T-Scan 10 Recording Dynamics, System Features, and Clinician User Skills Required for T-Scan Chairside Mastery

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.

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.


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):  
Thomas A. Coleman. DDS

This chapter introduces the air indexing method for detecting and quantifying cervical dentin hypersensitivity (CDH) as a companion to the T-Scan Occlusal Analysis System which evaluates force and timing values for occlusal contacts of teeth. This chapter will also highlight an evidence-based retrospective investigation undertaken between 1979 and 1996 that evaluated associations and/or correlations between diagnosed CDH and its resolution following occlusal adjustment. This retrospective's method described the detection, diagnosis, and treatment of the signs and/or symptoms of the common clinical finding amongst patients with CDH. Stress physics will illustrate how small occlusal contacts magnify the impact that applied occlusal contact force has on the cervical regions of teeth. This resultant cervical stress is etiologic for how non-carious cervical lesions (NCCLs) form and degrade tooth roots. This chapter also explains how biocorrosion from endogenous and exogenous sources produces loss of dentin's protective proteins, glycoproteins, and cementum, which add to the effects of applied occlusal force, thereby creating CDH symptoms and NCCLs. CDH appears resultant from the co-factors of occlusal forces that produce cervical stress, along with biocorrosion, that are both modified by occlusal surface friction. The air indexing method of CDH diagnosis is an objective diagnostic means to detect and quantify CDH symptoms during the formation of cervical lesions. This chapter presents the clinical benefits of melding the T-Scan Occlusal Analysis System with the Air Indexing Method when clinically assessing and treating cervical hard tissue pathologies. The clinician gains significantly more occlusal insight as opposed to using either methodology alone, when air indexing is combined with T-Scan's occlusal contact force and timing data. Lastly, this chapter introduces two case reports of how T-Scan guided occlusal adjustments can be effective at reducing CDH and prohibiting the progression of gingival recession.


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):  
Julia Cohen-Levy, DDS, MS, PhD

This chapter reviews T-Scan use in Orthodontics, defines normal T-Scan recordings for orthodontically treated subjects versus untreated subjects, and explains T-Scan use in the case-finishing process. After orthodontic appliance removal changes in the occlusion result from “settling,” because teeth can move freely within the periodontium. Despite a post treatment, visually “perfect” Angle's Class I relationship, ideal occlusal contacts often do not result solely from tooth movement. Creating simultaneous and equal contacts following fixed appliance removal can be accomplished using T-Scan data to optimize the end-result occlusal contact pattern. The software's force distribution and timing indicators (the 2 and 3-Dimensional ForceViews, force percentage per tooth and arch half, the Center of Force, and the Occlusion and Disclusion Times) aid in obtaining an ideal occlusal force distribution during case-finishing. Several case reports highlight combining lingual orthodontic treatment with Orthognathic surgery, where each presented case utilized T-Scan data during active treatment and retention.


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

This chapter discusses chronic occluso-muscle disorder, which is a myogenous subset of temporomandibular disorder (TMD) symptoms resultant from occlusally activated muscle hyperactivity. It also describes the computer-guided occluso-muscle disorder treatment known as disclusion time reduction (DTR), that studies repeatedly show reduces many common muscular temporomandibular disorder symptoms. T-Scan-based research since 1991 has determined that a significant etiologic component of occluso-muscle disorder is prolonged (in time) occlusal surface friction shared between opposing posterior teeth during mandibular excursions, that occurs in both normal chewing function and during parafunction. This friction results in prolonged compressions of the periodontal ligament (PDL) fibers of the involved teeth, which when in excursive opposing occlusal contact, also experience pulpal flexure that leads to pulpal neural activation, which together with the periodontal ligament compressions, trigger excess muscle contractions within the masticatory muscles. It is this unique neuroanatomy that incites and perpetuates many chronic muscular TMD symptomatology, that can be readily resolved in patients that meet the diagnostic criteria for DTR candidacy, using the ICAGD coronoplasty that is performed in the maximum intercuspal position (MIP), without employing treatment splints, deprogrammers, appliances, orthotics, or mandibular repositioning. Additionally, this chapter will highlight the newest disclusion time reduction therapy (DTR) studies that support the clinical implementation of this highly effective measured occlusal treatment for occluso-muscle disorder.


Author(s):  
Robert E. Wendrich

All tools humanity uses are extensions of their physical and/or virtual reach, towards a specific purpose or to fulfill a particular, specified, or dedicated task. The tool is handled, initiated and actively guided to participate in interaction, perception, and/or interpretation of the world around us. Tools mediate in action and interaction, like handling a toothbrush to gain a fresh set of cleaned teeth or to use a hammer to pound nails in a material. The real physicality of these human interactions convey a lot of information and creates knowledge in various levels of insight and understanding. Not only in terms of feeling satisfied in the accomplishment of a task, but also in the experience of tool use and succesful interaction. Furthermore, metacognitive aspects of tool use occur when human beings and tools work together and can be seen as an action-based method of advancing knowledge. In the quotidian, a mixture of tools (i.e. used, embedded) and tool activities occur to directly or indirectly interact with our physical and virtual surroundings, things, or systems. Analogue tools, like e.g. knives, pens, chairs and cars have different complexities, but through communicated ’meaning’ (Dewey, 2005) [9], these artifacts possess a distinct quality and intrinsic interaction of use. Some of these tools have very simple but effective use qualities and therefore are most of the time easy to understand in function and use. Other more sophisticated tools imply more study and demand lots of exercise (i.e. high learning threshold) in order to get the full benefit, function and gain in user experience (UX) and results. In the digital and virtual realms many varieties of computational tools are encountered. As a consequence, many categories and levels of tool use, usage through interaction, usability, user-skills and UX happen. The last decades showed a plethora of tool applications and tool interactions that eluded many users, consequently leading to misinterpretation, misguidance, frustration, reduction and inert mediocrity. Not to speculate that digital innovations and tools are defunct gadgets or not worthy of inclusion in daily life. On the contrary, digital technology plays a crucial role in our understanding of the physical and virtual worlds that co-exists and give us much broader boundless experiences and perspectives than ever before. The problem with most digital tools is, the constructed user interface (UI) and user interaction (UA) between a user and machine, as shown in, for example; Carroll, 1991 [5], Carroll, 2002 [6], Dix, 2009 [10], Hartson, 2003 [16], Piumsomboon et al., 2017 [31], Wendrich, 2016 [44], Rogers, 2011 [33]. This in turn has lead to more study and research being conducted on this subject over the last decades, what somehow lead to more confusion and misapprehension. Incremental improvements in UI have been explored and became a sort of standard, new approaches to UIs and UAs have appeared and wiped others, in some cases e.g. multi-touch sensing surfaces became a next step in interacting with the digital-virtual realms. This in turn lead to a leap in applications software (app) design to create tools that were easy to manipulate and use by swiping fingers across high-definition interactive icons to work the tool. However, how feebly, fleetly or superficial this type of mediated interactions may seem, somehow it became a prefered way of ’doing things.’ Gradually this kind of interaction became the standard, encroached with instant gratification and satisfaction. Eventually, everything is an approximation with human frailty, so is tool use and are tools, Figure 19.1.


Author(s):  
Arthur Tatnall ◽  
Stephen Burgess

Just because e-commerce technologies seem like useful tools that may assist a small to medium enterprise (SME) do its business better, it does not necessarily follow that these technologies will be adopted by this business. The implementation of an e-commerce system in an SME necessitates change in the way the business operates, and so it should be considered as an innovation and studied using innovation theory. Electronic commerce (e-commerce) is concerned with how computers, information systems and communications technologies can be used by people to improve the ways in which they do business. As e-commerce necessarily involves interactions of people and technology, any study of how it is used by a small business must be considered in a socio-technical context. Although there is no universal consensus on what constitutes e-commerce, it must be considered to contain elements of information systems, computer hardware technology, business processes, communications technologies, and people. The complexity of studies in e-commerce is due, to a considerable degree, to the interconnected parts played by human actors and by the multitude of non-human entities involved. Small business managers, sales people, staff involved in procurement and warehouse operations, computers, software, Web browsers, Internet service providers (ISP), modems, and Web portals are only some of the many heterogeneous components of an e-commerce system.


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