SPLINTS IN TMJ DYSFUNCTION . HOW EFFECTIVE ? A REVIEW
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Prof . Dr . Mahesh Verma , BDS , MDS , MBA , FDSRCS ( England ), PhD ( hc ) has been serving as the Director- Principal of prestigious Maulana Azad Institute of Dental Sciences , New Delhi for the last 20 years . He is a Fellow of the American College of Dentists , American Academy of Implant Dentistry , Royal College of Surgeons of England , Edinburgh , Glasgow and International Medical Sciences Academy . He has authored over 150 published and oral communications , research grants and keynote presentations . He is currently serving as the Immediate Past President of Indian Dental Association , the largest professional body of dental professionals in Asia and Consultant of Armed Forces Dental Services in India .
Questions
Mahesh VERMA
MDS , MBA , PhD ( hc ), FDSRCS ( Eng ), FDSRCS ( Edin ), FDSRPSG ( Glas ) Professor , Director-Principal , Department of Prosthodontics
Maulana Azad Institute of Dental Sciences New Delhi , India
Permissive splints :
q a . Also reffered to as muscle deprogrammers ; q b . Are designed to position mandible in a specific relationship to maxilla ; q c . They align the condyle-disk assembelies ; q d . Used when a centric relation should be corrected .
Occlusal splint therapy can be recommended for the following purposes except :
q a . To protect oral tissues in patients with oral parafunction ; q b . To eliminate occlusal interferences ; q c . To stabilize the unstable occlusion ; q d . To test the effect of changes in occlusion on the TMJ and jaw muscle function before extensive restorative treatment .
A directive splint is contraindicated in following conditions except : q a . If condyle and disc can be aligned correctly ;
q b . If discs can maintain their alignment with condyles during function ; q c . If it unlocks occlusal incline contacts ; q d . First two options .
Indications of centric stabilization splints are all except :
q a . TMJ arthralgia ; q b . Myospasm or myositis ; q c . Parafunctional activity ; q d . Disc-interference disorders .
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