35(3): 53-58 ANTERIOR OPEN BITE AS A COMPLICATION OF THE TREATMENT OF BRUXISM WITH ANTERIOR BITE PLANE: A CASE REPORT Gülay Uzun, DDS, PhD Professor, School of Dental

More information

Removable appliances

Removable appliances Removable appliances Melinda Madléna DMD, PhD associate professor Department of Pedodontics and Orthodontics Faculty of Dentistry Semmelweis University Budapest Classification of the orthodontic anomalies

More information

Bone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note

Bone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note Bone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note Stephen M. Parel, DDS 1 /Steven L. Ruff, CDT 2 /R. Gilbert Triplett, DDS, PhD 3 /Sterling R. Schow, DMD 4 The Novum System

More information

Occlusion and removable prosthodontics

Occlusion and removable prosthodontics 12 Occlusion and removable prosthodontics R. Jagger Synopsis Occlusal considerations for removable prostheses are essentially the same as for fixed restorations. The approach to establishing occlusion

More information

Mutilated Occlusion Fixed-Removable Approach- A Case Report

Mutilated Occlusion Fixed-Removable Approach- A Case Report Int. J. Life. Sci. Scienti. Res. eissn: 2455-1716 Case Report Mutilated Occlusion Fixed-Removable Approach- A Case Report 1* 2 3 Nami Sheth, Rubina Ali, Gaurang Mistry, Omkar Shetty 4 1 Post Graduate Student,

More information

Muscles of mastication [part 1]

Muscles of mastication [part 1] Muscles of mastication [part 1] In this lecture well have the muscles of mastication, neuromuscular function, and its relationship to the occlusion morphology. The fourth determinant of occlusion is the

More information

Chicago Midwinter Meeting February 21, Staging Complex Restorative Cases Putting things into the proper order

Chicago Midwinter Meeting February 21, Staging Complex Restorative Cases Putting things into the proper order Chicago Midwinter Meeting February 21, 2019 Staging Complex Restorative Cases Putting things into the proper order Thomas R. McDonald, D.M.D. tmcdent@aol.com 1 COMPREHENSIVE PATIENT EVALUATION PATIENT

More information

#39 Ortho-Tain, Inc

#39 Ortho-Tain, Inc 1 #39 Ortho-Tain, Inc. 1-800-541-6612 OPTIMUM ORTHODONTICS FOR THE 5 TO 12 YEAR-OLD BY COMBINING REMOVABLE AND FIXED APPLIANCES WITH THE USE OF THE NITE-GUIDE AND OCCLUS-O-GUIDE APPLIANCES INTRODUCTION:

More information

Vertical relation: It is the amount of separation between the maxilla and

Vertical relation: It is the amount of separation between the maxilla and Vertical relations Vertical relation: It is the amount of separation between the maxilla and the mandible in a frontal plane. Vertical dimension: It is the distance between two selected points, one on

More information

Establish a Healthy TMJ

Establish a Healthy TMJ TW TMJ Establish a Healthy TMJ Prior to Restorative, Orthodontic or Prosthetic Treatment Dr. Brock Rondeau, D.D.S., I.B.O., D.A.B.C.P. Author: Dr. Brock Rondeau is one of North America s most sought after

More information

Removable Prosthodontics. Complete Denture Procedures for a Team Approach

Removable Prosthodontics. Complete Denture Procedures for a Team Approach Department of General Dentistry Division of Removable Prosthodontics Complete Denture Procedures for a Team Approach For Competency #9 1 Rev. April 2010 Ronni A. Schnell, D.M.D., M.A.G.D. Complete Denture

More information

Mesial Step Class I or Class III Dependent upon extent of step seen clinically and patient s growth pattern Refer for early evaluation (by 8 years)

Mesial Step Class I or Class III Dependent upon extent of step seen clinically and patient s growth pattern Refer for early evaluation (by 8 years) Orthodontics and Dentofacial Development Overview Development of Dentition Treatment Retention and Relapse Growth of Naso-Maxillary Complex Develops postnatally entirely by intramenbranous ossification

More information

ADJUSTABLE HERBST APPLIANCE - OASYS HINGE ACRYLIC

ADJUSTABLE HERBST APPLIANCE - OASYS HINGE ACRYLIC P SYSTEMS The delivery visit should confirm the fit and comfort of the appliance, as well as the patients ability to insert and remove the appliance properly and without difficulty. It may be necessary

More information

PG Dip (Level II), Advanced Course in Restorative & Aesthetic Dentistry

PG Dip (Level II), Advanced Course in Restorative & Aesthetic Dentistry Syllabus and Specific & GDC Development Outcomes PG Dip (Level II), Advanced Course in Restorative & Aesthetic Dentistry www.dominic-hassall-training.co.uk 1 Day 1 Course Introduction Dominic Hassall Tutorial

More information

See the end from the beginning

See the end from the beginning Staub Cranial See the end from the beginning with Staub Cranial Recently a new technology was introduced to the United States that will revolutionize the way our industry restores teeth. The Staub Cranial

More information

Prosthetic V. Removable dentures I.

Prosthetic V. Removable dentures I. Prosthetic V. Removable dentures I. Removable dentures Partial Complete (full) lenka.roubalikova@tiscali.cz 2 Prosthetic dentistry replacement of Damaged teeth reconstruction of the crown (inlays, crowns)

More information

Selection and arrangement of teeth in rpd

Selection and arrangement of teeth in rpd Selection and arrangement of teeth in rpd upon completion of the articulator mounting and a thorough assessment of the occlusal requirements, the practitioner should be able to perform the proper arrangement

More information

DR. PETER DAWSON S PHILOSOPHY OF FUNCTIONAL OCCLUSION

DR. PETER DAWSON S PHILOSOPHY OF FUNCTIONAL OCCLUSION DR. PETER DAWSON S PHILOSOPHY OF FUNCTIONAL OCCLUSION WHO IS PETER DAWSON? WHO IS PETER DAWSON? Peter Dawson is a dentist that specializes in the treatment of the exposed exterior surfaces of the teeth.

More information

MM01-Facebow And Bite Registration Procedure Checklist

MM01-Facebow And Bite Registration Procedure Checklist MM01-Facebow And Bite Registration Procedure Checklist Bite fork Registration OK Redo 1. Estimate the shape of the patient s arch 2. Place the bite tabs on the bite fork 3. Warm the compound in hot water

More information

There is one thing different. Everything.

There is one thing different. Everything. There is one thing different. Everything. THE MODEL MAKER THE SET-UP MODEL MAKER THE OCCLUSAL PLANE REFERENCE THE SURGICAL MODEL ACCURACY DEVICE Precise - Easy - Clean - Economical - Multi Purpose - Essential

More information

Occlusal rehabilitation of posterior fixed prostheses: A clinical report

Occlusal rehabilitation of posterior fixed prostheses: A clinical report J Korean Acad Prosthodont : Volume 39, Number 3, 2001 Occlusal rehabilitation of posterior fixed prostheses: A clinical report In-Sung Yeo, DDS a, and Jae-Ho Yang, DDS, MSD, PhD b College of Dentistry,

More information

The Goal: Esthetics & Function. Occlusion In Dentistry. The Engineering= Occlusion

The Goal: Esthetics & Function. Occlusion In Dentistry. The Engineering= Occlusion Occlusion In Dentistry The Goal: Esthetics & Function Presented by: Dr. George Arvanitis DDS, DABOI, FAAID, etc.. Director of the Ti-Max Institute for Continuing Dental Education and the Ti-Max AAID Implant

More information

Fundamentals of Recording & Mounting. Workshop Instructions April 21, Michael J Melkers, DDS, FAGD & Jeanine M McDonald, DDS, FAGD

Fundamentals of Recording & Mounting. Workshop Instructions April 21, Michael J Melkers, DDS, FAGD & Jeanine M McDonald, DDS, FAGD Fundamentals of Recording & Mounting Workshop Instructions April 21, 2016 Michael J Melkers, DDS, FAGD & Jeanine M McDonald, DDS, FAGD NAME OF EXERCISE: Leaf gauge screen OBJECTIVES: Use of a Leaf Gauge

More information

Denture Troubleshooting Guide

Denture Troubleshooting Guide Denture Troubleshooting Guide Technical bulletin from National Dentex Comfort Sore spot in vestibule upper or lower denture Sore spot in upper post dam. (posterior limit of upper) Single sore spots on

More information

Featured Patient Case #1: Complete Mouth Reconstruction with Hybrid Restorations

Featured Patient Case #1: Complete Mouth Reconstruction with Hybrid Restorations Philip L. Fava II, DMD, MDSc Robert A. Levine, DDS, FCPP, FISPPS 9880 Bustleton Ave, Suite 211 Philadelphia, PA 19115 PADentalImplants.com 215-677-8686 Featured Patient Case #1: Complete Mouth Reconstruction

More information

Advanced Occlusion London. Course Information Booklet

Advanced Occlusion London. Course Information Booklet Advanced Occlusion 2019 London Course Information Booklet Hello and Welcome! Welcome to one of UK s most hands on dental training academy where you will be receiving the best hands on teaching in Advanced

More information

IJCMR. REVIEW ARTICLE Splint Therapy When And Why? Godwin Clovis Da Costa 1, Meena Aras 2, Vidya Chitre 3, Sanket Sainath Gavhane 4 ABSTRACT

IJCMR. REVIEW ARTICLE Splint Therapy When And Why? Godwin Clovis Da Costa 1, Meena Aras 2, Vidya Chitre 3, Sanket Sainath Gavhane 4 ABSTRACT IJCMR REVIEW ARTICLE When And Why? Godwin Clovis Da Costa 1, Meena Aras 2, Vidya Chitre 3, Sanket Sainath Gavhane 4 ABSTRACT One of the first steps in TMJ disorder treatment for most patients is splint

More information

Post insertion problems in complete denture

Post insertion problems in complete denture د. زينب الجمالي Lec. 3 Post insertion problems in complete denture Loss of natural teeth &subsequent alveolar resorption has a significant impact on appearance &function. CD fabrication techniques, &placement

More information

CAD/CAM Dentures. CAD/CAM Dentures. AvaDent Digital Dentures. Disclosure 5/25/15. Summary of Advantages of CAD/CAM Complete Dentures CAD/CAM

CAD/CAM Dentures. CAD/CAM Dentures. AvaDent Digital Dentures. Disclosure 5/25/15. Summary of Advantages of CAD/CAM Complete Dentures CAD/CAM 5/25/15 CAD/CAM Dentures CAD/CAM Dentures Computer Aided Design Computer Aided Manufacturing Objective: In this lecture you will learn how complete dentures can be fabricated using CAD/CAM technology.

More information

Solid Zirconia Full-Arch Implant Prosthesis (Protocol C All-CAD with Multi-Unit Abutments) BruxZir. FIRST Appointment. The BruxZir

Solid Zirconia Full-Arch Implant Prosthesis (Protocol C All-CAD with Multi-Unit Abutments) BruxZir. FIRST Appointment. The BruxZir (Protocol C All-CAD with Multi-Unit Abutments) Step-by-Step Restorative Protocol C The BruxZir Full-Arch Implant Prosthesis offers a fixed, all-zirconia implant solution for edentulous patients desiring

More information

Lab Procedure Prior to Try-in

Lab Procedure Prior to Try-in Lab Procedure Prior to Try-in It is the procedure of attaching the maxillary and mandibular casts to the articulator in their recorded jaw relation. It is also called articulation. The maxillary cast is

More information

MemRx Orthodontic Appliances

MemRx Orthodontic Appliances MemRx Orthodontic Appliances Uses and Instructions The MemRx Fundamentals As the need for faster, more efficient treatment of non-compliant patients increases, orthodontic!technology and materials has

More information

An Investigation into Condylar Position with Leaf Gauge and Bimanual Manipulation

An Investigation into Condylar Position with Leaf Gauge and Bimanual Manipulation An Investigation into Condylar Position with Leaf Gauge and Bimanual Manipulation Donald H. Downs, D.D.S. Colorado Springs, CO. U.S.A. INTRODUCTION The information derived from th is study is worth serious

More information

PATIENT INSTRUCTIONS FOR BRACE REMOVAL

PATIENT INSTRUCTIONS FOR BRACE REMOVAL McNamara Orthodontics Specialists in Orthodontics and Dentofacial Orthopedics 321 N. Ingalls Street, Ann Arbor, MI 48104 (734) 668-8288 www.mcnamaraortho.com PATIENT INSTRUCTIONS FOR BRACE REMOVAL As the

More information

Maximizing Insurance Benefits

Maximizing Insurance Benefits Maximizing Insurance Benefits For Splint Patients This guide contains dental insurance information and dental codes to assist you in processing insurance claims for splint treatment. Reference: American

More information

Management of generalized attrition with an overlay removable partial denture for restoration of the OVD a new treatment option.

Management of generalized attrition with an overlay removable partial denture for restoration of the OVD a new treatment option. Case report Dr. Aleya Begum BDS, MS Assistant Professor and Head, Dept. of Prosthodontics, University Dental College and Hospital. Dr. Md. Saiful Islam BDS, GDCSc Maxillofacial Prosthetics (Bangkok) Assistant

More information

TRIOS BY 3SHAPE HOW TO PROVIDE 3SHAPE TRIOS INTRAORAL SCANS FOR THE PRODUCTION OF SOMNODENT DEVICE. KEY QUESTIONS: 1 How do I send my case?

TRIOS BY 3SHAPE HOW TO PROVIDE 3SHAPE TRIOS INTRAORAL SCANS FOR THE PRODUCTION OF SOMNODENT DEVICE. KEY QUESTIONS: 1 How do I send my case? HOW TO PROVIDE 3SHAPE TRIOS INTRAORAL SCANS FOR THE PRODUCTION OF SOMNODENT DEVICE. TRIOS BY 3SHAPE KEY QUESTIONS: 1 How do I send my case? Send TRIOS scan files to your local SomnoMed Laboratory via 3Shape

More information

For many years, patients with

For many years, patients with Dr. Robert Lowe is one of the great teachers in dentistry. Recently, he received the Gordon J. Christensen Award from the Chicago Dental Society in recognition of his excellence in teaching. Some of my

More information

Reference to primary publication Properties of alginates in ZWP 4/2014 Xantalgin Crono - Introduction

Reference to primary publication Properties of alginates in ZWP 4/2014 Xantalgin Crono - Introduction Reference to primary publication in ZWP 4/2014 Dr. Marcus Holzmeier, Wuerzburg Xantalgin Crono - Highly accurate alginate impressions. Introduction Even today when digital impression techniques are gaining

More information

Unique Dental Supply. Catalog We Bring World Quality Products to Enhance your Business QUALITY PRODUCTS SINCE 1974

Unique Dental Supply. Catalog We Bring World Quality Products to Enhance your Business QUALITY PRODUCTS SINCE 1974 Panadent Articulating System FINAL:UDS-NL-2013 14-09-22 2:04 PM Page 3 UDS Unique Dental Supply We Bring World Quality Products to Enhance your Business R QUALITY PRODUCTS SINCE 1974 Catalog 2014 Panadent

More information

Relining and Rebasing of complete denture

Relining and Rebasing of complete denture Relining and Rebasing of complete denture It is the procedures used to resurface the tissue-side of a denture with new material layer, thus producing an accurate adaptation to the denture foundation area.

More information

Diagnosis. overt Examination. Definitive Examination. History. atient interview. Personal History. Clinical Examination.

Diagnosis. overt Examination. Definitive Examination. History. atient interview. Personal History. Clinical Examination. Diagnosis overt Examination History Definitive Examination atient interview Personal History Mental Attitude Medical History Dental History Clinical Examination Extra Oral Oral Radiographic Evaluation

More information

Oral splints come in a plethora

Oral splints come in a plethora DigiSplint - the CAD/CAM splint By Terry Whitty Intraoral scans are now becoming more common... and whereas these digital impressions are popular in restorative dentistry, they are equally suited to splint

More information

Functional Treatment: Based on Disease Status and Risk. Treatment R needs increase in intensity and A. as disease is more advanced and risk

Functional Treatment: Based on Disease Status and Risk. Treatment R needs increase in intensity and A. as disease is more advanced and risk Low Low Low Low Low At At At At At \\Server\central form fi les\sec 9 Forms At LOW MODERATE HIGH LOW MODERATE HIGH LOW MODERATE HIGH LOW MODERATE HIGH 3/14/2010 Dysfunction k Functional Treatment: Based

More information

Element-Z Screw-Retained Hybrid

Element-Z Screw-Retained Hybrid Element-Z Screw-Retained Hybrid Implant-Level Restoration Step-by-Step Restorative Protocol The Element-Z Screw-Retained Hybrid offers a fixed, all-ceramic implant solution for edentulous patients desiring

More information

Registration: Stage II intermaxillary relations J. F. McCord, 1 and A. A. Grant, 2

Registration: Stage II intermaxillary relations J. F. McCord, 1 and A. A. Grant, 2 6 Registration: Stage II intermaxillary relations J. F. McCord, 1 and A. A. Grant, 2 PRACTICE In this section, various methods of recording of intermaxillary relations are discussed, as is the determination

More information

DL 313 Removable Partial Dentures II

DL 313 Removable Partial Dentures II DL 313 Removable Partial Dentures II Survey & Design Survey The procedure of studying the relative parallelism or lack of parallelism of the teeth and associated structures so as to select a path of placement

More information

Chapter 12. Prosthodontics

Chapter 12. Prosthodontics Chapter 12 Prosthodontics Golbarg Kolahi 1 Prosthesis [prahs-thee-sis] A replacement for a missing body part Golbarg Kolahi 2 Prosthesis In the dental field, it is a fixed or removable appliance replacing

More information

Case Report Use of Zirconia to Restore Severely Worn Dentition: A Case Report

Case Report Use of Zirconia to Restore Severely Worn Dentition: A Case Report Volume 2012, Article ID 324597, 4 pages doi:10.1155/2012/324597 Case Report Use of Zirconia to Restore Severely Worn Dentition: A Case Report Manish Agrawal, 1 Banashree Sankeshwari, 1 and Channaveer V.

More information

Occlusion and Attachments

Occlusion and Attachments THE VOICE OF TECHNO-CLINICAL DENTISTRY Occlusion and Attachments The Underlying Scheme for Successful Overdentures Dennis Urban, CDT Vol. 9 No. 4 - April 2010 - Reprint 2 Spectrum dialogue Vol. 9 No. 4

More information

Aesthetic and functional restoration of

Aesthetic and functional restoration of A systematic approach to full-mouth reconstruction of the severely worn dentition Jay Lerner demonstrates a procedure that allows the clinician to obtain the space required for the restoration of severely

More information

Mx1 to NA = 34 & 10 mm. Md1 to NB = 21 & 3 mm.

Mx1 to NA = 34 & 10 mm. Md1 to NB = 21 & 3 mm. Chapter 16 Clinical cases: mixed dentition and adolescent, CLII non-extraction 219 Full CLII div I OJ = 15 OB = 8 SNA = 82 SNB = 75 Mx1 to NA = 34 & 10 mm. Md1 to NB = 21 & 3 mm. Md1 to A-pog = -2 GO-GN

More information

Condylar Movement Assessment is Severe Attrition Patient Undergoing Orthodontic Treatment: Joint Vibrant Analysis Procedure

Condylar Movement Assessment is Severe Attrition Patient Undergoing Orthodontic Treatment: Joint Vibrant Analysis Procedure Case Report imedpub Journals http://www.imedpub.com Journal of Dental and Craniofacial Research DOI: 10.21767/2576-392X.100004 Condylar Movement Assessment is Severe Attrition Patient Undergoing Orthodontic

More information

Combi ArtiCulAtor SyStem instruction manual

Combi ArtiCulAtor SyStem instruction manual Denar Combi Articulator System instruction manual table of contents I. Rationale for Development... 2 II. Benefits and Features... 3 III. Set Path Condylar Insert... 5 IV. Adjustable Path Condylar Insert...

More information

Functional Appliances

Functional Appliances 17 Functional appliances are used to treat orthopedic discrepancies as well as muscular dysfunction. They disrupt abnormal influences and facilitate a return to normal functional patterns. Functional appliances

More information

Implant and Tooth Supported Full-Mouth Rehabilitation with Hobo Twin-Stage Technique

Implant and Tooth Supported Full-Mouth Rehabilitation with Hobo Twin-Stage Technique 10.5005/JP-Journals-10012-1099 Koshika Tandon et al CASE REPORT Implant and Tooth Supported Full-Mouth Rehabilitation with Hobo Twin-Stage Technique Koshika Tandon, Ajay Singh, Himanshu Gupta, Rajdeep

More information