The Use of Science and Clinical Discipline to Solve the Complex Issues of Tooth Function, Tooth Wear and TMJ Adaptation to Treat a Dysfunctional TM Joint.

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Presentation transcript:

The Use of Science and Clinical Discipline to Solve the Complex Issues of Tooth Function, Tooth Wear and TMJ Adaptation to Treat a Dysfunctional TM Joint Case.

Immediate post-ortho TMD resolved by anterior displacement splint. Proposed definitive treatment to be surgery which the patient did NOT want.

March, 2000

Teeth fit well when hand articulated.

March, 2000 Teeth fit well when hand articulated.

March, 2000 Teeth fit well when hand articulated.

March, 2000 Edge to Edge incisal position, skeletal and muscular.

March, 2000 Edge to Edge incisal position, skeletal and muscular.

March, 2000 Edge to Edge incisal position, skeletal and muscular.

March, 2000

3/14/00 – Hand Artic 1/15/02 - CRO

January 15, 2002 March 14, 2000

 Case retruded about 5 mm. in 1 year 10 months.  Both Condyles are well placed and asymptomatic.  Patient was pleased with the non-surgical result.  Minimum invasive risk.  Process takes time. Bone may not adapt quickly. There must be function.