Catalog excerpts
HIGH EFFICIENCY THROUGH SPLINT THERAPY Restoring patient’s full functionality thanks to interdisciplinary cooperation
Open the catalog to page 1DENTAL TECHNICAL ANALYSIS AND DIAGNOSTICS Working steps for dental technical analysis and diagnostics are based on close consultation with the dentist. These are dental technical procedures that can be carried out in addition to dental diagnostics. Focus is on gathering important dental technical information for the creation of dental prostheses. Dental technical analysis and diagnostics are among the most creative activities in dental prosthetics. Dental technical expertise represents an essential part Just as a reminder: most of the sensory organs are located in and around the mouth...
Open the catalog to page 2AIM OF SPLINT THERAPY into a stable position (starting position) and to reduce or eliminate physical discomfort (Plaster et al., 2020). However, not all splints are the same. For a successful improvement of patient’s discomfort, precise all-embracing analysis and anamnesis are necessary. Body should be considered as a dynamic system and included as a whole in the diagnosis, taking into account muscular and neuromuscular aspects. In the human organism there are no isolated body parts or cells, i.e. all disorders (e.g. teeth, active scars, organs and/or vice versa. Three main areas are...
Open the catalog to page 3Anamnesis – Dental history Facial and model analysis Motor speech function test Dental prosthesis analysis Physical set-up and mock-up Physiological and perceptual determination of centre, height and horizontal position of the lower jaw in relation to the skull Determination of the patient’s upper jaw position by means of the PlaneFinder ® Extraoral pictures, video and face scan documentation Referenced transfer of the information into a 3D articulat
Open the catalog to page 4ANAMNESIS – DENTAL HISTORY While gathering information, it also turned the extraction, the teeth newly displaced in the out that the patient had been undergoing jaw and the lower jaw also compacted slightly The young professional athlete suddenly suffered orthodontic treatment for many years due to dorsally. As a result, the patient’s system had to from joint and muscle pain during his training a premolars extraction which involved two sessions. He also reported he couldn’t train for a premolars in the upper and lower jaw. Due to whole week without pain. At the age of 14, he started a...
Open the catalog to page 5Anamnesis – Dental history Facial and model analysis adaptation compensation decompensation FACIAL AND MODEL ANALYSIS Left: the relationship between the six-year molar, incisors and growth phase, arranged in a timeline. Right: interrelationship between growth and adaptation. Up to the age of 14/15, the system can well adapt to changes. When performing surgery on the human body, care must always be taken to ensure that these changes function properly, as the human being can only compensate to a certain extent. Since the patient is a professional athlete and his body is exposed to high...
Open the catalog to page 6Anamnesis – Dental history Facial and model analysis Tooth 14, 24 Due to premolars extraction which the patient’s system could not adapt optimally, teeth were displaced in the jaw. The Plaster Plane clearly showed that this factor reduced the size of Time adaptation compensation decompensation Motor speech function the growth area and of the entire dental arch (incisors). Speaking space caused by the shaping of the dental arch (support of the mimic musculature in the upper lip. This narrowness affected the speaking space Holdaway as well as the motor speech function).
Open the catalog to page 7PHYSIOLOGICAL AND PERCEPTUAL DETERMINATION OF CENTRE, HEIGHT AND HORIZONTAL POSITION OF THE LOWER JAW IN RELATION TO THE SKULL After model and facial analysis, the centre, height and horizontal position of the lower jaw in relation to the skull were determined perceptually and When evaluating the lower jaw centre in relation to the skull centre, it turned out that the lower jaw moved backwards to the right (patient’s side view). On the horizontal plane, the lower jaw moved upwards to the back. Physiological and perceptual determination of centre, height and horizontal position of the lower...
Open the catalog to page 8Impressions which make all anatomical points visible; acquisition of the lower jaw position and PlaneFinder ® registration. Starting position Physiological and perceptual determination of centre, height and horizontal position of the lower jaw in relation to the skull Before carry out a registration, the technoclinical team has to consider the patient history as well as centre, height and horizontal position of the lower jaw in relation to the skull. 9
Open the catalog to page 9FINAL AND STARTING POSITION Causes which can lead to a body imbalance are divided into ascending and descending the body has to work hard to keep the human rotational chains. A combination of both can system stable (Plaster et al., 2020). Before carry position of the lower jaw in relation to the skull. also occur. In case of ascending rotational out a registration for later splint production, In the starting position (zero point), the body chain, shoulder girdle, upper cervical joints it is therefore really important that the techno- is stable and harmoniously aligned and can and jaw joints...
Open the catalog to page 10Final position Starting position Final position Starting position Rotational and sliding movements of the lower Final position Starting position 1. Selection of the appropriate GelBite and Aqualizer (water pads), to relieve and restore the system functional balance. 2. Jig creation with Aqualizer or GelBite, Step 1 Height selection Facial and model analysis Low High Motor speech function Height Registration of the situation. First, the registration material is applied in the anterior region. After curing, the situation in the molar area is acquired. In this way, displacements (e.g. held off...
Open the catalog to page 11Final position Starting position Test of the vertical dimension with GelBite (Aqualizer) and Jig Control of the vertical dimension without GelBite (Aqualizer) but with Jig Test of the lower jaw central relation without manipulation Occlusion – frontal/lateral determination If all these steps are followed, a wrong occlusion acquisition can be excluded. Final position Starting position Preparation of the occlusion acquisition Is it an ascending or descending rotational chain? Patient’s system compensation and decompensation. Before occlusion acquisition, the ascending and descending...
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