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Bruxism and its effect on the natural teeth.

Bruxism is one of the most prevalent, complex, and destructive dental functional disorders. It is difficult to identify, especially in its early stages, because most patients are unaware of the habit. Although many factors contribute to the etiology of the disorder, there is little valid and reliable clinical research to assure a correct diagnosis. The effects of bruxism are multiple and diverse and include temporomandibular joint pain and dysfunction, head and neck pain, tooth wear, mobility, erosion, abrasion, loss of and damage to supporting structures, muscle pain and spasm, disturbance of esthetics, and interference and oral comfort. Treatment may be simple or complex, depending on the nature of the disorder. More severe disorders are difficult to treat, and the prognosis may be questionable. Because the diagnosis and treatment of bruxism is inadequately defined and poorly understood, carefully designed clinical research projects are encouraged.

Bruxism↗

Temporal muscle activity during the first year of Class II, division 1 malocclusion treatment with an activator.

The activity of the anterior and posterior temporal muscles in response to treatment with a splint type of activator was studied in children with distal occlusion. The effect on muscle activity was compared with that in a similar group of children being treated with a headgear and with that in a control group receiving orthodontic treatment for Class I malocclusion. Electromyographic recordings were made with the mandible in the rest position and, during maximal bite, in the intercuspal position. The recordings were made before the start of the treatment and on three later occasions at 4-month intervals. The activity in the rest position was constant during the 1-year period of observation. During maximal bite the activity of the posterior temporal muscle decreased significantly in the group with headgear and the control group and in a subgroup of children with large protrusions in the construction bite who had been treated with activators. This decrease was considered to be an effect of occlusal instability brought about by the treatment. There was no evidence of a decrease in the postural (rest) activity of the posterior temporal muscle, although such a decrease has been described as a sign of forward displacement of the mandible during treatment with a functional appliance.

Activator Appliances↗

Occlusal considerations in periodontics.

Periodontal disease does not directly affect the occluding surfaces of teeth, consequently some may find a section on periodontics a surprising inclusion. Trauma from the occlusion, however, has been linked with periodontal disease for many years. Karolyi published his pioneering paper, in 1901 'Beobachtungen uber Pyorrhoea alveolaris' (occlusal stress and 'alveolar pyorrhoea'). (1) However, despite extensive research over many decades, the role of occlusion in the aetiology and pathogenesis of inflammatory periodontitis is still not completely understood.

Animals↗

Combined use of bone graft and Biotes fixtures in the treatment of the severely resorbed upper jaws.

Horse-shoe shaped bone grafts from the hip together with biotes self-tapping fixtures were used to rehabilitate patients with extremely resorbed upper jaws. Our experience and results from the 10 first consecutive case have been analyzed to form the base for further use of the method. We have lost eight fixtures out of 57 so far. Surgical complications with exposure of the bone transplant have occurred in three patients. A surprisingly good recovery from the hip has been seen in all of the patients. Certain technical precautions such as construction of a splint in the dentulous or partially dentulous jaw to prevent occlusal trauma towards the transplant have been made to avoid complications such as rupture of the mucosal flap. The method should be used with great care and the case meticulously chosen to avoid individuals who do not have the right motivation for the long-lasting and demanding surgical and prosthetic procedures. The combined use of implants and transplants should not be used routinely until a long-term evaluation of the method has been made to minimize potential drawbacks.

Adult↗

Clinical application of remoldable appliances for craniomandibular disorder.

This author was challenged by the idea of finding a cost-effective way of providing diagnostic appliance therapy for the great number of patients with temporomandibular joint pain. His answer was remoldable craniomandibular appliances. These appliances provide an increase in both vertical dimension and mandibular AP position. He outlines the uses of these appliances for temporomandibular disk displacement, myofascial pain, and bruxism patients.

Adolescent↗

Effects of mandibular appliances on athletic performance.

This chapter provides a review of the research findings on the role of oral appliances in performance augmentation among athletes. Supporting and non-supporting data are detailed. Evaluation of these data is complicated by the difficulty in establishing objective tests and ruling out subjective reports on strength augmentation among athletes.

Dental Occlusion↗

Treatment of anterior disk displacement without reduction by "disk recapturing bite plane".

Eight subjects with a diagnosis of anterior disk displacement without reduction were used for the evaluation of the efficacy of conservative treatment using Disk Recapturing Bite Plane. Examinations were performed before and after treatment. The post-treatment examination revealed that this bite plane improved the structural bone changes and condylar dislocations. In addition, the characteristic chewing patterns of anterior disk displacement without reduction were normalized. These results indicate that the disk recapturing bite plane is one of the effective treatments of anterior disk displacement without reduction.

Cartilage, Articular↗

[Dima: a solution for many implant problems].

The Authors point out the importance of a preliminary detailed examination on cases where an intrabone implanthology operation is necessary. The patient is examined from a neuromuscolar point of view, then a stereognatograph is used to check his chewing function. The subject is carefully examined under the profile of his individual characteristics by means of a print which reveals the drawing of the bone's profile under the area of the tooth and the perforation of the cutting edges exactly at the right point and in the direction desired by the dentist.

Adult↗

A new material and technique for appliance therapy.

A new material (thermoplastic) and clinical technique has been presented which can be utilized for appliance therapy. The major occlusal problems caused by distortion of acrylic appliances after traditional heat curing has been eliminated by this material. As a result, a clinical technique has been suggested that utilizes a relieved duplicate master cast that is mounted on the articulator for wax up and processing purposes. The inordinate accuracy of the material permits the finished appliance to be reseated on the master cast with great precision. The occlusion is refined and the appliance inserted with insignificant occlusal adjustment.

Dental Occlusion↗