All clinicians using removable repositioning orthotics are faced with the dilemma of lack of patient compliance. The author has solved this problem by using a maxillary appliance with an anterior inclined plane with intraocclusal acrylic in the bicuspid area. After mandibular reposturing is accomplished, the inclined plane can be removed, thus converting the appliance to a bicuspid buildup splint. This conversion creates an appliance that is esthetic and allows for normal phonation and a new bicuspid-only centric occlusion.
{"title":"Bicuspid buildup (convertible) splint.","authors":"W W Niemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>All clinicians using removable repositioning orthotics are faced with the dilemma of lack of patient compliance. The author has solved this problem by using a maxillary appliance with an anterior inclined plane with intraocclusal acrylic in the bicuspid area. After mandibular reposturing is accomplished, the inclined plane can be removed, thus converting the appliance to a bicuspid buildup splint. This conversion creates an appliance that is esthetic and allows for normal phonation and a new bicuspid-only centric occlusion.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phase 1 (reversible) orthotic therapy is often complicated by missing teeth or the fragile nature of the materials used to construct appliances that must function under the pressures of mastication. The bite restorer combines the strength of Vitallium with the occlusal acceptability of Anodyne to produce an esthetic and functional orthotic without the ill effects of cast metallic overlays. The author uses his experience as a certified dental technician to discuss arch and tooth preparation, clasping, and proper impression technique.
{"title":"Overlay bit restorer as a Phase 1 orthotic.","authors":"D Neuenschwander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Phase 1 (reversible) orthotic therapy is often complicated by missing teeth or the fragile nature of the materials used to construct appliances that must function under the pressures of mastication. The bite restorer combines the strength of Vitallium with the occlusal acceptability of Anodyne to produce an esthetic and functional orthotic without the ill effects of cast metallic overlays. The author uses his experience as a certified dental technician to discuss arch and tooth preparation, clasping, and proper impression technique.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pain release splint is a soft vinyl orthotic. In the author's private practice it has proven to be efficient, inexpensive, reversible, and effective during the initial treatment stages of various craniomandibular disorders. This chapter deals with indications for use, construction, fitting and balancing, postinsertion instructions, and escalation to the next level of pain release splints or hard acrylic appliances.
{"title":"Pain release splint.","authors":"W B Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The pain release splint is a soft vinyl orthotic. In the author's private practice it has proven to be efficient, inexpensive, reversible, and effective during the initial treatment stages of various craniomandibular disorders. This chapter deals with indications for use, construction, fitting and balancing, postinsertion instructions, and escalation to the next level of pain release splints or hard acrylic appliances.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nuclear medicine imaging.","authors":"G A Wilson, R E O'Mara","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13092203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Imaging of the temporomandibular joint in rheumatic disease.","authors":"T A Larheim","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13092205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This chapter describes the use of the pivot appliance in the treatment of temporomandibular joint disorders. The author explains the mechanism by which the pivot appliance acts by demonstrating radiographically the direction and extent of condylar movement while biting on a pivot appliance. The author also discusses indications for and fabrication of this orthotic.
{"title":"Use of the pivot appliance in the treatment of temporomandibular disorders.","authors":"S R Kilpatrick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This chapter describes the use of the pivot appliance in the treatment of temporomandibular joint disorders. The author explains the mechanism by which the pivot appliance acts by demonstrating radiographically the direction and extent of condylar movement while biting on a pivot appliance. The author also discusses indications for and fabrication of this orthotic.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The limited research on the correlation between partially and fully edentulous patients and temporomandibular dysfunction leads this author to believe that a practitioner could expect 25 to 75% of the patients in need of phase 1 orthotic therapy to be in one of these two groups. Unfortunately, most of the literature on orthotic therapy documents cases with a full complement of natural teeth. This chapter gives a systematic approach to the fabrication and insertion of orthotics on and over full and partial dentures.
{"title":"Orthotic therapy for the partially or fully edentulous patient.","authors":"W S Bledsoe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The limited research on the correlation between partially and fully edentulous patients and temporomandibular dysfunction leads this author to believe that a practitioner could expect 25 to 75% of the patients in need of phase 1 orthotic therapy to be in one of these two groups. Unfortunately, most of the literature on orthotic therapy documents cases with a full complement of natural teeth. This chapter gives a systematic approach to the fabrication and insertion of orthotics on and over full and partial dentures.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Sved appliance filled Dr. Bill Farrar's requirements for an appliance that could provide temporomandibular joint support while allowing rearranging of posterior teeth. In this chapter the author draws from his long professional relationship with Dr. Farrar and his own clinical experience to give a detailed account of the use of the Sved appliance and the philosophy behind it.
{"title":"Sved appliance.","authors":"K F Farha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Sved appliance filled Dr. Bill Farrar's requirements for an appliance that could provide temporomandibular joint support while allowing rearranging of posterior teeth. In this chapter the author draws from his long professional relationship with Dr. Farrar and his own clinical experience to give a detailed account of the use of the Sved appliance and the philosophy behind it.</p>","PeriodicalId":77516,"journal":{"name":"Cranio clinics international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12973438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}