An approach to the management of temporomandibular joint pain-dysfunction syndrome.
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The result of surgical repositioning of 12 unerupted anterior teeth was studied. The unerupted teeth were gently exposed, gradually repositioned by shifting them bodily toward the occlusal plane without disturbing the periodontal ligament, and splinted for 3 wk. Root canal therapy was performed at the end of the second week following repositioning. Obturation was done at the end of the third week just before splint removal. Clinical and radiographic examination (follow-up period: 6 months to 3.5 yr) revealed no root resorption with satisfactory apical healing and healthy supporting tissues.
Surgical movement of teeth by alveolar osteotomy is described as a method of restoring occlusion. The use and advantages of metal "cap" splints is considered in the treatment of multiple and total segmental osteotomies of the mandibular alveolus.
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Bite guards are useful in the treatment of a number of occlusal and temporomandibular joint problems. These include clenching, bruxism, temporary stabilization of loose teeth and temporomandibular joint dysfunctions. A method has been presented for the construction of hard acrylic bite guards using a direct functional chew-in technique. This method produces bite guards which require little or no adjustment in just three short office visits.
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