Thumati Prafulla, Kerstein Robert B, Thumati Roshan P
Department of Prosthodontics, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India.
Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, MA, USA.
J Indian Prosthodont Soc. 2017 Jan-Mar;17(1):95-98. doi: 10.4103/0972-4052.194948.
Disclusion time reduction (DTR) is an objective treatment protocol using T-Scan III (digital analysis of occlusion) and electromyography for treating occlusally activated orofacial pains. Chronic occluso-muscle disorder is a myogenous subset of temporomandibular disorder symptoms. These muscular symptoms are induced within hyperactive masticatory muscles due to prolonged disclusion time, occlusal interferences, and occlusal surface friction that occur during mandibular excursive movements. This case report describes a patient treated by DTR therapy, whereby measured pretreatment prolonged disclusion time was reduced to short disclusion time using the immediate complete anterior guidance development enameloplasty, guided by T-Scan occlusal contact time and force analysis synchronized with electromyographic recordings of four masticatory muscles.
闭合时间缩短(DTR)是一种使用T-Scan III(咬合数字分析)和肌电图来治疗咬合引发的口面部疼痛的客观治疗方案。慢性咬合-肌肉紊乱是颞下颌关节紊乱症状的肌源性子集。这些肌肉症状是由于下颌运动时出现的长时间闭合、咬合干扰和咬合面摩擦导致咀嚼肌过度活跃而诱发的。本病例报告描述了一名接受DTR治疗的患者,通过T-Scan咬合接触时间和力分析与四块咀嚼肌的肌电图记录同步进行引导,使用即时完全前导发育牙釉质成形术,将测量到的治疗前延长的闭合时间缩短为短闭合时间。