{"id":2450,"date":"2017-06-09T20:22:55","date_gmt":"2017-06-09T20:22:55","guid":{"rendered":"http:\/\/caugheydds.com\/?p=2450"},"modified":"2024-04-03T12:48:04","modified_gmt":"2024-04-03T12:48:04","slug":"splint-scissors-bite","status":"publish","type":"post","link":"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/","title":{"rendered":"Splint for Scissors Bite"},"content":{"rendered":"<p>Making a splint for a patient with a scissors bite follows the same principles as in most other cases. A scissors bite is also called a buccal cross bite, wherein the maxillary molar is more than halfway across the mandibular molar; the lingual (tongue-side) cusp of the upper molar is touching the buccal (cheek-side) surface of the lower molar. A scissors bite looks like this:<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3557\" aria-describedby=\"caption-attachment-3557\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Scissors-Bite-front-scaled-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3557\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Scissors-Bite-front-300x130.jpg\" alt=\"\" width=\"300\" height=\"130\" \/><\/a><figcaption id=\"caption-attachment-3557\" class=\"wp-caption-text\">Note the &#8220;kick&#8221; to the last molar on the Left (Right side of screen)<\/figcaption><\/figure>\n<figure id=\"attachment_3558\" aria-describedby=\"caption-attachment-3558\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Scissors-Bite-left-scaled-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3558 size-medium\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Scissors-Bite-left-300x173.jpg\" alt=\"\" width=\"300\" height=\"173\" \/><\/a><figcaption id=\"caption-attachment-3558\" class=\"wp-caption-text\">Left second molars are in &#8220;scissors&#8221; relationship &#8211; so-called because the cusps do not interdigitate, but are &#8220;self-sharpening&#8221; instead from the relationship.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>The problem with a scissors bite is that the patient continually loses the sensation of contact with the left molars. As the eccentric functional pattern develops, more enamel is lost from this unusual bite relationship . . . and as more enamel is lost, the further the teeth erupt toward each other in this wayward direction.<\/p>\n<p>A prominent feature in the patient with the R TMCC pattern is a loss of sensation of left molar contact. Placing a bite splint over the teeth that creates true second molar contact is difficult &#8211; particularly if the degree of buccal overlap is significant as in this case.<\/p>\n<p>However, using the concept published in scientific papers by Trulsson et al, we can give the patient\u00a0<em>sensation<\/em> of bite pressure with a tooth that doesn&#8217;t actually touch. Trulsson discovered that the input from nerve endings embedded in the tissue lining the tooth sockets are merged with as many as 2-4 adjacent teeth.<\/p>\n<p>Here is how we solved this patient&#8217;s bite splint for scissors bite:<\/p>\n<figure id=\"attachment_3559\" aria-describedby=\"caption-attachment-3559\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Splint-creating-normal-bite-sensation-for-upper-cusp-tip-scaled-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3559\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Splint-creating-normal-bite-sensation-for-upper-cusp-tip-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" \/><\/a><figcaption id=\"caption-attachment-3559\" class=\"wp-caption-text\"><br \/>Splint creating normal bite sensation for upper cusp tip.<\/figcaption><\/figure>\n<figure id=\"attachment_3561\" aria-describedby=\"caption-attachment-3561\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Splint-managing-scissors-bite-1-scaled-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3561\" src=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Splint-managing-scissors-bite-1-300x248.jpg\" alt=\"\" width=\"300\" height=\"248\" \/><\/a><figcaption id=\"caption-attachment-3561\" class=\"wp-caption-text\">Note the even distribution of bite pressure across splint, despite the scissors-bite relationship.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>We were able to create overlapping tooth input so the splint for the scissors bite had the same sensation as if the teeth had a normal relationship, thus reducing the R TMCC patterning present.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Making a splint for a patient with a scissors bite follows the same principles as in most other cases. A scissors bite is also called a buccal cross bite, wherein the maxillary molar is more than halfway across the mandibular molar; the lingual (tongue-side) cusp of the upper molar is touching the buccal (cheek-side) surface&hellip;<\/p>\n","protected":false},"author":3,"featured_media":2453,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[25],"tags":[71,230,269],"class_list":["post-2450","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-resource-links","tag-bite-splint-therapy","tag-scissors-bite-splint","tag-tmj-treatment-atlanta"],"gutentor_comment":0,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Splint for Scissors Bite - www.caugheydds.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Splint for Scissors Bite - www.caugheydds.com\" \/>\n<meta property=\"og:description\" content=\"Making a splint for a patient with a scissors bite follows the same principles as in most other cases. A scissors bite is also called a buccal cross bite, wherein the maxillary molar is more than halfway across the mandibular molar; the lingual (tongue-side) cusp of the upper molar is touching the buccal (cheek-side) surface&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\" \/>\n<meta property=\"og:site_name\" content=\"www.caugheydds.com\" \/>\n<meta property=\"article:published_time\" content=\"2017-06-09T20:22:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-03T12:48:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Barbara-Tuart-models-4-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1169\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Elizabeth Caughey, DDS\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Elizabeth Caughey, DDS\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\"},\"author\":{\"name\":\"Elizabeth Caughey, DDS\",\"@id\":\"https:\/\/caugheydds.com\/#\/schema\/person\/e615225fae8540ed1eb28cc76ca0f602\"},\"headline\":\"Splint for Scissors Bite\",\"datePublished\":\"2017-06-09T20:22:55+00:00\",\"dateModified\":\"2024-04-03T12:48:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\"},\"wordCount\":359,\"publisher\":{\"@id\":\"https:\/\/caugheydds.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/caugheydds.com\/wp-content\/uploads\/2017\/06\/Barbara-Tuart-models-4-scaled.jpg\",\"keywords\":[\"Bite splint therapy\",\"Scissors Bite splint\",\"tmj treatment atlanta\"],\"articleSection\":[\"Resource Links\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\",\"url\":\"https:\/\/caugheydds.com\/2017\/06\/09\/splint-scissors-bite\/\",\"name\":\"Splint for Scissors Bite - 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