Stabilization of TMD thru Twin Block Therapy
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Transcript of Stabilization of TMD thru Twin Block Therapy
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STABILIZATION OF TEMPLATE THERAPY
THRU THE USE OF
TWIN BLOCKS AND STRAIGHT WIRE
David L Burns D.D.S.
Fort Wayne, Indiana
PARENT CARE
JULY 27 2006
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MEANING OF OCCLUSION
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DIAGNOSIS OF OCCLUSION
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
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OCCLUSION
GOOD ----------------- EUSTRESS
BAD -------------------DISTRESS
FOR WHOLE BODY
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
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WHY DOES OCCLUSION
CAUSE EUSTRESS
OR
DISTRESS?
A. MECHANICAL FACTORS
B. PHYSIOLOGICAL FACTORS
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MECHANICAL FACTORS
1. BITE
2. GUZAY’S QUADRANT THEOREM
FORCES
AXIS---X & Y
LEVERS
3.DISC
DISPLACED
RUPTURED
4. COMPRESSION
PRYAMUS BONE
CERVICAL VERTEBRAE
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PHYSIOLOGICAL FACTORS
1. MUSCLES
2. SENSORY- AFFERENT
MUSCLE SPINDLES
GOLGI TENDONS
EXTEROCEPTORS
3. CENTRAL NERVOUS SYSTEM
CORTEX
BRAINSTEM
4. MOTOR- EFFERENT
ALPHA- GAMMA
AUTONOMIC N.S.
5. PSYCHOSOMATICS
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STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
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STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
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STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
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TWIN BLOCK THERAPY
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STEPS OF TWIN BLOCK THERAPY
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THE TWIN BLOCK APPLIANCE
The Twin Block is inconspicuous and
most comfortable to wear.
The Twin Block is designed for full-
time wear.
The Twin Block is worn for nine or
more months.
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Patient Instruction
Full-time wear of Twin Block.
Eat with Twin Block.
Turn Twin Block screws as directed.
Remove for swimming and contact
sports.
For Fastest Results
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TWIN BLOCKS
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CORRECT BITE
The Twin Block corrects malocclusion (bad
bite) by permanently positioning the lower
jaw forward. When the lower jaw comes
forward the teeth go along for the ride.
The Twin Block holds the corrected jaw
relationship until molar teeth erupt and
stabilize the bite.
Occlusion
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TWIN BLOCK TREATMENT
It is very important that the Twin Block wear
continue until vertical dimension is
corrected and results are stable. If you stop
wearing the Twin Block too early, relapse
will occur.
TMJ (Temporomandibular Joint, Jaw Joints)-
The Twin Block may be used to treat
problems related to the jaw joints, and
facial pain.
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STEPS OF TWIN BLOCK THERAPY
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PHASE 2 TWIN BLOCK THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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TMD/STABILIZATION
Twin Block/Orthodontics
11-02-----6-06
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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LOCKED JAW
UNABLE TO EAT HOT DOGS
DAILY HEADACHES
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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PHASE 1 TWIN BLOCK
THERAPY
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OCCLUSION
GOOD ----------------- EUSTRESS
BAD -------------------DISTRESS
FOR WHOLE BODY
POSTURE
PHYSIOLOGY
DYNAMIC FUNCTIONS
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WHY DOES OCCLUSION
CAUSE EUSTRESS
OR
DISTRESS?
A. MECHANICAL FACTORS
B. PHYSIOLOGICAL FACTORS
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STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
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TEMPLATEDAY TIME
APPLIANCE
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POSTERIOR OPENING AT CORRECT
PHYSIOLOGICAL POSITION
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ANTERIOR CORE VERIFYING
POSTERIOR CROWNS PROPER POSITION
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STABILIZATION OF OCCLUSION
DENTURES
CROWN AND BRIDGE
OVERLAY PARTIAL DENTURES
ORTHOPEDICS
ORTHODONTICS
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BLEACHING
•IN OFFICE
•TAKE HOME
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