This document discusses the Twin Block functional appliance, including its development, designs, mode of action, and treatment techniques. It introduces the Twin Block, developed in 1977 to treat a young patient. Key features and benefits are outlined, along with bite registration procedures, component designs, and treatment stages. Modifications for treating various malocclusions are described, along with integration with fixed appliances. The versatility of the Twin Block for treating different malocclusions is emphasized.
A magnetic resonance imaging studyof the temporomandibular joint and the disc...Abu-Hussein Muhamad
Causative correction of skeletal malocclusions is achieved through bite–jumping by various means. Numerous animal experiments yielded evidence of rebuilt temporomandibular structures after mandibular protrusion. However, the mode and extent of structural and/or topographic changes of the disco-condylar relation after functional orthopaedic treatment is still an issue at stake. A problem exists in defining the physiologic (centric) position of the condyles and the proper disco-condylar relation which is tentatively determined by various methods particularly in MRI studies. Despite the high resolution provided, the results have to be interpreted with caution, as osseous resorption and apposition can not be assessed by visual evidence. In this article a prospective study is presented which proves the effectiveness of the “Wuerzburg concept“, i.e. bionator plus extraoral traction and up-and-down elastics, and its impact on the temporomandibular joint. The underlying reactions are studied by means of MR images obtained from sucessfully treated patients.
BACKGROUND: The stimulating effect of low level laser phototherapy on bone healing has been shown in a number of in vitro and animal studies. However, the effect of LLLT on the bone healing in human has not been previously wide demonstrated. The article reports an accidentally injury pattern and reported as fractures of the mid third of the left tibia. OBJECTIVE: The purpose of this case study was to demonstrate the biological effects of low-level laser therapy (LLLT) on tibial fractures treated surgically using radiographic, examinations. CASE REPORT: The case hospitalized for conventional surgery and followed by applying Low Level Laser Therapy LLLT to enhance and accelerate the bone fracture healing of the left tibia using the effect of laser bio-stimulation. Radiological x-ray imaging evaluation follow up for our case showed a significant bone healing rate as result of exposure of Diode Laser 650 nm with energy density of 5 J/cm2 three times/week for one month. Radiographic findings revealed no significant fracture callus thickness difference before using LLLT however, the fractures showed significant callus formation after using LLLT. CONCLUSION: The study suggests that LLLT accelerates the process of fracture repair or cause increases in callus volume
“Periodontal Regeneration- New Vistas”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme at SVS Institute of Dental Sciences, Mahabubnagar, India on 12/3/2013 and at Meghna Dental College, Nizamabad, India on 31/7/2013.
A magnetic resonance imaging studyof the temporomandibular joint and the disc...Abu-Hussein Muhamad
Causative correction of skeletal malocclusions is achieved through bite–jumping by various means. Numerous animal experiments yielded evidence of rebuilt temporomandibular structures after mandibular protrusion. However, the mode and extent of structural and/or topographic changes of the disco-condylar relation after functional orthopaedic treatment is still an issue at stake. A problem exists in defining the physiologic (centric) position of the condyles and the proper disco-condylar relation which is tentatively determined by various methods particularly in MRI studies. Despite the high resolution provided, the results have to be interpreted with caution, as osseous resorption and apposition can not be assessed by visual evidence. In this article a prospective study is presented which proves the effectiveness of the “Wuerzburg concept“, i.e. bionator plus extraoral traction and up-and-down elastics, and its impact on the temporomandibular joint. The underlying reactions are studied by means of MR images obtained from sucessfully treated patients.
BACKGROUND: The stimulating effect of low level laser phototherapy on bone healing has been shown in a number of in vitro and animal studies. However, the effect of LLLT on the bone healing in human has not been previously wide demonstrated. The article reports an accidentally injury pattern and reported as fractures of the mid third of the left tibia. OBJECTIVE: The purpose of this case study was to demonstrate the biological effects of low-level laser therapy (LLLT) on tibial fractures treated surgically using radiographic, examinations. CASE REPORT: The case hospitalized for conventional surgery and followed by applying Low Level Laser Therapy LLLT to enhance and accelerate the bone fracture healing of the left tibia using the effect of laser bio-stimulation. Radiological x-ray imaging evaluation follow up for our case showed a significant bone healing rate as result of exposure of Diode Laser 650 nm with energy density of 5 J/cm2 three times/week for one month. Radiographic findings revealed no significant fracture callus thickness difference before using LLLT however, the fractures showed significant callus formation after using LLLT. CONCLUSION: The study suggests that LLLT accelerates the process of fracture repair or cause increases in callus volume
“Periodontal Regeneration- New Vistas”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme at SVS Institute of Dental Sciences, Mahabubnagar, India on 12/3/2013 and at Meghna Dental College, Nizamabad, India on 31/7/2013.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Twin block /certified fixed orthodontic courses by Indian dental academyIndian dental academy
The Indian Dental Academy is the Leader in
continuing dental education , training dentists
in all aspects of dentistry and offering a wide
range of dental certified courses in different
formats.
Indian dental academy provides dental crown &
Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit
www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
International Journal of Engineering and Science Invention (IJESI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJESI publishes research articles and reviews within the whole field Engineering Science and Technology, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
A magnetic resonance imaging studyof the temporomandibular joint and the disc...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Sem 4 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The naso-orbitoethmoid complex (NOE) fracture represents the most wearisome and challenging of all facial fractures due to the complexity and intricacy of its surgical & anatomic components. A good working knowledge with regards its surgical anatomy, clinical features, sequence of treatment & surgical approaches, potential pitfalls in its treatment & postoperative consideration,. Appropriate diagnosis and timely treatment is crucial to avoid unfavorable & difficult to treat sequelae.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Twin block /certified fixed orthodontic courses by Indian dental academyIndian dental academy
The Indian Dental Academy is the Leader in
continuing dental education , training dentists
in all aspects of dentistry and offering a wide
range of dental certified courses in different
formats.
Indian dental academy provides dental crown &
Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit
www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
International Journal of Engineering and Science Invention (IJESI) is an international journal intended for professionals and researchers in all fields of computer science and electronics. IJESI publishes research articles and reviews within the whole field Engineering Science and Technology, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
A magnetic resonance imaging studyof the temporomandibular joint and the disc...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Sem 4 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The naso-orbitoethmoid complex (NOE) fracture represents the most wearisome and challenging of all facial fractures due to the complexity and intricacy of its surgical & anatomic components. A good working knowledge with regards its surgical anatomy, clinical features, sequence of treatment & surgical approaches, potential pitfalls in its treatment & postoperative consideration,. Appropriate diagnosis and timely treatment is crucial to avoid unfavorable & difficult to treat sequelae.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
2. INTRODUCTON
DEVELOPMENT OF TWIN BLOCKS
APPLIANCE DESIGNS & CONSTRUCTIONS
TWIN BLOCK TECHNIQUE
MODE OF ACTION
TREATMENT BY TWIN BLOCK TECH
CONCLUSION
REFERENCES
3.
4. “NECESSITY IS THE MOTHER OF INVENTIO
First twin block app : 1977, to 8ys old patient.
First patient : Colin Gove.
First fabricated : Jim Watt.
8. BITE REGISTRATION
It is a crucial factor in design & construction.
It determines the degree of activation built in to the
appliance.
The degree of activation should stretch the muscles of
mastication sufficiently to provide the possitive
propriocepive response.
Consideration is given to facial growth pattern.
9. BITE REGISTRATION
STEP WISE ADVANCEMENT Vs SINGLE STEPADVANCEMENT
A study was done to identify the pattern of bone formation
in tmj in response to the step wise mandibular advancement
compared to single step advancement with fixed functional
appliances .
They concluded that step wise advancement produces more
skeletal effects than single advancement and more
prominent effect with step wise advancement was found
in the glenoid fossa compared with the condyle.
( Semin Orthod 2003:9:41-46)
10. BITE REGISTRATION IN TWIN BLOCK TECH
VERTICAL ACTIVATION.
AND
CONTROL OF VERTICAL DIMENSION.
17. It can be done by cold cure acrylic or preformed
heat cure block.
No acrylic is added to the lower inclined plan.
18. Central control of adaptive response &Neuromuscular &
skeletal adaptations.
( McNamara , 1980 )
Adaptation of bone growth in response to functional
stimulus.
( Wood side et al , 1987 )
19. A comparison of twin block response with animal
experiments.
(Harvold)
A review of paradigm of genetic control
( Petrovic et al , 1981 )
Improved clinical use of twin block & herbst
as a result of radiating viscoelastic tissue
forces on the condyle & fossa in treatment &
long term retention : growth relativity.
( Voudouris et al :ajo do:2000:117:247-66.)
20. 1.TREATMENT OF CLASS I DIV I WITH DEEP BITE.
D. MANAGEMENT OF DEEP OVERBITE.
A. BITE REGISTRATION.
EXACTO BITE
PROJET BITE GUAGE
B. TEMPORARY FIXATION OF TWIN BLOCK
C. COMFORT ZONE
23. 4. TWIN BLOCK TRACTION TECH
In the treatment of severe maxillary protrusion.
To control vertical growth pattern.
To intrude upper posterior teeth.
In adult treatment where mandibular growth
cannot assist correction of severe malocclusion.
CONCORDE FACEBOW
24. 5.TREATMENT OF ANT OPEN BITE
Etiology.
C / F of ant open bite.
Appliance modifications.
25. 6. TREATMENT OF CLASS II DIV II MALOCCLUSION
C / F .
Bite registration.
Appliance design.
Sagittal appliance
27. 9. MANAGEMENT OF CROWDING &
EXTRACTION THERAPY
Extraction & Functional therapy are contra indicatory terms.
Indications in certain cases.
a. Severe crowding.
b. Vertical growth pattern with crowding.
28. 10. TREATMENT OF FACIAL ASYMMETRY
SAGITTAL TWIN BLOCK IS THE APPLIANCE OF CHOICE.
29. 11.MAGNETIC TWIN BLOCKS
To accelerate correction of arch relationship.
To encourage increased occlusal contacts on the bite blocks
& to maximise favourable forces applied to correct
malocclusion.
Attracting magnets : Samarium cobalt & Neodynium
boron.
30. 11.MAGNETIC TWIN BLOCKS
Author has used magnets in FIVE different clinical situations
1. Cl II div 1 with large overjet.
2. Mild Cl II buccal segment relationship.
3. Mild Cl II div 1 with overjet 7mm.
4. Unilateral Cl II adult patient with TMD.
5. Skeletal Cl III with persistent cross bite failed to resolve with
conventional mechanics.
6. Treatment of facial asymmetry.
31. 12.TWIN BLOCK IN TMJ THERAPY
C / F.
Diagnosis.
Goals of TMJ therapy.
Appliance design.
Stages of treatment : 1.Sagittal development
2.Functional Repositioning
3.Vertical development
Biofinisher.
33. 13. FIXED TWIN BLOCKS
Advantages of fixed appliances
Esthetic appliance design.
Stages of treatment.
1. Interceptive treatment & arch development by the Wilsons
modular appliance system.
2. Orthopaedic treatment by fixed twin blocks.
3. Detailed orthodontic correction by fixed appliance.
34. Twin Block is versatile removable functional appliance
used to treat various types of malocclusions.
Having knowledge about the Twin Block and its various
modifications with proper case and appliance selection
successful results can be obtained.
35. 1. Twin Block Functional Therapy,
by William J Clark.
2. Orthodontics & Dentofacial Orthopedics
by McNamara & Brudon.
3. Dentofacial Orthopedics with Functional Appliances
by Graber , Rakosi & Petrovic.
4. Orthodontics Current Principles & Techniques
by Graber , Vanarsdall.
5. Removable Orthodontic Appliances
by Graber & Neumann.
6. Am J Orthod Dentofacial Orthop :2000:117:247-66.
7. Semin Orthod : 2003:9: 41-46.