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Periodontology – title and abstract will be announced soon

PD Dr. med. dent. Christoph Ramseier, MAS

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University of Bern

Department of Periodontology, Switzerland

Decision of therapeutic position in interdisciplinary treatment of temporomandibular joint disorders

Univ.-Prof.in Univ.-Doz.in DDr.in Xiaohui Rausch-Fan1

O. Univ.-Prof.in DDr.in Eva Piehslinger2

1University Clinic of Dentistry, Deputy Head of the Clinical Division of Periodontology, Vienna, Austria

2University Clinic of Dentistry, Head of the Clinical Division of Prosthodontics, Vienna, Austria

Abstract

In the rehabilitation and reconstruction of functional occlusion, in particular for patients with temporomandibular joint disorders (TMD), big challenges are still associated with digital technology for defining therapeutic position of temporomandibular joint (TMJ). Diagnostic procedures like anamnestic inquiry, clinical functional analysis, occlusal of the sagittal x-rays, are important for case planning. In complex cases where we have to define a joint-related jaw position, the pretreatment with occlusal splints is mandatory. In patients with internal derangements, we try to position the condyle three-dimensionally in the Mandibular Position Variator (MPV), according to axiographic data. This lecture will present a functional diagnostic system, a therapeutic method of controlled interdisciplinary treatment approaches for rehabilitation of therapeutic position of TMJ. Namely, for TMD cases resulting from occlusal discrepancy, the therapeutic position is defined by mandibular repositioning splint therapy, further supported by orthodontic and prosthodontic treatments. The innovation and limitations of applying digital technology for establishing the functional occlusion of TMD cases will be discussed.

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