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STABILIZATION OF TEMPLATE THERAPY
         THRU THE USE OF
 TWIN BLOCKS AND STRAIGHT WIRE


       David L Burns D.D.S.
       Fort Wayne, Indiana



        PARENT CARE
         JULY 27 2006
MEANING OF OCCLUSION
DIAGNOSIS OF OCCLUSION


 POSTURE
 PHYSIOLOGY
 DYNAMIC FUNCTIONS
OCCLUSION

GOOD ----------------- EUSTRESS
 BAD -------------------DISTRESS
     FOR WHOLE BODY


        POSTURE
       PHYSIOLOGY
    DYNAMIC FUNCTIONS
WHY DOES OCCLUSION
 CAUSE EUSTRESS
        OR
     DISTRESS?

 A. MECHANICAL FACTORS
 B. PHYSIOLOGICAL FACTORS
MECHANICAL FACTORS
  1. BITE
  2. GUZAY’S QUADRANT THEOREM
          FORCES
          AXIS---X & Y
          LEVERS
  3.DISC
          DISPLACED
          RUPTURED
  4. COMPRESSION
          PRYAMUS BONE
          CERVICAL VERTEBRAE
PHYSIOLOGICAL FACTORS
 1. MUSCLES
 2. SENSORY- AFFERENT
        MUSCLE SPINDLES
        GOLGI TENDONS
        EXTEROCEPTORS
 3. CENTRAL NERVOUS SYSTEM
        CORTEX
        BRAINSTEM
 4. MOTOR- EFFERENT
        ALPHA- GAMMA
        AUTONOMIC N.S.
 5. PSYCHOSOMATICS
STABILIZATION OF OCCLUSION


   DENTURES

   CROWN AND BRIDGE

   OVERLAY PARTIAL DENTURES

   ORTHOPEDICS

   ORTHODONTICS
STABILIZATION OF OCCLUSION


   DENTURES

   CROWN AND BRIDGE

   OVERLAY PARTIAL DENTURES

   ORTHOPEDICS

   ORTHODONTICS
STABILIZATION OF OCCLUSION


   DENTURES

   CROWN AND BRIDGE

   OVERLAY PARTIAL DENTURES

   ORTHOPEDICS

   ORTHODONTICS
TWIN BLOCK THERAPY
STEPS OF TWIN BLOCK THERAPY
THE TWIN BLOCK APPLIANCE

The Twin Block is inconspicuous and
 most comfortable to wear.
The Twin Block is designed for full-
 time wear.
The Twin Block is worn for nine or
 more months.
Patient Instruction
       For Fastest Results

Full-time wear of Twin Block.
Eat with Twin Block.
Turn Twin Block screws as directed.
Remove for swimming and contact
 sports.
TWIN BLOCKS
CORRECT BITE
               Occlusion
The Twin Block corrects malocclusion (bad
 bite) by permanently positioning the lower
 jaw forward. When the lower jaw comes
 forward the teeth go along for the ride.
 The Twin Block holds the corrected jaw
 relationship until molar teeth erupt and
 stabilize the bite.
TWIN BLOCK TREATMENT
It is very important that the Twin Block wear
   continue until vertical dimension is
 corrected and results are stable. If you stop
 wearing the Twin Block too early, relapse
 will occur.
TMJ (Temporomandibular Joint, Jaw Joints)-
 The Twin Block may be used to treat
 problems related to the jaw joints, and
 facial pain.
STEPS OF TWIN BLOCK THERAPY
PHASE 2 TWIN BLOCK THERAPY
PHASE 1 TWIN BLOCK
THERAPY
TMD/STABILIZATION
Twin Block/Orthodontics
     11-02-----6-06
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
LOCKED JAW
UNABLE TO EAT HOT DOGS
   DAILY HEADACHES
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
PHASE 1 TWIN BLOCK
THERAPY
OCCLUSION

GOOD ----------------- EUSTRESS
 BAD -------------------DISTRESS
     FOR WHOLE BODY


        POSTURE
       PHYSIOLOGY
    DYNAMIC FUNCTIONS
WHY DOES OCCLUSION
 CAUSE EUSTRESS
        OR
     DISTRESS?

 A. MECHANICAL FACTORS
 B. PHYSIOLOGICAL FACTORS
STABILIZATION OF OCCLUSION
   DENTURES

   CROWN AND BRIDGE

   OVERLAY PARTIAL DENTURES

   ORTHOPEDICS

   ORTHODONTICS
DAY TIME
TEMPLATE   APPLIANCE
POSTERIOR OPENING AT CORRECT
   PHYSIOLOGICAL POSITION
ANTERIOR CORE VERIFYING
POSTERIOR CROWNS PROPER POSITION
STABILIZATION OF OCCLUSION
   DENTURES

   CROWN AND BRIDGE

   OVERLAY PARTIAL DENTURES

   ORTHOPEDICS

   ORTHODONTICS
BLEACHING

•IN OFFICE
•TAKE HOME
Stabilization of TMD thru Twin Block Therapy
Stabilization of TMD thru Twin Block Therapy

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