2020, Number 5
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Rev ADM 2020; 77 (5)
Vertical control with miniscrews in muscular deprogramming treatment
Santibáñez GJA, Ferrer TSA, Salinas ECRMG, Guizar MJM
Language: Spanish
References: 14
Page: 261-266
PDF size: 359.36 Kb.
ABSTRACT
One of the effects of the neuromuscular deprogramming treatment is the mandibular clockwise rotation, making the light premature occlusal contact more evident and increasing the patient vertical dimension. In Class II patients with vertical component is difficult to treat them due to profile worsening as an effect of the clockwise rotation creating in some patient’s anterior open bite, this has to be corrected later in treatment with orthodontic intrusion, surgery or prosthodontic treatment, increasing the total time of treatment with the vertical control necessity. This case report is a 45 years old patient, dolichofacial, with anterior open bite tendency, dual bite, decreased overjet and overbite, her chief complaint was temporomandibular joint dysfunction which dont allow her to do her daily duties, the treatment for her was neuromuscular deprogramming splint for the temporomandibular joint pain, and vertical control with temporary anchorage devices (miniscrews) before the orthodontic treatment.
REFERENCES
Lerman MD. The muscle engram: the reflex that limits conventional occlusal treatment. Cranio. 2011; 29 (4): 297-303. doi: 10.1179/crn.2011.044.
Cordray F. Three-dimensional analysis of models articulated in the seated condylar position from a deprogrammed asymptomatic population: a prospective study. Part. 1. Am J Orthod Dentofacial Orthop. 2006; 129: 619-630.
Martínez I, Toledo T,. Prendes AM, Carvajal T, Delgado A, Morales JM. Factores de riesgo en pacientes con disfunción temporomandibular. Rev Med Electrón. 2009; 31 (4).
Rodríguez O. Aspectos epidemiológicos de la disfunción cráneo-mandibular. 2006. Disponible en: https://rodriguezrecio.com/dcm.html.
Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 5a. Madrid: Barcelona: Elsevier, 2003. pp. 148-180.
Seifeldin SA, Elhayes KA. Soft versus hard occlusal splint therapy in the management of temporomandibular disorders (TMDs). The Saudi Dental Journal. 2015; 27 (4): 208-214. ISSN 1013-9052, https://doi.org/10.1016/j.sdentj.2014.12.004.
Crispin BJ, Myers GE, Clayton JA. Effects of occlusal therapy on pantographic reproducibility of mandibular border movements. J Prosthet Dent. 1978; 40 (1): 29-34.
Beard CC, Clayton J. Effects of occlusal splint therapy on TMJ dysfunction. J Prosthet Dent. 1980; 44 (3): 324-335.
Rojas P, Murayama N, Ondarza R, Justus R, García S. Análisis del desplazamiento condilar y dental a través de un registro interoclusal previo y posterior al uso de guarda oclusal en pacientes sintomáticos articulares. Rev Mex Ortodon. 2014; 2 (4): 228-235.
Karl PJ, Foley T. The use of a deprogramming appliance to obtain centric relation records. Angle Orthod. 1999; 69 (2): 117-125.
Ayala J, Gutiérrez G, Obach JM. Registro de la relación céntrica. Roth Williams Center for Functional Occlusion Instructors. [Consultado 20 de Julio 2018] Disponible en: https://www.ad2usa.com/images/document/Registering%20Centric%20Relation%20(Spanish)%203-7-11.pdf.
Crawford S. Condylar axis position, as determined by the occlusion and measured by the CPI instrument, and signs and symptoms of temporomandibular dysfunction. Angle Orthod. 1999; 69 (2): 103-116.
Weffort S, Mongelli S. Condylar displacement between centric relation and maximum intercuspation in symptomatic and asymptomatic individuals. Angle Orthod. 2010; 80: 835-842.
Garrett J, Araujo E, Baker C. Open-bite treatment with vertical control and tongue reeducation. Am J Orthod Dentofacial Orthop. 2016; 149 (2): 269-276, ISSN 0889-5406.