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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...

October 18th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Reestablishing lordosis reveals bite distortion

Reestablishing lordosis reveals bite distortion

Lordosis of the neck is the normal curvature needed for a person to have a full range of motion in rotation, flexion, and extension. Patients with a loss of that cervical l0rdosis can mask the degree of bite distortion present.  Patients with bilaterally displaced TMJ disks will frequently have masked the severity of...

October 18th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Splint for anterior open-bite distortion

Splint for anterior open-bite distortion

This anterior bite distortion shows an uneven amount of anterior open bite. The upper right canine looks as if it never touches the tooth below, and is called a non-functional tooth. However, even a canine out of position can receive sensory input from a food bolus. Designing a splint to...

October 18th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Bite splint to manage cross-bite

Bite splint to manage cross-bite

Unilateral cross-bite in the anterior segment frequently represents an exaggerated midline shift. Using a bite splint deprograms the engrams that posture the jaw. In addition to revealing a less distorted midline, splint therapy commonly results in a more cusp-to-cusp tip orientation at the canine.

October 12th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on How to Manage Alternate Occlusal Schemes

How to Manage Alternate Occlusal Schemes

When a patient has an active R TMCC pattern that needs occlusal management, a lower MOOO style bite splint is my go-to intervention. But not all malocclusions are created equal, and the question comes up frequently on how to manage a bite with various degrees of malposition and alternate occlusal...

April 28th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Bite splint acrylic handling

Bite splint acrylic handling

How we handle dental bite splint acrylic can literally make – or break – the final product. A lab processed acrylic is made strongest in a pressure pot using heat and pressure. That said, even with the strongest materials available, incorrect handling of the acrylic while it is in the...

April 16th, 2016 | Resource Links, Uncategorized | Comments Off on Splint Detail Communication: 4 Steps

Splint Detail Communication: 4 Steps

Splint Communication From Physical Therapist to Dentist As a dentist who learned to modify splints from my physical therapist colleague, I hope these suggestions will pave the way to a smooth working relationship. 1. Lead with what you need.  Once you have diagnosed your patient to need an oral appliance to control her body,...

January 14th, 2016 | Resource Links, TMJ and Bite Therapy | Comments Off on Fitting a Bite Splint

Fitting a Bite Splint

Fitting a bite splint to achieve its original design requires attention to how the splint fits over the teeth it engages – as well as the opposing row of teeth. This installation shows some postural concepts in positioning the patient within the dental chair to optimally improve the cranio-cervical relationship...

August 12th, 2015 | Resource Links, TMJ and Bite Therapy | Comments Off on Clear, Thin & Strong splints

Clear, Thin & Strong splints

In order for a bite splint to function as it should, it needs to be comfortable to the patient, strong enough to withstand a heavy bite, and have the correct occlusal pattern to fit that particular patient’s objectives. Feel free to view this PDF file to learn about the technique...

April 8th, 2015 | Resource Links | Comments Off on Spotlight on Errol Holmes, CNMT

Spotlight on Errol Holmes, CNMT

I can still remember the day I met Errol Holmes.  It was a hot September day in the Georgia countryside, and I had dragged out 100 miles on a bicycle ride raising money for Multiple Sclerosis research. The finish line tent was full of people like me: physically exhausted, emotionally...

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