Balance rail
The balance splint is an individually manufactured mandibular splint with an adjusted surface in the posterior region (without anterior guidance) for the treatment of craniomandibular dysfunction (CMD). It belongs to the alternative medical procedures .
Treatment concept
The balance rail is based on a treatment concept consisting of anamnesis , diagnosis, functional diagnostics, X-ray diagnostics (TMJ images according to Schüller, orthopantomography in occlusion, possibly magnetic resonance tomography / digital volume tomography ), advice and practical instructions for exercises to eliminate the dysfunctions and possibly manual therapy / osteopathy . The balance splint should be worn day and night for a limited period of around six months with regular dental checks.
The balance splint can also be incorporated in patients with missing teeth ( gap dentition , free-end situation). After splint therapy, further dental or orthodontic treatment (rarely also a combination treatment of both) may be necessary. It is a modification of the splint according to H. Gelb.
effect
The balance splint protects the teeth, relieves the pressure on the jaw joints and can restore body balance. A pronounced bite elevation (bite lock in the incisor area of at least 5 mm) and a forward displacement of the lower jaw creates therapeutic freedom in the temporomandibular joint area . After the muscles contribute to the shaping of the bone, the changes in muscle lengths achieved by the balance splint should contribute to the harmonization of the bony structure of the temporomandibular joints.
Manufacturing
The balance rail is made of transparent silicone (Erkoflex-95 deep-drawn plates 2.5 mm thick and stick-95). No metal or hard plastic (scattered plastic, etc.) is used in their manufacture. The construction bite for the balance splint is performed on the barefoot, upright patient. It can be helpful to let the patient bite loosely on cotton rolls in the area of the first premolars for a few minutes beforehand; this leads to reflex muscle relaxation. The balance splint is worked according to the construction bite created on the patient. In articulator no subsequent changes in the bite position should be made.
Individual evidence
- ^ R. Reinhardt, A Simple Therapy for Dual Bite-A Case Report , J Ind Orthod Soc 2004; 37: 132-136 (PDF)
- ↑ Patient example "yellow splint" ( memento of the original from August 25, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , International College of Applied Kinesiology Germany. Retrieved June 6, 2016.
