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Selection, application, and management of Phase 1 orthotics.

W S Bledsoe

    Cranio Clinics International
    |January 11, 1991
    PubMed
    Summary

    This chapter reviews intraoral orthotics for temporomandibular disorder (TMD) patients. It details the selection, fabrication, and management of various orthotic designs, evaluating their benefits and drawbacks.

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Biomedical Engineering

    Background:

    • Temporomandibular disorders (TMD) require comprehensive treatment plans.
    • Intraoral orthotics are a common component of Phase 1 TMD management.
    • Effective orthotic therapy necessitates careful selection, fabrication, and ongoing management.

    Purpose of the Study:

    • To provide an overview of intraoral orthotics used in TMD treatment.
    • To discuss the selection criteria, fabrication processes, and management strategies for various orthotics.
    • To analyze the benefit/disadvantage ratio of different orthotic designs.

    Main Methods:

    • Review of existing literature and clinical practices regarding TMD orthotics.
    • Categorization of orthotics based on design and fabrication complexity.
    • Comparative analysis of the advantages and disadvantages of each orthotic type.

    Main Results:

    • A spectrum of intraoral orthotics is available for TMD management.
    • Orthotic selection depends on provisional diagnoses and treatment objectives.
    • Each orthotic design presents a unique profile of benefits and drawbacks.

    Conclusions:

    • Intraoral orthotics are integral to Phase 1 TMD treatment.
    • Understanding the nuances of selection, fabrication, and management optimizes patient outcomes.
    • A systematic approach to evaluating orthotic designs ensures appropriate therapeutic choices.

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