Duration of Diagnosis: Up to 2 hours.
Stage 2: Data Analysis (without the patient)
It all begins with an initial consultation
Stabilization of the temporomandibular joint (TMJ) function before the next stages.
A graphical representation of the movements of the temporomandibular joints (TMJ) on the right and left sides for detailed analysis.
- Preliminary Diagnosis.
- Explanation of Treatment Phases.
- Answers to All Questions.
- Calculation of the necessary mandibular displacement.
- Determination of the treatment volume.
Now let's discuss in detail how the treatment of temporomandibular joint disorders (TMJ) is carried out and what contributes to the outcomes.
Photo documentation of the teeth and face for subsequent analysis.
Functional disorders during mastication.
To model the position of the jaws.
To assess true dental occlusion and functional characteristics.
4. Data Transfer to the Articulator
2. Cephalometric Analysis (Slavicek, Sato methodologies)
Symmetry and position of the jaws relative to each other.
Optimal position of the mandible.
3. Cephalometric Radiography with Markers (CRG)
Position of the jaw relative to the skull.
Individual occlusal height.
Based on the data from condylography, the following is calculated:
Individual trajectory of the condylar head's movement.
Possible structural changes in the TMJ.
Stage of arthritic processes (if present).
2. Analysis of Joint Pathway
Palpation of muscles – identification of areas of hypertonicity and asymmetry.
Diagnostic wax records occlusal contacts.
CT (computed tomography) – assessment of condylar heads, compression, and osteoarthritis.
3. Additional diagnostics
4. MRI Referral (if necessary)
Condylography – trajectories of condylar movement.
Occlusogram – identification of improper contacts.
Visualization of the articular disc and soft tissue structures.
Photoprotocol of teeth and face – occlusal and aesthetic parameters.
1. Comprehensive Analysis of All Parameters
Restoration of occlusion and preservation of results for a lifetime.
Stabilization of jaw position.
Elimination of TMJ dysfunction.
A repositioning splint for stabilizing the new jaw position.
Relieves subluxations, clicks, and pain.
Stabilizes the joint without moving the teeth.
Worn continuously (except during meals).
How does the procedure work?
Placement of test overlays – temporarily alters occlusion.
Assessment of muscle, joint, and facial responses.
Monitoring of relaxation and adaptation.
Selection of the most physiological and comfortable position for the mandibular jaw.
Trial adjustment of jaw position using occlusal pads.
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Functional diagnostics and comprehensive treatment allow for:
1. Analysis of Dental Condition
Stage 6: Final Prosthetic Reorganization
Old fillings, restorations, crowns.
Enamel defects, occlusal discrepancies.
Ceramic restorations (veneers, crowns, inlays).
Composite restoration (minimal intervention).
Complete restoration of the TMJ balance.
Aesthetically and functionally correct occlusion.
Durability, stability, and comfort.
1. Stabilization of the splint position
Temporary overlays on the molars maintain the new position.
Stage 5: Orthodontic Phase
Stabilization of occlusion.
Restoration of the occlusal height.
2. Orthodontic treatment (braces, aligners)
3. Final correction with elastics
Complete occlusion of the teeth.
Final repositioning of the disk.
- Complete unloading of the joint.
- Proper occlusion without muscle overload and temporomandibular joint (TMJ) strain.
This method records the movement of the mandible using a German-Australian condylograph fixed to the patient's head.
Stage 1: Comprehensive Diagnosis
Mouth opening and closing.
Lateral and anteroposterior jaw displacements.
Masticatory movements and swallowing.
During the initial consultation, we perform:
A comprehensive examination of the oral cavity and teeth with magnification (microscope/binoculars).
Palpation of the masticatory muscles – determining which muscles are engaged, identifying any areas of tenderness and asymmetry.
A detailed medical history collection (dental and general health).