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[Indications and preparation of a fluoride splint].

The individually produced fluoride miniplastsplint is suitable for application in preventive dentistry, for the therapy of cervical demineralisation and hypersensitive root surfaces. The models must be measured with a "parallelometer" so that the exactness and tightness of the splint can be guaranteed. A space with room for occlusal stops guarantees the necessary place for the gel containing fluorides. The patient must wear the splint once a week for half an hour.

Adolescent↗

Dental stability and maximal masticatory muscle activity.

The electromyographical (EMG) activity of masticatory muscles during full clenching in the retruded contact position (RCP) and intercuspal position (IP) with and without a posterior stabilizing splint was studied. The linear envelope EMG signal from three bilateral muscles was recorded (masseter, anterior temporal and posterior temporal). Thirty-seven subjects were evaluated. Clenching in the RCP without the splint and with the presence of an unstable occlusal contact inhibited the masseter muscle activity and reduced anterior temporal and posterior temporal muscle activity. The masticatory muscle activity returned to normal when clenching in the RCP with a splint that permitted stability in the dentition. EMG activity was the same in the IP with and without the splint. The results indicate that the determinant of maximal masseter isometric muscle contraction is the amount of stability in the dentition rather than the jaw position. If the dentition takes the major role of stabilizing the mandible, i.e., there is good intercuspation, the masseter muscle can exert maximal isometric contraction. If the stability is not provided by the dentition, i.e., there is a premature contact, the jaw muscles must contribute to the stabilization and reduce the magnitude of the maximal contraction to avoid damage to the structures involved in the compensatory stabilization.

Dental Occlusion↗

Occlusal acrylic index used to observe palatal bone cuts.

The use of an acrylic occlusal index prior to wiring a full palatal coverage splint into place offers an easy way to check for "hang-up" areas and help in placement of bone grafts while the segments are held in the predetermined position.

Acrylic Resins↗

Histological study of rat masseter muscle following experimental occlusal alteration.

It has been suggested that occlusal interference results in masticatory muscle dysfunction. In our previous study, occlusal interference reduced the rat masseter energy level during masticatory movements. The purpose of this study was to investigate the histological alterations of rat masseter muscles following experimental occlusal alteration with unilateral bite-raising. A total of eight male adult Wistar rats were equally divided into control and experimental groups. The experimental rats wore bite-raising splints on the unilateral upper molar. However, 4 weeks after the operation, the anterior deep masseter muscles were removed and then stained for succinic acid dehydrogenase (SDH), haematoxylin eosin (HE) and myofibrillar ATPase. Most of the muscle fibres in experimental rats remained intact, although partial histological changes were observed, such as extended connective tissue, appearance of inflammatory cells in the muscle fibres and existence of muscle fibres with central nuclei and central cores. Moreover, the fibre area-fibre frequency histograms of experimental muscle indicated a broad pattern than that of controls. These results indicated that occlusal interference caused histological changes in masseter muscles and that this may be related to the fact that the masseter energy level was reduced during masticatory movements in unilateral bite-raised rats.

Animals↗

A new technique for making occlusal devices.

This procedure has an application to all types of occlusal devices. It is a novel combination of hard and soft acrylic resin. The outer shell of hard resin takes the abuse of the opposing occlusion. The thin well-controlled lining of soft resin makes it easier to seat and more comfortable to wear yet is thin enough that the entire device serves as if it were made entirely of hard acrylic resin. The detailed directions for the entire procedure make it possible to fabricate these novel devices without error.

Acrylic Resins↗

The use of hybrid stereolithographic models for the planning of complex craniofacial procedures.

Preoperative planning of orthognathic surgery is usually based on plaster cast models. Those are integrated in an articulator, simulating the movement of the jaws. We present a new procedure to combine the individual jaw anatomy by stereolithographical models with dental plaster casts, which are more accurately reproducing dental and bony anatomy. For image fusion the patient and the individual plaster casts are scanned by computed tomography, the occlusal planes being covered by a splint with radioopaque makers. After threshold segmentation of both, the plaster cast and the patients skull images are fused. The plaster cast volume is then subtracted from the patients upper and lower jaw, thus sparing out the place for later fusion of stereolithographic model and plaster cast.

Computer Graphics↗

[MPDS syndrome].

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Adult↗