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Biomedical subjects

T J Dylina

Publications and source records attributed to T J Dylina.

6 recordsLinked to original sources

A common-sense approach to splint therapy.

Splint therapy is a proven modality for alleviating the pain of many types of temporomandibular disorders and bruxism, though questions still remain regarding how splints work. In this article, a review of the literature is used to determine an effective splint design for the different degrees of temporomandibular problems. Sufficient credible literature exists to help provide an understanding of and a treatment protocol for the use of splints for temporomandibular disorders and bruxism problems.

Bruxism↗

Occlusion problems.

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Centric Relation↗

Contour determination for ovate pontics.

The ovate pontic was initially described in 1933, but was only recently considered clinically acceptable. Historically, there has been resistance to ovate pontics, but this resistance lacks scientific and biologic evidence to justify rejection. Explicit instructions are mandatory for predictable results from dental laboratories. This article describes a method for communicating exact dimensions for an ovate pontic that was previously contoured for a patient in a provisional restoration to ensure clinical and histologic success. Polyvinyl siloxane putty is suggested as a matrix material for the predetermined contour. An esthetic and functional restoration will result when these materials and procedures are used in an appropriate sequence.

Attitude of Health Personnel↗

Phase II therapy for a chronic pain patient: a clinical report.

One of the roadblocks to success in treating temporomandibular joint dysfunction (TMD) patients is an accurate diagnosis. The terms "TMJ" or "TMD" are not specific enough to provide definitive treatment. Initially the disorder must be classified as a muscular or an internal derangement problem. Once accomplished, the further diagnostic breakdown of the problem will prepare the patient and the doctor for the scope of treatment necessary and the prognosis. This lack of a specific diagnosis can lead to inappropriate treatment and inadequate communication among clinical dentists, academia and patients. Our patients and the profession will continue to suffer until a single diagnostic system is universally agreed upon and utilized.

Chronic Disease↗