Abstract
Jaw Functional Orthopedics has efficient tools for treatment of deep bite, but, once they are bioplastic functional appliances, they have a considerable amount of acrylic resulting in volume that interferes with the individual phonetics. Planas had already described a Equiplan attached to a pipe to facilitate the use by the patient. Based on those ideas and in a attempt to improve use conditions of the functional orthopedic appliance, this paper presents the step by step of the manufacturing of an appliance with an Equiplan, used as background activity, or a main appliance, able to increase vertical dimension; used as contention in deep bite treatment; and in individuals with significant occlusal plane alterations, used as a mandibular deprogrammer. The appliance, when properly prescript, has a clinical conduction more efficient than occlusal splints because it does not require adjustment in every session. Its construction do not require articulated casts and can be done in less time in the laboratory.
Highlights
Mandibular deprograming is used in several areas of dentistry such as prosthesis, orthodontics, occlusion and treatment of temporomandibular disorders (TMD) [1] and is indicated for diagnosis [2] protection of the stomatognathic system (SS) against traumatic loads [3] and for treatment [4]
There are functional orthopedic devices described in the literature to increase vertical dimensions [6,7,8] for deep bite treatment, and devices that deprogram mandibular position used in diagnosis and/or treatment in the areas of Prosthesis, TMD and Orthodontics [3, 4, 9,10,11,12,13,14]
In cases of deep bite treatment, the size of the functional orthopedic appliance (FOA) compromises the individual's speech, making it difficult to use during the day, what affects treatment time and final result quality prognosis
Summary
Mandibular deprograming is used in several areas of dentistry such as prosthesis, orthodontics, occlusion and treatment of temporomandibular disorders (TMD) [1] and is indicated for diagnosis [2] protection of the stomatognathic system (SS) against traumatic loads [3] and for treatment [4]. Despite being a subject still controversial the relationship between occlusion and TMD, some occlusal plane alterations are predisposing factors of TMD [5]. There are functional orthopedic devices described in the literature to increase vertical dimensions [6,7,8] for deep bite treatment, and devices that deprogram mandibular position used in diagnosis and/or treatment in the areas of Prosthesis, TMD and Orthodontics [3, 4, 9,10,11,12,13,14]. FUNCTIONAL ORTHOPEDIC APPLIANCE FOR VERTICAL DIMENSION INCREASE AND MANDIBULAR DEPROGRAMMING ORLANDO SANTIAGO SYSTEM 1 – OSS1. In addition to the Orlando Santiago System 1 (OSS1) can be used at any age, with deciduous, mixed or permanent dentitions
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