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Video Details
Breaking the Bruxism Habit - Treatment Options & Solutions

Bruxism and clenching have become an epidemic, with studies finding between 80-90% of the population effected. According to the Mayo Clinic, Bruxism is not just an abrasion problem, but a disease that more likely leads to snoring and apnea, and headaches and jaw disorders. The source of Bruxism is a mystery and may vary greatly from one patient to the next. Treatment also varies significantly. Today, through the help of scientific studies, diagnostic and patient education tools, treatments and appliances, Bruxism can be addressed, controlled, and even ended for many patients. Join Dr. John Kline, a practicing dentist of 40 years who has spent much of his career studying, teaching, and treating patients with TMD, TMJ, and Bruxism as he discusses the enigma and treatment of Bruxism.

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John Kline, DDS John Kline, DDS
Dr. John Kline graduated from The Ohio State Dental School in 1974. Due to excellent GPS and DAT score he was allowed to enter dental school prior to graduati...
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Questions & Comments
John Kline - (7/14/2016 2:51 PM)

Hennie, thanks for interest. the cuspid disculuding elements are the key to comfort. the lower appliance has A discluding elemnent that should contact only the maxillary canine on each side the maxillary canine is naturally designed perfectly for all the forces associated with Bruxism Adding the elements and getting them to adhere is a proprietary trade secret visit thanks John Kline

Hennie Bothma - (7/6/2016 2:34 PM)

Hi John Interesting video- thank you Is it possible to elaborate more on the construction of the appliance? What is the "discluding elements" made of? Do I understand correctly- is it basically a soft "pull over"(EVA thickness?), putting the disclusion elements in place and then a 0,04 or 0,06 soft pull over to keep the discluding elements in place? Regards Hennie Bothma South Africa

John Kline - (4/12/2016 1:41 PM)

Barry, I just realized I failed to respond to your comment re the Cerezen ear appliance. There are others similar also. I have no reason to believe that this ear insert could af distally and pressure the thin plate of bone separatingfect the TMJ. I looked at their ad again and their depiction of the condylar fossa and the condyle doesnt even make sense. I do believe enough clenching day or night can drive the condyle distally with such force that it can change hearing and result in a sensation of a fullness in the ear, feels like water in the ear. also with enough clenching and bruxing the eustachian tube can be strangulated somewhat by a overworked tensor tympani muscle that runs by and near the Eustachian tube. This of course would definitely not be good or feel good.Some relate this to tinnitus.

John Kline - (4/8/2016 4:57 PM)

Barry, John Kline here. The appliance is 100% soft EVA material. The EVA discluding elements are overlayed by the .040 or .060 to create the body of the appliance. There is a melding process that bonds the discluding elements to to the body overlay. The critical positioning of the two lower elements is such that they must only contact the upper canines in CO or Maximum Intercuspation Position. The upper canines naturally provide the dentition with protection from Bruxism. The MinComfort restores and even accentuates natures protection as soon as the clinician identifies canine wear. Presently designed for 16-17 years old and older, in the future we may develop protocols for those younger and still growing. Hence, as providers we can prevent the severe damage of Bruxism early on such as we do with caries and dental sealants and prophies and gingival disease and early caries detection to prevent irreversible pulpitis etc. I apologize that the webinar was not satisfying and did not explain more about the appliance. Sincerely, John Kline

B.J. Kowalski - (4/8/2016 11:54 AM)

Barry, It is essentially a two part design, we articulate the casts and trim small "discluding elements"over the area of primary guidance sites and form them onto the cast to create guidance in an open position. The thickness of these tabs depends upon the occlusion and can be different thickness on each side. We then form a 040 or 060 sheet over top of them and trim it on the cast to be just into the vestibule to create a hydoseal effect making it very retentive.The temperature and material used are critical. Let me know if you have more questions. I know Dr. Kline focused on Bruxism rather than the device.

Barry Rimmer - (4/6/2016 6:01 PM)

Would have liked to know a little more about design of appliance as I'm in uk- is it just soft pull downd and had acrylic overlay? and possibly your views on cerezen

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