Objective Bioesthetic maxillary anterior guided orthoses (BMAGOs) were designed and adjusted to establish the mandibular location referred to as stable seated condylar position SSCP. This study demonstrates treatment efficacy of this device on tinnitus. Methods All patients had histories of temporomandibular disorder (TMD), head, neck and shoulder pain. Each patient wore the BMAGO at all times, eating, talking and sleeping with it functioning as a surrogate occlusion. Patients were seen every two weeks for adjustments. They were provided a self-reporting numeric rating scale (NRS) beginning each visit. NRS scores ranged from 0 to 10, with 10 being the highest intensity pain for 12 TMD symptoms including tinnitus. Results A significant decrease of tinnitus symptoms (p<.001) were recorded for all effected patients by visit #12. Conclusions These findings firmly support symptomatic reduction of tinnitus.
This study evaluated the success rate of orthodontic treatment of linguoverted mandibular canines in dogs using a directly applied inclined plane device. Medical records were retrospectively evaluated at 11 veterinary dental specialty hospitals from 1999 to 2021. Malocclusion classes included 41.7% in class 1, 47.2% in class 2, 6.9% in class 3, and 4.2% in class 4. The severity of linguoversion was mild in 7.6% of teeth, moderate in 33.9%, and severe in 58.5%. There was complete resolution of linguoversion in 71.2% of teeth, functional resolution in 25.4%, and failure in 3.4%. The median treatment time was 42 (11–174) days. Adjuvant orthodontic treatments were performed at the same time as the inclined plane in 45.7% of teeth, including active force orthodontics, extractions of non-strategic teeth, gingivectomy, and odontoplasty. While the inclined plane was in place, 31.4% of dogs required an anesthetized appliance adjustment, and at the time of appliance removal, complications occurred in 19.4% of dogs. Of the teeth that had initial resolution, 14.4% had rebound movement that required additional treatment. This study supports the idea that an acrylic inclined plane is a good treatment option for linguoverted mandibular canines, with a 96.6% success rate within a median of 6 weeks. Yet, orthodontic retention may be necessary in these cases to avoid the need for additional therapies.
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