A retrospective five-year survey on the treatment outcome of disclusion time reduction (DTR) therapy in treating temporomandibular dysfunction patients

Thumati, Prafulla; Poovani, Shwetha; Ayinala, Mounika

doi:10.1080/08869634.2021.1887609

Cited by 5 publications

(1 citation statement)

References 20 publications

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“…Without ischemia present, the masseter and temporalis muscle fibers can re-oxygenate, which lessens muscular pain, reduces the frequency of symptom appearances, and resolves functional limitations, whereby chewing function dramatically improves [ 3 ]. This ICAGD-induced absence of muscular ischemia is quickly followed by lasting symptom resolution [ 10 , 17 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

A Multi-Center Disclusion Time Reduction (DTR) Randomized Controlled Occlusal Adjustment Study Using Occlusal Force and Timing Sensors Synchronized with Muscle Physiology Sensors

Thumati

Poovani

et al. 2021

Sensors

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Objective—To perform a Randomized Controlled Trial (RCT) Disclusion Time Reduction (DTR) study at five Dental Colleges, using intraoral sensors and muscular electrodes. Methods and Materials—One hundred students were randomly assigned to a treatment group to receive the ICAGD coronoplasty, or a control group that received tooth polishing. All subjects answered symptom questionnaires: Beck Depression Inventory-II, Functional Restrictions, and Chronic Pain Symptom and Frequency. Subjects self-reported after ICAGD or placebo at 1 week, 1 month, 3 months, and 6 months. The Student’s t-Test analyzed the measured data. The Mann–Whitney U Test analyzed the subjective data (Alpha = 0.05). Results—The Disclusion Times, BDI-II scores, and Symptom Scales were similar between groups prior to treatment (p > 0.05). At 1 week, all three measures reduced in the treatment group, continuing to decline over 6 months (p < 0.05), but not for the controls (p > 0.05). Symptom Frequency, Functional Restrictions, and Pain Frequencies were higher in the treated group (p < 0.05), but declined after ICAGD compared to the control group (p < 0.05). Conclusions—ICAGD reduced Pain, Functional Restrictions, Symptom Frequency, and Emotional Depression within 1 week, which continued for 6 months. The tooth polishing did not initiate a placebo response.

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Section: Discussionmentioning

confidence: 99%

A Multi-Center Disclusion Time Reduction (DTR) Randomized Controlled Occlusal Adjustment Study Using Occlusal Force and Timing Sensors Synchronized with Muscle Physiology Sensors

Thumati

Poovani

et al. 2021

Sensors

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Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Cagna,

Donovan,

McKee

et al. 2024

The Journal of Prosthetic Dentistry

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T-Scan 10 Recording Dynamics, Force and Timing Software Tools, and the Chairside Clinical Skills for Optimal T-Scan Implementation

Podoloff,

Harty

2024

Advances in Medical Technologies and Clinical Practice

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The newly designed T-Scan 10 Computerized Occlusal Analysis system represents the State of the Art in occlusal diagnosis. The reliability of the system's High Definition (HD) recording sensors, the many occlusal analysis timing and force software features, and the modern-day computer hardware electronics that record occlusal function in 0.003 second real-time increments, affords a clinician unparalleled occlusal contact timing and force data, with which to predictably diagnose and treat many occlusal abnormalities. T-Scan 10 represents the culmination of 40 years of T-Scan technology innovation and development, with updated desktop graphics and additional toolbar icons that improve T-Scan diagnostic functionality, while enhancing the clinician's chairside T-Scan implementation. Important new tools include the Force Eraser that allows the clinician to remove any sensor surface recording artifact and repair corrupted force data from a sensor matrix crack. The Implant Warning that detects occlusal force overload specifically on dental implant crowns and implant-support restorations. And a unique new T-Scan 10 feature is the ability to export T-Scan data directly into the Digital Smile Design (DSD) esthetic planning software, which makes for seamless management of patient's occlusal status within an esthetic treatment plan. However, T-Scan 10's most important advancement has melded T-Scan digital occlusal force and timing data with digitally scanned virtual dental arches, by overlaying T-Scan data onto a patient's virtual cast. This Digital Impression Overlay (DIO) places T-Scan 10 directly into the Digital Workflow, that has rapidly become the Dental Medicine standard in modern-day prosthodontic and implant practice. Two examples of how to best align a scanned virtual cast using the DIO feature are included, as are three illustrations of where and how to employ the Force Eraser tool. Also included are detailed descriptions of five useful diagnostic occlusal recordings employed when treating commonly-observed occlusal problems. And notably, Chapter 4 outlines the 3 Learning Levels of T-Scan Clinical Competency, and the Kerstein Principles of Optimum T-Scan Clinical Implementation, which detail the best clinical practices when recording, analyzing, and making T-Scan-guided occlusal adjustments; each of which must be mastered for a clinician to become effective with the T-Scan 10 technology.

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A retrospective five-year survey on the treatment outcome of disclusion time reduction (DTR) therapy in treating temporomandibular dysfunction patients

Cited by 5 publications

References 20 publications

A Multi-Center Disclusion Time Reduction (DTR) Randomized Controlled Occlusal Adjustment Study Using Occlusal Force and Timing Sensors Synchronized with Muscle Physiology Sensors

A Multi-Center Disclusion Time Reduction (DTR) Randomized Controlled Occlusal Adjustment Study Using Occlusal Force and Timing Sensors Synchronized with Muscle Physiology Sensors

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

T-Scan 10 Recording Dynamics, Force and Timing Software Tools, and the Chairside Clinical Skills for Optimal T-Scan Implementation

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