stabilization of tmd thru twin block therapy
TRANSCRIPT
STABILIZATION OF TEMPLATE THERAPY
THRU THE USE OF
TWIN BLOCKS AND STRAIGHT WIRE
David L Burns D.D.S.
Fort Wayne, Indiana
PARENT CARE
JULY 27 2006
MEANING OF OCCLUSION
DIAGNOSIS OF OCCLUSION
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
OCCLUSION
GOOD ----------------- EUSTRESS
BAD -------------------DISTRESS
FOR WHOLE BODY
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
WHY DOES OCCLUSION
CAUSE EUSTRESS
OR
DISTRESS?
A. MECHANICAL FACTORS
B. PHYSIOLOGICAL FACTORS
MECHANICAL FACTORS
1. BITE
2. GUZAY’S QUADRANT THEOREM
FORCES
AXIS---X & Y
LEVERS
3.DISC
DISPLACED
RUPTURED
4. COMPRESSION
PRYAMUS BONE
CERVICAL VERTEBRAE
PHYSIOLOGICAL FACTORS
1. MUSCLES
2. SENSORY- AFFERENT
MUSCLE SPINDLES
GOLGI TENDONS
EXTEROCEPTORS
3. CENTRAL NERVOUS SYSTEM
CORTEX
BRAINSTEM
4. MOTOR- EFFERENT
ALPHA- GAMMA
AUTONOMIC N.S.
5. PSYCHOSOMATICS
STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
TWIN BLOCK THERAPY
STEPS OF TWIN BLOCK THERAPY
THE TWIN BLOCK APPLIANCE
The Twin Block is inconspicuous and
most comfortable to wear.
The Twin Block is designed for full-
time wear.
The Twin Block is worn for nine or
more months.
Patient Instruction
Full-time wear of Twin Block.
Eat with Twin Block.
Turn Twin Block screws as directed.
Remove for swimming and contact
sports.
For Fastest Results
TWIN BLOCKS
CORRECT BITE
The Twin Block corrects malocclusion (bad
bite) by permanently positioning the lower
jaw forward. When the lower jaw comes
forward the teeth go along for the ride.
The Twin Block holds the corrected jaw
relationship until molar teeth erupt and
stabilize the bite.
Occlusion
TWIN BLOCK TREATMENT
It is very important that the Twin Block wear
continue until vertical dimension is
corrected and results are stable. If you stop
wearing the Twin Block too early, relapse
will occur.
TMJ (Temporomandibular Joint, Jaw Joints)-
The Twin Block may be used to treat
problems related to the jaw joints, and
facial pain.
STEPS OF TWIN BLOCK THERAPY
PHASE 2 TWIN BLOCK THERAPY
PHASE 1 TWIN BLOCK
THERAPY
TMD/STABILIZATION
Twin Block/Orthodontics
11-02-----6-06
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
LOCKED JAW
UNABLE TO EAT HOT DOGS
DAILY HEADACHES
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
OCCLUSION
GOOD ----------------- EUSTRESS
BAD -------------------DISTRESS
FOR WHOLE BODY
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
WHY DOES OCCLUSION
CAUSE EUSTRESS
OR
DISTRESS?
A. MECHANICAL FACTORS
B. PHYSIOLOGICAL FACTORS
STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
TEMPLATEDAY TIME
APPLIANCE
POSTERIOR OPENING AT CORRECT
PHYSIOLOGICAL POSITION
ANTERIOR CORE VERIFYING
POSTERIOR CROWNS PROPER POSITION
STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
BLEACHING
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