Construction Bite / orthodontic courses by Indian dental academy

SEMINAR ON SEMINAR ON CONSTRUCTION BITECONSTRUCTION BITE

INDIAN DENTAL ACADEMY

Leader in continuing dental education www.indiandentalacademy.com

www.indiandentalacademy.com

PURPOSE OFCONSTRUCTION BITE:

A)FABRICATE AN APPLIANCE INCLUDING THE FOLLOWING EFFECTS:

1)TO BRING THE LOWER JAW INTO TOLERABLE FORWARD POSITION WITH EVERY OCCLUDING ACTION OF THE MANDIBLE.

2)BLOCK THE BITE.

PROCEDURE OF TAKING PROCEDURE OF TAKING CONSTRUCTION BITECONSTRUCTION BITE

IMPRESION PROCEDURE:PROPER EXTENSION.

SMOOTH AND ROUND BORDERS.NO IRREGULARITIES,NO AIR

BUBBLES.

STUDY MODEL ANALYSIS:NO POROSITIES.

FIRST PERMANENT MOLAR RELATIONSHIP.

NATURE OF MIDLINE DISCREPANCY.SYMMETRY OF THE DENTAL

ARCHES.CURVE OF SPEE.

CROWDING AND ANY DENTAL DISCREPENCIES.

GROOVING OF THE STUDY MODELS.

FUNCTIONAL ANALYSIS:REGISTRATION OF THE POSTURAL REST POSITION.

PATH OF CLOSURE.

ASSESEMENT OF PREMATURESITIES,POINT OF INITIAL CONTACT,OCCLUSAL INTERFERANCE,AND MANDIBULAR DISPLACEMENT.

PROCEDURE OF ASSESMENT OF POSTURAL REST POSITION -PHONETIC EXERCISE.

COMMAND METHOD.NONCOMMAND METHOD.COMBINED METHOD.

DIRECT INTRAORAL METHOD.DIRECT EXTRAORAL METHOD.INDIRECT EXTRAORAL METHOD.ASSESEMENT OF FREEWAY SPACE.

ASSESMENT OF FUNCTIONAL ABNORMALATIESOF TMJ.

ASSESMENT OF FREEWAY SPACE.

ASSESEMENT OF RESPIRATION.

PATIENT EDUCATION:PSYCOLOGICAL ASSESEMENT.

VIDEO IMAGING.

PATIENT EDUCATION ABOUT MANDIBULAR MOVEMENT.

PREPARATION OF WAX BITE:PREPARATION OF HORSESHOE-SHAPED WAX BITE.

WAX BITE SHOULD HAVE PROPER ARCH FORM ,SIZE AND THICKNESS

DIAMETER-1 C.M(THICKNESS SHOULD BE SAME AS LITTLE FINGRE).

IT CAN BE MADE FOR EITHER THE UPPER OR LOWER ARCH OCCLUSAL SURFACE.

EDGES OF THE INCISORS ARE NOT COVERED BY WAX.

LOWER MIDLINE SHOULD BE MARKED.

ANTERIOR SECTION IS POSITIONED LINGUAL TO THE LOWER INCISOR(ANGULAR SHAPE)

ENDS ARE SHORTENED SO THAT DISTAL HALVES OF THE LAST MOLAR SHOULD NOT COVERED BY WAX.

TRANSFER THE WAX TO THE PATIENTS MOUTH,FITTING IT ON YHE LOWER ARCH IN THE SAME MANNER AS IT WAS FITTED ON THE PLASTER CAST.

THE WAX SHOULD NOT BE TOO SOFT.

CONTROL ON THE EDGE TO EDGE RELATION AND MIDLINE REGISTRATION.

WAX SHOULD BE CUT AWAY FROM THE LABIAL OF THE CENTRAL INCISORS.

REMOVAL OF THE WAX BITEAND CHEAKED ON THE UPPER AND LOWER MODEL.

TRIMMING OF WAX MARGINS.

CHEAKING OF WAX BITE AGAIN IN PATIENTS MOUTH.

FOR TAKING OF CONSTRUCTION BITE CONSIDERATION IN 3 PLANES IS ESSENTIAL:

A)SAGGITAL PLANEB) VERTICAL PLANE C)FRONTAL PLANE

3 FACTORS:EXTENT OF MAXIMUM FORWARD MOVEMENT OF MANDIBLE.

B)EXTENT OF THE INDIVIDUALS OCCLUSAL CLEARANCE IN POSTURAL RESTING POSITION

– ESTABLISHMENT OF THE TRUE MIDLINE OF THE UPPER AND LOWER JAWS.

GENERAL RULES FOR THE CONSTRUCTION BITE:

IN A FORWARD POSITIONING OF THE MANDIBLE OF 7-8MM THE VERTICAL OPENING MUST BE SLIGHT TO MODERATE(2-4MM).

IF THE FORWARD POSITIONING IS NO MORE THEN 3-5MM , THE VERTICAL OPENING SHOULD BE 4-6MM.

THE ACTIVATOR CAN CORRECT LOWER MIDLINE SHIFT OR DEVIATION ONLY IF ACTUAL LATERAL TRANSLATION OF THE MANDIBLE ITSELF EXIST.

FRANKEL APPLIANCEFRANKEL APPLIANCECONSTRUCTION BITE:SAGGITAL

DIRECTION:EDGE TO EDGE.

VERTICAL OPENING:LARGE ENOUGH TO ALLOW THE CROSSOVER WIRE THROUGH INTEROCCLUSAL SPACE.

STEP BY STEP ACTIVATION.

STAGED BY STAGED CONSTRUCTION:INCREASED CHONDROBLASTIC ACTIVATIES.

MIDLINE DISCREPANCIES:DENTAL DISCREPANCIES SHOULD NOT BE CORRECTED.

TWIN BLOCKTWIN BLOCK

CONSTRUCTION BITE:EDGE TO EDGE RELATIONSHIP.

2MM OF INTERINCISAL CLEARANCE.

5 TO6 MM OF SPACE IN THE PREMOLAR REGION

2MM SPACE DISTAL TO THE MOLAR REGION

MAXIMUM ACTIVATION SHOULD NOT EXCEED 70%OF THE TOTAL PROTRUSIVE PATHWAY.

CONVANTIONAL INSTRUMENT-GEORGE BITE GAUGE.

BITE REGISTRATION FOR HORIZONTALLY GROWING PATIENT AND VERTICALLY GROWING PATIENT.

For more details please visit www.indiandentalacademy.com

Construction Bite / orthodontic courses by Indian dental academy

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