Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Splints Are Not Just for TMJ Therapy Part II: Fabrication Technique Splints Are Not Just for TMJ Therapy Part II: Fabrication Technique

Author(s):

Greg J Vigoren, DDS;Edward A. McLaren, DDS, MDC

Date Added:

7/17/2012


Summary:

Occlusal splints have been generally recommended for temporomandibular disorder (TMD) therapy and to mitigate the occlusal effects of bruxism. During bruxism, if posterior interferences (ie, protrusive, working, and balancing contacts) are present, the maxillary muscles exhibit significantly greater contractile force than when disclusion is guided by a single canine or maxillary central incisors during protrusion, whether it is a normal functional or a parafunctional movement. When only the canine or the incisors contact in lateral movement, there is a neurologic feedback mechanism that prevents excessive muscular contraction (the more teeth that contact the greater the possible contractile stress and thus muscular overload). Also, because the anterior teeth are farther from the fulcrum (the temporomandibular joint in this instance), there is a mechanical disadvantage relative to molars. This means the same contractile force in the maxillary muscles exerts proportionally less stress with respect to farther-anterior tooth contact.

Related Articles
Splints Are Not Just for TMD Therapy

Splints Are Not Just for TMD Therapy
Properly made and well-adjusted occlusal splints can help control parafunctional stresses that are applied by the patient to their natural teeth and the restorations that dentists fabricate for them.

Author(s): Edward A. McLaren, DDS, MDC;Greg J Vigoren, DDS
View Article>>
In Practice Maintenance of Esthetic Restorations

In Practice Maintenance of Esthetic Restorations
During my career in dentistry, I have seen patients successfully maintain their restorations for more than 40 years. Other patients have needed replacement or repair in less than 5 years. Why is there such a tremendous range? Obviously, the lifespan of a restoration has a strong correlation to its original fabrication quality. But professional dental oral maintenance plus home care by the patient can greatly influence the lifespan of restorations as well. This article addresses the basic elements…

Author(s): Ronald Goldstein, DDS
View Article>>
Prosthetic Considerations with Periodontal Root Resective Therapy Part 1

Prosthetic Considerations with Periodontal Root Resective Therapy Part 1
Previousiy, the presence of a probable furcation with in a multi rooted tooth was considered an indication for extraction. Loss of attachment in the furcation has traditionally been described as classes I, II , or [ II, depending on the extent of horizontal penetration into the furcation. Tamow and Fletcher subsequently included a vertical component classification with its horizontal counterpart. Interestingly, both of these classifications are based only on periodontal probing depths rather than…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Marc E. Moskowitz, DDS, David Kurtzman, DDS, Robert Falella, DDS, MMS, Peter C. Shatz, DDS
View Article>>
Papilla Proportions in the Maxillary Anterior Dentition

Papilla Proportions in the Maxillary Anterior Dentition
Interdental papilla heights of maxillary anterior teeth were measured from the gingival zenith, along with clinical crown lengths.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Christian F.J. Stappert, DDS, MS, PhD, Priv-Doz;Jocelyn H.-P. Tan, DDS
View Article>>
Related Videos
Visual Esthetic Smile Design: Driving the Restorative Plan Premium Member Content

Visual Esthetic Smile Design: Driving the Restorative Plan
Digital Smile Design is a multipurpose digital tool with clinically relevant advantages: It can strengthen esthetic diagnostic abilities, improve communication between team members, help organize treatment planning, create predictable systems throughout treatment phases, enhance patients’ education and motivation, and increase the effectiveness of case presentation. This article describes the main steps of introducing this practical tool to the clinician’s esthetic restorative practice.

Presented By:: Christian Coachman, DDS, CDT
Presentation Style: Video
Community Rating:
 
Watch Now>>
Vertical or Shoulderless Preparations in Contemporary Prosthodontics Premium Member Content

Vertical or Shoulderless Preparations in Contemporary Prosthodontics
Tooth preparations without a defined finish line have been termed in several different ways, such as knife edge, feather edge, or shoulderless. From a biological standpoint, preserving a maximum amount of sound tooth structure, as it is done in vertical preparations, might also offer a more conservative alternative to a horizontal margin design in other clinical conditions such as endodontically treated teeth, vital teeth in young individual, teeth affected by caries at the cervical third. Vertical margins on zirconia crowns have been tested in vitro and clinical reports have been published. A re-evaluation of possible advantages and shortcomings of vertical preparation design in contemporary prosthodontics will be presented in light of recently published literature.

Presented By:: Carlo Poggio, DDS, MSD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Digital Dental System: Intra-Oral Scanning and Design Premium Member Content

The Digital Dental System: Intra-Oral Scanning and Design
This webinar is designed for the clinician who desires to learn and use digital acquisition scanners. This is the future of any dental practice and it all starts by sitting at the computer and designing your crowns and veneers. This course will help the beginner and advanced digital clinician. The aspects of preparation design, aesthetics and occlusion will be demonstrated. If you own a digital scanner or thought of purchasing one, this is the course that will show you the real utilization of this million dollar technology and increase your bottom line for your practice.

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
OCCLUSION: Can We Possibly Simplify It? - Part 2 Premium Member Content

OCCLUSION: Can We Possibly Simplify It? - Part 2
Over the past 20 years, many of us have been confused, frustrated, unsure and crazy about ... “How do I get my occlusion philosophy on the right path?” At NYU FMR we have developed tried and true techniques that are guaranteed to make you understand occlusion, contact points and mandibular movement that makes sense, is easy to diagnose and systematically treat with success. In addition being comfortable Restoring OVD, understanding TMJ joint position and treating the worn dentition. Using our SOT methods and Level 1-10 Occlusion Classification we can show you how to become successful in the “Occlusion” of your patients. Spend an hour with us and open up a whole new world of occlusion philosophy and understanding. This is the real deal!

Presented By:: Dean C. Vafiadis, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Tissue Management as a Key to Esthetics Success Premium Member Content

Tissue Management as a Key to Esthetics Success
This webinar will look at techniques for tissue management that support producing exquisite esthetic results.

Presented By:: Lee Ann Brady, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Digital Impression Workflow & In-Office Milling Using CS Solutions Premium Member Content

Digital Impression Workflow & In-Office Milling Using CS Solutions
This course will describe a new reality in the creation of CAD –CAM generated restorations. Carestream dental has created a system which allows the user to generate ceramic restorations in office or through an internet portal to a dental laboratory. The system will allow dentist to create single unit ceramic restoration, implant abutments, printed models for orthodontics, and in the future precision implant surgical guides. The course will cover the CS3500 camera acquisition unit, its use, and export of images to the Restore software for restoration design to be milled in office, or export the image file to a desired dental milling laboratory. The design phase using the Restore software and the CS 3000 milling unit will be covered in depth so the viewer will be familiar with the CS system so they will be able to fabricate a milled ceramic restoration in either an open format, milling laboratory or a closed format in their office.

Presented By:: Joseph D. Mazzola, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·