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Published byJosephine Eaton Modified over 9 years ago
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Refractory CMD Case 5 years of treatment, 3 years of “Hell”, 5 months of Torment; 4 days to basic comfort!!
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Presentation 5/21
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Glued On Splint, Hygiene??
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Splint Fractured, Failed Restoration
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Splint Ends First Molar What’s This?
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R
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Lower Anterior with Splint Off
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What is the Intent of Treatment? Extra Length, Molars in Occlusion, Would the resultant Vector distalize the Mandible?
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Not Very Comfortable,
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Old Splint Where is She Rubbing?
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Incisal Ramp Is it A Little Big?
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1 st Mark, Splint Rocks! What Is the Effect of A Rocking Splint?
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What do you call this splint? What is the Basic Design? Is this a Tanner Splint? NO!!! Can we use it? If so, what is next step?
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Reline And Re- surface PGA
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1 st Adjustment
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2 nd Adjustment
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3 rd Adjustment - “Freedom”
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3 day PO, Splint Great, Chewing with Teeth Bad
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1 st Adjustment, Feels Good
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4 th Day PO, “Cadillac” of Splints
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First Smile in Months
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4 th day PO, 1 st Adjustment Still Cannot Eat or Leave Splint Out
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What is Next Check?
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2+ Fremulous #8
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Now What?? Allow her to feel motion Allow her to choose the affected tooth Ask permission to reshape a tooth Which one? #25, lower right incisor!!!
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Is it the Bevel on #25, or the length?
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Unposed photo’s, 4 days apart What is the real Effect??
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