stabilization of tmd thru twin block therapy

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

MEANING OF OCCLUSION

DIAGNOSIS OF OCCLUSION

POSTURE

PHYSIOLOGY

DYNAMIC FUNCTIONS

OCCLUSION

GOOD ----------------- EUSTRESS

BAD -------------------DISTRESS

FOR WHOLE BODY

POSTURE

PHYSIOLOGY

DYNAMIC FUNCTIONS

WHY DOES OCCLUSION

CAUSE EUSTRESS

OR

DISTRESS?

A. MECHANICAL FACTORS

B. PHYSIOLOGICAL FACTORS

MECHANICAL FACTORS

1. BITE

2. GUZAY’S QUADRANT THEOREM

FORCES

AXIS---X & Y

LEVERS

3.DISC

DISPLACED

RUPTURED

4. COMPRESSION

PRYAMUS BONE

CERVICAL VERTEBRAE

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

STABILIZATION OF OCCLUSION

DENTURES

CROWN AND BRIDGE

OVERLAY PARTIAL DENTURES

ORTHOPEDICS

ORTHODONTICS

STABILIZATION OF OCCLUSION

DENTURES

CROWN AND BRIDGE

OVERLAY PARTIAL DENTURES

ORTHOPEDICS

ORTHODONTICS

STABILIZATION OF OCCLUSION

DENTURES

CROWN AND BRIDGE

OVERLAY PARTIAL DENTURES

ORTHOPEDICS

ORTHODONTICS

TWIN BLOCK THERAPY

STEPS OF TWIN BLOCK THERAPY

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.

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

TWIN BLOCKS

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

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.

STEPS OF TWIN BLOCK THERAPY

PHASE 2 TWIN BLOCK THERAPY

PHASE 1 TWIN BLOCK

THERAPY

TMD/STABILIZATION

Twin Block/Orthodontics

11-02-----6-06

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

LOCKED JAW

UNABLE TO EAT HOT DOGS

DAILY HEADACHES

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

PHASE 1 TWIN BLOCK

THERAPY

OCCLUSION

GOOD ----------------- EUSTRESS

BAD -------------------DISTRESS

FOR WHOLE BODY

POSTURE

PHYSIOLOGY

DYNAMIC FUNCTIONS

WHY DOES OCCLUSION

CAUSE EUSTRESS

OR

DISTRESS?

A. MECHANICAL FACTORS

B. PHYSIOLOGICAL FACTORS

STABILIZATION OF OCCLUSION

DENTURES

CROWN AND BRIDGE

OVERLAY PARTIAL DENTURES

ORTHOPEDICS

ORTHODONTICS

TEMPLATEDAY TIME

APPLIANCE

POSTERIOR OPENING AT CORRECT

PHYSIOLOGICAL POSITION

ANTERIOR CORE VERIFYING

POSTERIOR CROWNS PROPER POSITION

STABILIZATION OF OCCLUSION

DENTURES

CROWN AND BRIDGE

OVERLAY PARTIAL DENTURES

ORTHOPEDICS

ORTHODONTICS

BLEACHING

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