If a patient presents with a dull ache in the joint before load testing and the three stages of load testing don't cause any additional discomfort, but there is still that same dull ache present throughout. Should you proceed to occlusal treatment?
This video is an excerpt from the April 2015 Dawson Faculty Office Hours with Drs. Leonard Hess and Rajeev Upadya. To watch the full office hours and to sign up for future office hours, visit the Videos and Webinars page.
The following is a transcription of this video excerpt.
Question: Describe your process for splint therapy
Dr. Leonard Hess: Ok that's a great question. If we have somebody we are suspecting has an intercapsular issue, which would be a medial pole issue, then we place them in a full-coverage orthotic splint (an SRS splint) so that we are meeting the requirements of occlusal stability; we are getting even contact, canine guidance and protrusive guidance. That patient will go into splint therapy where we monitor them on a regular basis to see if the splint needs to be adjusted. As the joint becomes healthier, the splint almost becomes a bandaid. As we adjust it, we should see the joint to start to seat into the fossae again completely. We should be able to nurture the joint back into good health.
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