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Digital evaluation of functional occlusion parameters using t scan in temporomandibular disorders

Author: 
Dr. Saraswathi Gopal, K., Dr. Padma, M., Dr. Mahesh Kumar, P. and Dr. Murugavel, C.
Subject Area: 
Health Sciences
Abstract: 

Background: Temporomandibular disorder (TMD) is a multifactorial disease and occlusal force has main role in determining the teeth health, chewing, muscle and TMJ function. Dysfunctional occlusal contacts can lead to disorders in dento-maxillary system, which may be accompanied by painful symptoms for the patient. Aim and Objective: To evaluate the digital occlusal parameters using T-Scan device that senses and analyses occlusal contact forces, occlusion time, and the effect of reducing disclusion time on symptoms of temporomandibular joint- muscular disorders. Materials and Method: Myofascial pain symptomatic patients was recruited as per the diagnostic criteria for temporomandibular disorders (TMD), including the clinical protocol outlined by the International RDC/TMD consortium network (version: January 20, 2014) to assess the efficacy of reduced disclusion time in lateral excursions to resolve the myofascial pain symptoms. As per the inclusion and exclusion criteria, static and dynamic interocclusal record was scanned and analysed using image software. 25 cases were treated in four visits. Recall occlusal parameters were recorded. The questionnaire was used for symptom assessment at every recall visit. Results: Among the occlusal parameters, TMD patients had prolonged occlusion and disclusion time, variations in right and left quadrant occlusal forces, more incidence of occlusal premature contacts compared to post therapeutic evaluation in same individuals. Changes in the intensity of symptoms from reducing the disclusion time to <0.4 seconds were statistically significant with p value of 0.001from treatment day 1, and onward through the 3 months period of observation. Conclusion: The results indicate that T scan evaluation and then treating the dentition relieves the musculoskeletal symptoms of myofascial pain, such that this methodology increases clinical therapeutic success.

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