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. 2010 Apr;1(2):2-5.
Epub 2010 Dec 8.

Clinical and instrumental treatment of a patient with dysfunction of the stomatognathic system: a case report

Alberto Baldini  1
Affiliations

Clinical and instrumental treatment of a patient with dysfunction of the stomatognathic system: a case report

Alberto Baldini. Ann Stomatol (Roma). 2010 Apr.

Abstract

This article details a case report of a subject chosen from among patients treated in the author's clinic in the Posturology and Gnathology Section of the University Milano-Bicocca.It shows how the indispensable clinical analysis of the stomatognathic system and the connections between posture can be supported by instrumental analysis, such as the computerized occlusal analysis system and the force platform, to diagnose and treat dysfunctional patients.

Keywords: computerized occlusal analysis; force platform; occlusal splint; occlusion; posture.

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Figures

Figure 1
Figure 1
Orthopantomography with the implant for prosthetic rehabilitation at the level of 15 and 16 visualized.
Figure 2
Figure 2
Static, postural evaluations on scoliometer, with slight postural asymmetry.
Figure 3
Figure 3
Intra-oral picture, right section with cross of 23/33.
Figure 4
Figure 4
2D display of the asymmetry of the occlusal loads on T-Scan III, right section with 60% of the load on the right and 40% on the left.
Figure 5
Figure 5
Asymmetry of occlusal loads.
Figure 6
Figure 6
Posturometry on force platform with accentuation of the projection of the loads towards the back and torsion in centric occlusion.
Figure 7
Figure 7
Posturometry on force platform with improvement of the postural position inserting cotton rolls in the oral cavity.
Figure 8
Figure 8
Best positioning of the occlusal centre of force (COF, little red and white dot) with the splint inserted in the oral cavity and a better distribution of the occlusal loads between the right and left hemiarches.
Figure 9
Figure 9
On the force-time diagram the red and green lines coincide, as a result of arranging the loads symmetrically between the two hemiarches after the insertion of the splint.
Figure 10
Figure 10
Improving the postural balance measured on force platform Correction with the splint inserted in the oral cavity.
See this image and copyright information in PMC

References

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