Improving TMJ Joint Positioning and Accuracy With Therapeutic Splint Fabrication Using a Dental Compass While Reducing Radiation Exposure: A Cohort Comparison
Dr. Dean Reeves Clinic
Summary
This study is being performed to determine if the use of the Dental Compass Articular and its software will produce therapeutic splints for TMD accurately and successfully, compare favorably with a cohort treated without the Dental Compass (for number of visits, splint modifications, and required CBCTs).
Description
Standard practice in the treatment of temporomandibular dysfunction (TMD) currently involves non-radiographically-assisted manual repositioning of the jaw followed by either an in-office cone beam computerized tomography (CBCT) or tomographic X-ray of both TMJs, and further adjustment as necessary to improve the initial bite impression.\[15\] At follow up visits the therapeutic splint is modified in stages to "walk" the condyle progressively into the ideal position, such as altering side shift, lateral deviation, and rotation. During this process multiple CBCTs or tomographic X-rays, and multi…
Eligibility
- Age range
- 18–90 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria for prospective active participants: * TMJ dysfunction and pain * CBCT indicates a non-Gelb 4/7 position or \< 1.8 mm bone to bone interval between the mandibular condyle and mandibular fossa anteriorly or posteriorly. Exclusion Criteria: * Planning a move within 9 months. * Unwilling to provide two phone numbers and two email contacts. * Not willing to express a willingness to come in for 4-6 month follow up if they have marked improvement or improvement in symptoms. * Not living within 90-minute drive from clinic * Transportation not reliable * Involved in any other TMD…
Interventions
- Device3D Analysis Group
Dental Compass and Dental Compass software used for therapeutic splint fabrication
- OtherManual Analysis Cohort
Manual methods used for therapeutic splint fabrication
Location
- Skalff Dental Studio and Technologies 103 C West Broadway Street #3736Gainesville, Texas