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Stabilization of TMD thru Twin Block Therapy
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Stabilization of TMD thru Twin Block Therapy

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  • 1. 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
  • 2. MEANING OF OCCLUSION
  • 3. DIAGNOSIS OF OCCLUSION POSTURE PHYSIOLOGY DYNAMIC FUNCTIONS
  • 4. OCCLUSION GOOD ----------------- EUSTRESS BAD -------------------DISTRESS FOR WHOLE BODY POSTURE PHYSIOLOGY DYNAMIC FUNCTIONS
  • 5. WHY DOES OCCLUSION CAUSE EUSTRESS OR DISTRESS? A. MECHANICAL FACTORS B. PHYSIOLOGICAL FACTORS
  • 6. MECHANICAL FACTORS 1. BITE 2. GUZAY’S QUADRANT THEOREM FORCES AXIS---X & Y LEVERS 3.DISC DISPLACED RUPTURED 4. COMPRESSION PRYAMUS BONE CERVICAL VERTEBRAE
  • 7. 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
  • 8. STABILIZATION OF OCCLUSION DENTURES CROWN AND BRIDGE OVERLAY PARTIAL DENTURES ORTHOPEDICS ORTHODONTICS
  • 9. STABILIZATION OF OCCLUSION DENTURES CROWN AND BRIDGE OVERLAY PARTIAL DENTURES ORTHOPEDICS ORTHODONTICS
  • 10. STABILIZATION OF OCCLUSION DENTURES CROWN AND BRIDGE OVERLAY PARTIAL DENTURES ORTHOPEDICS ORTHODONTICS
  • 11. TWIN BLOCK THERAPY
  • 12. STEPS OF TWIN BLOCK THERAPY
  • 13. 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.
  • 14. Patient Instruction For Fastest Results Full-time wear of Twin Block. Eat with Twin Block. Turn Twin Block screws as directed. Remove for swimming and contact sports.
  • 15. TWIN BLOCKS
  • 16. CORRECT BITE Occlusion 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.
  • 17. 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.
  • 18. STEPS OF TWIN BLOCK THERAPY
  • 19. PHASE 2 TWIN BLOCK THERAPY
  • 20. PHASE 1 TWIN BLOCK THERAPY
  • 21. TMD/STABILIZATION Twin Block/Orthodontics 11-02-----6-06
  • 22. PHASE 1 TWIN BLOCK THERAPY
  • 23. PHASE 1 TWIN BLOCK THERAPY
  • 24. PHASE 1 TWIN BLOCK THERAPY
  • 25. LOCKED JAW UNABLE TO EAT HOT DOGS DAILY HEADACHES
  • 26. PHASE 1 TWIN BLOCK THERAPY
  • 27. PHASE 1 TWIN BLOCK THERAPY
  • 28. PHASE 1 TWIN BLOCK THERAPY
  • 29. PHASE 1 TWIN BLOCK THERAPY
  • 30. PHASE 1 TWIN BLOCK THERAPY
  • 31. OCCLUSION GOOD ----------------- EUSTRESS BAD -------------------DISTRESS FOR WHOLE BODY POSTURE PHYSIOLOGY DYNAMIC FUNCTIONS
  • 32. WHY DOES OCCLUSION CAUSE EUSTRESS OR DISTRESS? A. MECHANICAL FACTORS B. PHYSIOLOGICAL FACTORS
  • 33. STABILIZATION OF OCCLUSION DENTURES CROWN AND BRIDGE OVERLAY PARTIAL DENTURES ORTHOPEDICS ORTHODONTICS
  • 34. DAY TIME TEMPLATE APPLIANCE
  • 35. POSTERIOR OPENING AT CORRECT PHYSIOLOGICAL POSITION
  • 36. ANTERIOR CORE VERIFYING POSTERIOR CROWNS PROPER POSITION
  • 37. STABILIZATION OF OCCLUSION DENTURES CROWN AND BRIDGE OVERLAY PARTIAL DENTURES ORTHOPEDICS ORTHODONTICS
  • 38. BLEACHING •IN OFFICE •TAKE HOME