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A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance

INTRODUCTION: The role of occlusion concerning temporomandibular disorder is still unclear but seems to be the only component of the stomathognathic system dentists are able to change morphologically. The aim of the paper is to describe the orthodontist’s approach for transferring and maintaining a...

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Autores principales: Sachse, Tina, Schwestka-Polly, Rainer, Flieger, Stefanie, Wiechmann, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495773/
https://www.ncbi.nlm.nih.gov/pubmed/22613064
http://dx.doi.org/10.1186/1746-160X-8-16
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author Sachse, Tina
Schwestka-Polly, Rainer
Flieger, Stefanie
Wiechmann, Dirk
author_facet Sachse, Tina
Schwestka-Polly, Rainer
Flieger, Stefanie
Wiechmann, Dirk
author_sort Sachse, Tina
collection PubMed
description INTRODUCTION: The role of occlusion concerning temporomandibular disorder is still unclear but seems to be the only component of the stomathognathic system dentists are able to change morphologically. The aim of the paper is to describe the orthodontist’s approach for transferring and maintaining a therapeutic splint position into permanent occlusion using a fully customized lingual appliance. METHODS: Fixed acrylic bite planes on lower molars were used to maintain a symptom-free condyle position prior to orthodontic treatment. Silicone impressions of the arches including the fixed bite planes were used for the Incognito laboratory procedure. Two digital setups were made. One setup represents the target occlusion. A second setup including the bite planes was used to fabricate an additional set of lower molar brackets. In the leveling stage all teeth except the lower molars were settled to maintain the therapeutic condyle position. Finally, the fixed bite planes were stepwise removed and molar brackets were replaced to establish the permanent occlusion planned with the first setup. RESULTS AND DISCUSSION: The advantage of an individual lingual appliance consists in the high level of congruence between the fabricated setups and the final clinical result. Both the individual scope for design and the precision of the appliance were vitally important in the treatment of a patient with a functional disorder of the masticatory system.
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spelling pubmed-34957732012-11-13 A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance Sachse, Tina Schwestka-Polly, Rainer Flieger, Stefanie Wiechmann, Dirk Head Face Med Methodology INTRODUCTION: The role of occlusion concerning temporomandibular disorder is still unclear but seems to be the only component of the stomathognathic system dentists are able to change morphologically. The aim of the paper is to describe the orthodontist’s approach for transferring and maintaining a therapeutic splint position into permanent occlusion using a fully customized lingual appliance. METHODS: Fixed acrylic bite planes on lower molars were used to maintain a symptom-free condyle position prior to orthodontic treatment. Silicone impressions of the arches including the fixed bite planes were used for the Incognito laboratory procedure. Two digital setups were made. One setup represents the target occlusion. A second setup including the bite planes was used to fabricate an additional set of lower molar brackets. In the leveling stage all teeth except the lower molars were settled to maintain the therapeutic condyle position. Finally, the fixed bite planes were stepwise removed and molar brackets were replaced to establish the permanent occlusion planned with the first setup. RESULTS AND DISCUSSION: The advantage of an individual lingual appliance consists in the high level of congruence between the fabricated setups and the final clinical result. Both the individual scope for design and the precision of the appliance were vitally important in the treatment of a patient with a functional disorder of the masticatory system. BioMed Central 2012-05-21 /pmc/articles/PMC3495773/ /pubmed/22613064 http://dx.doi.org/10.1186/1746-160X-8-16 Text en Copyright ©2012 Sachse et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Methodology
Sachse, Tina
Schwestka-Polly, Rainer
Flieger, Stefanie
Wiechmann, Dirk
A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title_full A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title_fullStr A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title_full_unstemmed A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title_short A concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
title_sort concept to transfer a therapeutic splint position into permanent occlusion with a customized lingual appliance
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495773/
https://www.ncbi.nlm.nih.gov/pubmed/22613064
http://dx.doi.org/10.1186/1746-160X-8-16
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