The T-Scan 10/BioEMG synchronization records simultaneously, both occlusal contact force and timing data, and its corresponding muscle activity levels. The two integrated systems capture real-time occlusal contact data and masticatory muscle electrical potentials that during playback, are analyzed by the clinician in a dynamic “Movie”, where both technologies play side-by-side on the computer desktop. In this way, transitory occlusal contact force and timing variances can be time-correlated to specific changes in masticatory muscle activity levels. Both the T-Scan data and the EMG data can be played together forwards and backwards continuously, in 0.003 second frames, or in stop-action, to be able to view small time-increments that relate occlusal function to muscle function. Clinically implementing the T-Scan 10/BioEMG III synchronization module is practicing “state of the art” occlusion.
Published in Chapter:
Employing the T-Scan/BioEMG III Synchronized Technologies to Diagnose and Treat Chronic Occluso-Muscle Disorder
Robert B. Kerstein, DMD (Tufts University School of Dental Medicine, USA & Private Dental Practice Limited to Prosthodontics, USA)
Copyright: © 2020
|Pages: 153
DOI: 10.4018/978-1-5225-9254-9.ch007
Abstract
This chapter discusses chronic occluso-muscle disorder, which is a myogenous subset of temporomandibular disorder (TMD) symptoms resultant from occlusally activated muscle hyperactivity. It also describes the computer-guided occluso-muscle disorder treatment known as disclusion time reduction (DTR), that studies repeatedly show reduces many common muscular temporomandibular disorder symptoms. T-Scan-based research since 1991 has determined that a significant etiologic component of occluso-muscle disorder is prolonged (in time) occlusal surface friction shared between opposing posterior teeth during mandibular excursions, that occurs in both normal chewing function and during parafunction. This friction results in prolonged compressions of the periodontal ligament (PDL) fibers of the involved teeth, which when in excursive opposing occlusal contact, also experience pulpal flexure that leads to pulpal neural activation, which together with the periodontal ligament compressions, trigger excess muscle contractions within the masticatory muscles. It is this unique neuroanatomy that incites and perpetuates many chronic muscular TMD symptomatology, that can be readily resolved in patients that meet the diagnostic criteria for DTR candidacy, using the ICAGD coronoplasty that is performed in the maximum intercuspal position (MIP), without employing treatment splints, deprogrammers, appliances, orthotics, or mandibular repositioning. Additionally, this chapter will highlight the newest disclusion time reduction therapy (DTR) studies that support the clinical implementation of this highly effective measured occlusal treatment for occluso-muscle disorder.