Dr. Nick Yiannios and
Dr. Tom Coleman discuss Disclusion
Time Reduction's role in regards to it's efficacy for muscular
TMD patients. Dr. Coleman is an experienced clinician, author, and researcher in regards to TMD,
NCCL's, abfractions and dentin hypersensitivity. Both Dr. Nick and Dr. Tom are co-authors in the recently released
1st edition textbook on digital occlusal analysis in dental medicine:
Kerstein,
DMD,
R. B. (
2015). Handbook of
Research on Computerized Occlusal
Analysis Technology Applications in
Dental Medicine (2
Volumes) (pp. 1-1093).
Hershey, PA:
IGI Global. doi:10.4018/978-1-4666-6587-3
Discussed in this video are:
1 ICAGD occlusal adjustments to accomplish
DTR
2
Traditional occlusal adjustment vs DTR, including equilibration
3
Impression and model distortion
4 Tscan sensor thickness and muscle contractility
5 Disclusion Time and
Force Outlier (
F.O.) importance
6 F.O. and periodontal considerations
7 ICAGD vs. Equilibration vs. simple occlusal adjustment
8
Ideal occlusal scheme, "
Dots in the back, lines in the front" and Disclusion Time
9 Tscan and timing of frictional engagements
10 TIMING'S importance
11 DT: 0.5 sec vs. 0.41 sec
12 Importance of using
EMG to tie in muscle
13 Splints are not necesarily reversible treatment
14 Importance of imaging the
TMJ's prior to undertaking irreversible occlusal treatments
15
Supreme importance of establishing cartilagenous position in both TMJ's
16 The interaction between cartilage/disc position and the human bite
17 Occluso-muscle dystonia (
OMD) is responsible for ~80% of TMD maladies, which DTR effectively addresses
18
Micro vs Macrotrauma
19 Why patients can pop and click, biomechanically
20 CR vs FSCP vs adapted centric posture vs non-adapted centric posture
21 Iatrogenics causing space/time aberrations with resultant OMD
22 Measuring occlusion objectively
23
Signs typically precede symptoms of occlusal disease
24 Lateral vs. Medial pole tears
25 Importance of inclined planes on canines and incisal edges on laterals and centrals
Dr. Yiannios is a general dentist who practices in
NWA/
Rogers, Arkansas.
The American Dental
Association does not recognize a specialty in "TMJ", and as such, there is no specialized training required to perform or advertise such services.
To learn more, do one or more of the following:
click
http://wp.me/p5PDxd-19i
visit drnickdds.com
email DTR@drnickdds.com
call 479.876.8000
- published: 23 Nov 2015
- views: 584