Digital Occlusal Force Distribution Patterns (DOFDPs)

Author(s):  
Robert C. Supple, DMD

This chapter describes the many clinical applications of Digital Occlusal Force Distribution Patterns (DOFDPs) recorded with the T-Scan Computerized Occlusal Analysis system. Movements made by the Center of Force trajectory as force travels around the dental arches during the occlusion and disocclusion creates these patterns. The repetitive occlusal contact data points locate the force distribution received when teeth occlude against each other. These force distribution patterns correlate to intraoral compromised dental anatomy found in radiographs, photographs, and during the clinical examination of teeth and their supporting tissues. Moreover, they directly influence the envelope of motion, the envelope of function, and head and neck posture. This chapter illustrates with clinical examples the correlation between Stomatognathic System structural damage and repeating patterns of abnormal occlusal force distribution. The T-Scan technology isolates these damaging regions of excess microtraumatic occlusal force, absent of clinician subjectivity, thereby helping clinicians make an accurate, organized, and documented occlusal diagnosis.

Author(s):  
Robert C. Supple, DMD

This chapter describes the many clinical applications of Digital Occlusal Force Distribution Patterns (DOFDPs) recorded with the T-Scan Computerized Occlusal Analysis system. Movements made by the Center of Force trajectory as force travels around the dental arches during the occlusion and disocclusion creates these patterns. The repetitive occlusal contact data points locate the force distribution received when teeth occlude against each other. These force distribution patterns correlate to intraoral compromised dental anatomy found in radiographs, photographs, and during the clinical examination of teeth and their supporting tissues. Moreover, they directly influence the envelope of motion, the envelope of function, and head and neck posture. This chapter illustrates with clinical examples the correlation between Stomatognathic System structural damage and repeating patterns of abnormal occlusal force distribution. The T-Scan technology isolates these damaging regions of excess microtraumatic occlusal force, absent of clinician subjectivity, thereby helping clinicians make an accurate, organized, and documented occlusal diagnosis.


Author(s):  
Thomas A. Coleman, DDS

This chapter introduces the Air Indexing method for detecting and quantifying cervical dentin hypersensitivity as a companion to the T-Scan Occlusal Analysis System, which evaluates occlusal force and timing values of contacting teeth. The chapter discusses detection, diagnosis, and treatment of clinical signs and/or symptoms of Cervical Dentin Hypersensitivity (CDH). A 17-year-long retrospective study conducted between 1979 and 1996 is presented that illustrates the correlation between Cervical Dentin Hypersensitivity and its resolution following occlusal adjustment. Resulting stress from occlusal contact force is etiologic for non-carious cervical lesion formation and root degradation. This chapter details how biocorrosion and lost protective glycoproteins hasten the effects of applied force, creating CDH symptoms and cervical abfractions. Lastly, the Air Indexing method of CDH diagnosis is melded with T-Scan occlusal analysis to diagnose and treat CDH symptoms. Together, these two methods yield more CDH/occlusal insight than either method can alone.


Author(s):  
Robert B. Kerstein, DMD ◽  
Robert Anselmi

The newly designed T-Scan 8 Computerized Occlusal Analysis system represents the state-of-the-art in occlusal diagnosis. The reliability of the system's high definition 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 information with which to predictably diagnose and treat many occlusal abnormalities. T-Scan 8 represents the culmination of 30 years of T-Scan technology innovation and development with revised desktop graphics and less toolbar buttons for simpler graphical display designed to shorten the T-Scan learning curve. The chapter also discusses five useful diagnostic occlusal recordings employed when treating commonly observed occlusal problems. Lastly, the chapter outlines the three Learning Levels of T-Scan mastery that must be accomplished for a clinician to become an effective and competent T-Scan user.


Author(s):  
Robert Anselmi ◽  
Robert B. Kerstein, DMD

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 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 information, with which to predictably diagnose and treat many occlusal abnormalities. T-Scan 10 represents the culmination of 34 years of T-Scan technology innovation development. T-Scan 10 has revised desktop graphics with additional toolbar buttons that enhance T-Scan functionality and improve chairside T-Scan clinical implementation. The system's most recent important advancement, discussed in this chapter, is the melding of T-Scan digital occlusal force and timing data with digitally-scanned dental arches to overlay T-Scan data on a patient's virtual arch. This is a major system upgrade that inserts the T-Scan technology directly into the digital dentistry revolution presently arising in dental medicine. The chapter details the five useful diagnostic occlusal recordings employed when treating commonly observed occlusal problems, and lastly outlines the three learning levels of T-Scan mastery that must be accomplished for a clinician to become an effective and competent T-Scan user.


2017 ◽  
pp. 1771-1829
Author(s):  
Robert B. Kerstein, DMD ◽  
Robert Anselmi

The newly designed T-Scan 8 Computerized Occlusal Analysis system represents the state-of-the-art in occlusal diagnosis. The reliability of the system's high definition 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 information with which to predictably diagnose and treat many occlusal abnormalities. T-Scan 8 represents the culmination of 30 years of T-Scan technology innovation and development with revised desktop graphics and less toolbar buttons for simpler graphical display designed to shorten the T-Scan learning curve. The chapter also discusses five useful diagnostic occlusal recordings employed when treating commonly observed occlusal problems. Lastly, the chapter outlines the three Learning Levels of T-Scan mastery that must be accomplished for a clinician to become an effective and competent T-Scan user.


Author(s):  
Julia Cohen-Levy, DDS

This chapter reviews T-Scan use in orthodontics from diagnosis to case finishing, and then in retention, while defining normal T-Scan recording parameters for orthodontically-treated subjects versus untreated subjects. T-Scan use in the case-finishing process is also described, which compensates for changes in the occlusion that occur during “post-orthodontic settling,” as teeth move freely within the periodontium to find an equilibrium position when the orthodontic appliances have been removed. T-Scan implementation is necessary because, often, despite there being a post treatment, visually “perfect” angle's Class I relationship established with the orthodontic treatment, ideal occlusal contacts do not result solely from tooth movement. Creating simultaneous and equal force occlusal contacts following fixed appliance removal can be accomplished using T-Scan data to optimize the end-result occlusal contact pattern. The T-Scan software's force distribution and timing indicators (the two- and three-dimensional force views, force percentage per tooth and arch half, the center of force trajectory and icon, the occlusion time [OT], and the disclusion time [DT]), all aid the Orthodontist in obtaining an ideal occlusal force distribution during case-finishing. Fortunately, most orthodontic cases remain asymptomatic during and after tooth movement. However, an occlusal force imbalance or patient discomfort may occur along with the malocclusion that needs orthodontic treatment. Symptomatic cases require special documentation at the baseline, and careful monitoring throughout the entire orthodontic process. The clinical use of T-Scan in these “fragile” cases of patient muscle in-coordination, mandibular deviation, atypical pain, and/or TMJ idiopathic arthritis, are illustrated by several case reports. The presented clinical examples highlight combining T-Scan data recorded during case diagnosis, tooth movement, and in case finishing, with patients that underwent lingual orthodontics and orthognathic surgery, orthodontic treatment using clear aligners, or conventional fixed treatment with a camouflage treatment plan, which require special occlusal finishing (when premolars are extracted in only one arch).


2019 ◽  
Vol 1 (02) ◽  
pp. 64-67
Author(s):  
Meilisha Putri Pertiwi ◽  
Suci Siti Lathifah

Research on the condition of the nesting habitat of Chelonia mydas (green turtle) in Pangumbahan Beach, Ujung Genteng, South Sukabumi has been carried out. Data retrieval is done 6 times for 2 days, 27-28 November 2017 at 3 observation stations. The abiotic parameters measured include surface temperature and depth of 50 cm, surface humidity and depth of 50 cm, beach width, beach slope, and the size of sand grains. While the biotic parameters measured were density, relative density, the frequency of attendance, and distribution patterns of Pandanus tectorius (sea pandanus) vegetation. Based on the results of data processing, the biophysical conditions in Pangumbahan Beach are still suitable for the Chelonia mydas nesting habitat. It also got clear evidence of the many Chelonia mydas landings during the data collection.


2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Eman M. Ibraheem ◽  
Hisham S. ElGabry

Abstract Background This study aimed to evaluate the effect of mandibular complete dentures relining using soft relining material on the distribution of various occlusal forces using T-Scan system. Fifty completely edentulous patients having their conventional complete dentures earlier fabricated and utilized were selected for this study. Patients were controlled diabetics, characterized by having their residual alveolar ridges moderately developed and lined with firm mucoperiosteum. Mandibular complete dentures were relined with soft denture liner and T-Scan device was used for occlusal force distribution measurement prior to denture relining and three months thereafter the relinning procedure. Results Comparison between occlusal forces percentages before and after denture relining revealed that occlusal forces percentages was significantly lower after denture relining in anterior area, significantly higher after denture relining in right posterior area, where it was insignificantly higher after relining in left posterior area. Conclusions Our findings revealed that the use of soft denture liner for mandibular complete denture relining significantly improved the occlusal load distribution. Clinical trial registration Trial registration NCT, NCT04701970. Registered 23/11/2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04701970


2021 ◽  
pp. 016344372110298
Author(s):  
Ida Willig

Media agencies have become one of the key actors in the contemporary media industry: by channelling marketing budgets to some media and some platforms and not to others, media agencies play an important role in creating the digital media infrastructure and laying the tracks of the public sphere. Yet we know very little about these commercial middlemen between advertisers and audiences, what they do, and how we should understand their role in the digital media ecology. This article discusses the role of media agencies in relation to platformization with a focus on the news media sector. Based on interviews, publicly available material and trade journals, the article depicts an industry deeply engaged in digitizing, tracking and commodifying media audiences, while at the same time aware of ethical challenges of the digital media infrastructure. This leads to a call for more political attention and critical research on the democratic implications of the new value chains between platforms, advertisers, audiences, media agencies and news media as well as the many tech companies providing derived digital services and products.


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