TMJ and Bite Therapy

April 23rd, 2017 | Learning & Leadership, TMJ and Bite Therapy | Comments Off on PRI Lecture: Splints effect on Necks

PRI Lecture: Splints effect on Necks

It was a complete honor to be asked to lecture about the effect of a splint on a neck at the 2017 PRI annual symposium. While I have been practicing and teaching splint therapy at the Pankey Institute for 10+ years, the exact effect that these dental bite splints has on...

December 17th, 2016 | TMJ and Bite Therapy | Comments Off on JVA: Screening tool for TMJ Dysfunction

JVA: Screening tool for TMJ Dysfunction

The JVA is a screening tool for TMJ Dysfunction. The Joint Vibration Analysis is an instrument resembling a set of headphones, but instead of listening to music, it listens to the jaw joints. A healthy jaw joint creates very little friction, whereas a damaged joint is noisier. Depending on the...

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...

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 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...

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