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May 19th, 2017 | Resource Links | Comments Off on PT to Dentist Referral

PT to Dentist Referral

First and foremost, many patients demonstrating symptoms of R TMCC patterning will NOT need dental intervention! But it is helpful to know how to recognize those who will. We hope this stepwise chart will aid in decision making. STEP 1: LOCATION OF SYMPTOMS FROM HISTORY Headache – almost always! Neck...

May 18th, 2017 | Resource Links | Comments Off on Splint for Gag Reflex

Splint for Gag Reflex

The idea of wearing a lower bite splint is a challenge for patients with a significant gag reflex, particularly if their gag reflex is stimulated by anything touching the side of the tongue. The Gag Reflex (or pharyngeal reflex) is a hypersensitivity to anything touching the muscles involved with swallowing...

February 25th, 2017 | Resource Links | Comments Off on PRI speaking engagement!

PRI speaking engagement!

I’ve been busily pouring through the available scientific literature in preparation for this Annual Symposium in April 2017. What amazes me is the vast nature of the literature – scientists spending their lives investigating a subject from so many different angles. As a community, we are getting closer all the...

January 14th, 2017 | Resource Links | Comments Off on PRI explained in 6 mins

PRI explained in 6 mins

Many patients who find their way to our practice will ultimately be recommended to have postural therapy in conjunction with traditional TMJ therapy. This video was created by Voices of America and gives a great overview of what Postural Restoration Institute concepts are all about!

December 23rd, 2016 | Resource Links | Comments Off on Bite splint requires Molar Support

Bite splint requires Molar Support

A bite splint requires molar support, and particularly at the most distal tooth location. However, due to the shape of the upper and lower jaws’ relationship to one another, this is the portion of the bite splint that most frequently becomes thin and brittle, and thus, broken. Below is a...

December 17th, 2016 | Resource Links | Comments Off on Splint Repair and Tips

Splint Repair and Tips

Ideally the splint is designed to prevent failures from happening.  But when they do, it is good to be able to understand how and why the failure occurred, and to know what to do about it. Splint repair and tips to prevent failure are helpful to predict and manage the occasional...

November 20th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Splint for Canine Transposition

Splint for Canine Transposition

Canine transposition means the canines are in the position of missing lateral incisors — or in the switched position of upper premolars. This rare but non pathologic variation of tooth position can be challenging to determine how the biting forces should be spread across the teeth. In general, a splint for canine...

November 8th, 2016 | Resource Links | Comments Off on Splint for Posterior Open Bite

Splint for Posterior Open Bite

Patients managing an airway problem with night-time use of a mandibular advancement device may develop a posterior open bite.  Attempting to reapproximate the posterior teeth in this occlusal distortion involves mandible retrusion and OA flexion, thus reversing the natural lordosis of the neck. Accurately mounted study models taken after the...

October 30th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Sphenoid position | Splint design

Sphenoid position | Splint design

Sphenoid position is a prominent feature of a R TMCC positional pattern. In that position, the greater wing of the sphenoid is more superior on the Right side, than on the Left. Without regard for the position a patient is in (R TMCC versus neutrality), even the most conscientious dentist...

October 25th, 2016 | Resource Links | Comments Off on Splint for Posterior Crossbite

Splint for Posterior Crossbite

Patients with bilateral posterior crossbites tend to have deep palates and bilaterally extended cervical chains. Depending on the degree of interdigitation of the teeth, the balancing interferences of the lingual cusps of the lower molars against the buccal cusps of the upper molars can make the canines out of position...

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