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CASE REPORT
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Disclusion time reduction therapy in treating occluso-muscular pains


1 Department of Prosthodontics, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India
2 Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, MA, USA
3 Department of Prosthodontics, Government Dental College and Research Institute, Bengaluru, Karnataka, India

Correspondence Address:
Prafulla Thumati,
No. 296, Orofacial Pain Center, Katriguppa Main Road, Banashankari 3rd Stage, Rajiv Gandhi University of Health Sciences, Bengaluru - 560 085, Karnataka
India
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Source of Support: None, Conflict of Interest: None

Disclusion time reduction (DTR) is an objective treatment protocol using T-Scan III (digital analysis of occlusion) and electromyography for treating occlusally activated orofacial pains. Chronic occluso-muscle disorder is a myogenous subset of temporomandibular disorder symptoms. These muscular symptoms are induced within hyperactive masticatory muscles due to prolonged disclusion time, occlusal interferences, and occlusal surface friction that occur during mandibular excursive movements. This case report describes a patient treated by DTR therapy, whereby measured pretreatment prolonged disclusion time was reduced to short disclusion time using the immediate complete anterior guidance development enameloplasty, guided by T-Scan occlusal contact time and force analysis synchronized with electromyographic recordings of four masticatory muscles.


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    -  Thumati P
    -  Kerstein RB
    -  Thumati RP
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