October

Friday, October 26, 2012 

The Occlusion – TMJoint and Restorative Connection: Predictable Procedures for Predictable Results

Over the years medicine has embraced technology and the use of physiologic measurements and parameters to assist formulating a diagnosis. The role of Biometrics in dentistry, physiologic assessment of muscle function and occlusion has been underused in dentistry. There is a fundamental role played by the neuromuscular system in the pathogenesis of dysfunctions of the stomatognathic apparatus. We are now able to measure and control the biophysical and biochemical phenomena which determine mandibular movements: “If it has been measured, it is a fact; If it has not, it’s an opinion”.

This presentation will focus on the diagnosis and process before the preparation of the teeth, the addition of the porcelain or the start of any orthodontic or prosthetic treatment plan. This discussion will include diagnosis of the smile, the dentition, soft tissue and occlusion then it will take the clinician through predictable steps to ensure aesthetic and functional success. Introduction to the concepts of Biometrics in dentistry and how technology can assist us in the diagnosis of the case will be reviewed. Specifically the discussion will focus on Joint Vibration Analysis, Jaw Tracking and the use of Tek Scan.

Anatomy of the TM Joint will be reviewed with a perspective on how this can lead to joint dysfunction and the impact on our restorative and orthodontic procedures. Conservative management will be reviewed. The role of occlusion will be discussed. Case studies will be used to demonstrate the conditions described. Phase 1 orthotic (appliance) therapy along with Phase 2 management with orthodontics and restorative dentistry will be reviewed using case studies.