Accurate and reproducible fabrication of anteriorly-repositioned occlusal splints.
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Forty patients with three different types of symptomatic disk-interference disorders were treated with anterior repositioning splint therapy for 8 weeks. At the end of that period 80% of the patients were free of joint sound and pain. Each patient's splint was then gradually modified until the patient's original occlusal condition was reestablished. Each patient was then allowed to function in that position. The patients were reevaluated an average of 2 1/2 years later. Seventy-five percent of the patients had no joint pain and 66% had a return of joint sounds. Sixty-six percent of the patients did not find the need to seek additional treatment for jaw pain and dysfunction.
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The primary purpose of this study is to estimate loading conditions on the TMJ with five different occlusal splint.We developed a model that simulated dynamic relationship between dental occlusion,masticatory muscles and TMJ.It is demonstrated that loading on the condyle increases whatever kinds of splints are used.The anterior splint brings about larger loading on the condyle than any other splint.When the ratio force of the muscle on the non pivot is1,left-side pivot split makes loading on left condyle decrease and right increase.It was change on both condyles when posterior teeth are missing including loading, contact and unilateral mastication.
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