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Digital Occlusion Timing for your Posterior Doorstops
- 1. 1 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD DIGITAL OCCLUSION FOR TIMING YOUR POSTERIOR DOOR STOPS James Downs, DMD
- 2. 2 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD ABOUT YOUR PRESENTER James Downs, DMD
- 3. 3 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD COSMETIC RESTORATIONS
- 4. 4 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD Accuracy with interpreting Carbon paper – 295 test subjects ranging in age and occlusal camps – 6 photos of paper marks – Test subjects chose highest and lowest marks (12 questions) Conclusion – Mean correct out of 12 questions was 1.53 or 12.5% – We are inefficient at subjectively interpreting low or high occlusal forces using carbon paper RECENT CRANIO ARTICLE* *1. Kerstein, R.B., & Radke, J. Clinician accuracy when subjectively interpreting articulating paper markings. Journal of Craniomandibular & Sleep Practice, 2013; 32(1):13-23
- 5. 5 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 6. 6 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD WHERE WOULD YOU ADJUST?
- 7. 7 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD WHICH MARK IS THE MOST FORCEFUL?
- 8. 8 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 9. 9 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD THREE IMPORTANT PARTS OF THE SYSTEM: • The Teeth • The Periodontal Tissues • The Articulatory System
- 10. 10 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD “How does that feel?” Patient Directed
- 11. 11 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD “DOOR STOPS”
- 12. 12 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD 1) FREE UP ANTERIOR 6-11
- 13. 13 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD LONG CENTRIC
- 14. 14 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD Freedom in centric occlusion occurs when the mandible is able to move anteriorly for a short distance in the same horizontal and sagittal plane while maintaining tooth contact. Alternatively there will be no freedom in centric occlusion if either the front teeth or the posterior occlusion do not allow this horizontal movement.
- 15. 15 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 16. 16 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 17. 17 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD 2) TIME THE POSTERIOR STOPS
- 18. 18 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD TIMING VS FORCE
- 19. 19 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 20. 20 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD NORMAL TIMING/FORCE
- 21. 21 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 22. 22 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD 3) CLEAR LATERAL EXCURSIONS
- 23. 23 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 24. 24 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD DIALITE PORCELAIN POLISHERS
- 25. 25 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD DIALITE PORCELAIN POLISHERS First- Start with the Blue cup. Place in a slow speed handpiece for electric motor and set the RPM for high mode. Have the patient bite only in CO with Accufilm. Locate the first initial hit and lightly touch the articulation marks according to the scan. Locate the first early timing marks again and lightly adjust. Then take another T-Scan®. Repeat.
- 26. 26 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD DDBG- Arrowhead Lab
- 27. 27 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 28. 28 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 29. 29 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 30. 30 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD
- 31. 31 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD QUESTIONS
- 32. 32 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD CONTACT INFORMATION Dr. James Downs LêDowns Dentistry www.ledownsdentistry.com admin@ledownsdentistry.com Tekscan www.tekscan.com/dental (617) 464-4500 info@tekscan.com
- 33. 33 Digital Occlusion for Timing Your Posterior Door Stops – James Downs, DMD THANK YOU
Editor's Notes
- James Downs, DMD received his degree from Tufts University School of Dental Medicine. He owns LeDowns Dentistry in Denver, Colorado with his wife. Dr. Downs is an expert in comprehensive restorative treatment. He currently lectures throughout the US and Europe for the Dr. Dick Barnes Group. Dr. Downs has been a T-Scan user for X years and currently uses digital occlusal technology in his practice.
- The T-Scan puts your articulating paper marks into context by showing the force of marks you need to care about, to help reduce treatment time and improve patient care. T-Scan helps clarify your patient's occlusion by showing you the forces of paper marks that need management, to protect your patient's investment, so you can maximize valuable chair time.