TMJ Treatment Part 3 of 4 - Dental Minute with Steven T. Cutbirth, DDS

[@dnyaneshwarpatil3101]

Excellent tmj series dr cutbirth

[@centerforard]

Thank you.

[@kvn2512]

do you send these to outside labs? if so what instructions can i give them? Because they are making a regular sports guard and i have to resend them and give instructions again. Can you please tell me what proper instructions should be given to lab technician and what records to be taken.? TIA

[@centerforard]

My dental assistant fabricates these night guards in my office. We do not send them to an outside lab. Records taken are: study model impressions, face bow, occlusal registration record taken at the open bite position the thickness of the nightguard. We then mount the study models on a semi adjustable articulator with the occlusal registration, open bite record and the face bow and construct the nightguard "shell." The acrylic nightguard "shell" is then relined in the patient's mouth with Bisacrylate (Luxatemp). Shallow retention holes are cut in the acrylic nightguard shell with a slow speed round burr. Once relined, the nightguard is trimmed and polished. The occlusion is perfected, the patient practices taking it in and out of their mouth and home care instructions are given verbally and on a printed card.

[@nivamonagda8225]

Hello Dr. Steven, When the occlusion is removed from the posterior teeth and maintained only on the anterior teeth, can it result in passive extrusion of posterior teeth as it’s left out of contact for longer hours and change the occlusion of the patient?

[@centerforard]

Yes, as I stated, if the patient wore the appliance for several days. Teeth begin to erupt after 24-48 hours. Tell the patient to only wear the appliance while sleeping. I discuss the reasons for this occlusal contact in the video. Also, watch my video on "Occlusion" in the library of DMC.com. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@omdentalclinicanjar4291]

goood evening sir, my question is citaneest 4% is an local anesthetic solution,, it efffect is to stay for 20-40 mins, shall not the pain reoccur once the effect of LA subsides? also after adjusting the night guard do we need to prescribe the muscle relaxant, if yes then foor what amount of time? thank you sir

[@centerforard]

Watch the videos in the series. I go over all of your questions. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@omdentalclinicanjar4291]

siir i subscribed it last month @@centerforard

[@centerforard]

Terrific.

[@drsindhuparameswaran7866]

What to do if the patient has a large open bite?

[@centerforard]

Make the anterior part of the appliance thicker so the anterior teeth contact when the mandible is manipulated into CR. No different than with a normal occlusion except the anterior part of the splint is thick enough to contact the mandibular anterior teeth. Be sure to tell the patient their bite will feel strange for a few minutes when they remove the splint in the morning and return to their normal bite. The anterior contact only occlusal orthotic appliance will take 90% of the pressure off the TMJs and muscles of mastication while the patient is sleeping because 90% of the muscle fibers will turn off with only anterior contact. Initially, the splint will feel strange and the patient's facial muscles may be a bit sore until the patient adjusts to wearing the splint. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@solomonfarst2950]

Can you help me Dr I have this problem I have tmj and tmd I am so confused my face structure is changing I am living Sweden

[@centerforard]

So sorry, it is difficult to diagnose your condition and prescribe treatment without examining you.

[@SShow-fd3kv]

Har samma problem som du, det startade i februari och är nu värre.. Det verkar som att det inte finns en specifik och effektiv behandling 😭

[@solomonfarst2950]

Can you help me Dr cuthbirth

[@centerforard]

So sorry, I responded to your question above.