“Best 2 hours”
“I would recommend your DVD to anyone getting started in TMD or seeking a better perspective on diagnosis and therapy. It should be mandatory teaching for all dental students. It would represent the best 2 hours of their four year dental school experience.”Allen Moses, CRAINO Book Reviewer
Chicago, IL
Progressive Appliance Therapy for TMD & Full Mouth Restoration
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Don’t get caught not knowing the final outcome of your next TMD or full mouth restoration case. In this instructional DVD, learn how and when to use appliances to eliminate patient symptoms and predict the mandibular position from which you can restore the occlusion, whether it be orthodontically or prosthetically. Using appliances to figure out where you are going before you start eliminates hope and gives you confidence that the patient will favorably respond to your care. You will be able to implement these techniques immediately.
- Learn to achieve predictable and precise reconstruction / orthodontic results through appliance therapy
- Learn to determine and verify the intended occlusal position so your patient will respond favorably to your care
- Be able to utilize a logical sequence of appliances for both symptomatic and asymptomatic patients
- See why a single appliance may not be appropriate for discovering the most physiologic mandibular position possible
- Understand the uses and objectives of various appliances available in today’s restorative practice
PROGRESSIVE APPLIANCE THERAPY for TMD & Full Mouth Restoration Christopher J. Stevens, D.D.S., F.I.C.C.M.O., D.A.A.P.M.
Although there are certainly occasions when appliance therapy is used for determination of a differential diagnosis in craniomandibular disorders, it should generally be done only after the clinician has developed a definitive diagnosis, treatment plan, and prognosis for the individual patient.
This DVD will detail a logical, goal minded progression of appliance therapy. The ultimate goal of appliance therapy is return of normal stomatognathic function in an asymptomatic patient. Getting to that point will require an individualized approach. This series was developed with the approach that if stabilization is planned, the final appliance will have discovered the most orthopedically correct maxillo-mandibular relationship in the most upright body posture. From this relationship, initiation of stabilization, such as orthodontics or prosthetics, can begin.
Mandibular Decompression Appliance (MDA)
This is an appliance that may be used in the diagnosis and treatment of occlusal dysfunction and craniomandibular disorders. There have been several names given to the MDA including a bioplast splint, soft pivot appliance, pain release appliance, and temporary diagnostic appliance. This appliance has several advantages:
1. Bioplast is forgiving.
2. A mandibular appliance is esthetic and phonetic.
3. Its pivotal design frees the mandible to allow A-P and lateral repositioning.
4. Bilateral balance is easily achieved.
5. With contact on the ML cusp of the maxillary molars, a cranial pump is formed
for physiologic balancing.
6. Vacuum made appliances are quick and inexpensive.
The primary indication for the MDA is pain although pain elimination does not always indicate an occlusal or TMJ etiology. The secondary indication is dysfunction. It can also be helpful in diagnosis and reversal cases. The appliance allows proprioceptive deprogramming, differential condylar support, and support of vertical dimension. It is a very conservative appliance and can also be used in combination with dentures, partials, or in episodic situations. Wear is 24 hours except when eating.
Armamentarium:
1. Bioplast – 2 mm and 3 mm (Great Lakes Orthodontics 1-800-828-7626)
2. Lathe chamois polishing wheel
3. Thick articulating paper (Mynol)
4. Scissors
5. Laboratory medium black polisher bur (# 0664 Brasseler 1-800-841-4522)
6. Vacuum former
Summary and Advantages:
1. Diagnostic and therapeutic
2. Conservative and conservative
3. Aesthetic and phonetic
4. Simple fabrication and insertion
5. Relatively inexpensive
6. Excellent patient compliance and versatility
Hard Pivotal Appliance
Features of the pivot appliance:
1. Used as an initial follow up to the MDA
2. Provides further decompression of the joints.
3. Assists in reprogramming vertical, A-P, and lateral orientation of the mandible.
4. It is worn 24 hours, even when eating.
5. Very adjustable.
Armamentarium:
1. Vacuum form blank – either .080 clear surgical tray or 3 mm colored biocryl II (Great Lakes Orthodontics 1-800-828-7626)
2. Arbor band and laboratory burs
3. Articulating paper
4. Vacuum former, biostar, or ministar
5. Properly trimmed cast
6. Orthodontic resin
Muscle Rehabilitation Appliance
Features of the muscle rehabilitation appliance:
1. Used as a follow up to the hard pivotal appliance
2. Improves and rehabilitates muscle tone
3. Improves mandibular stability
4. It is worn 24 hours, even when eating
5. Very adjustable
Armamentarium:
1. Arbor band and laboratory burs
2. Articulating paper
3. Orthodontic resin
Neuromuscular Demand Appliance
The neuromuscular demand appliance is used as a follow up to the muscle rehabilitation appliance. This appliance has occlusal anatomy which maintains the 3-D craniomandibular relationship. This relationship can be realized by phonetic registration, swallow registration, neural stimulated registration and/or jaw tracking enhanced registration.
Features of the mandibular demand appliance:
1. Predicts mandibular position for stabilization procedures
2. Can be used for long term maintenance
Armamentarium:
1. Arbor band and laboratory burs
2. Articulating paper
3. Orthodontic resin
Don’t miss out on your opportunity to own this great DVD at a great price. Order Now!
