Transcript The BruxChecker® (BC) – a helpful device in

American Association of Orthodontists
112th Annual Session Honolulu, Hawaii –
May 4-8, 2012
The BruxChecker® (BC)
- a helpful device in CMD diagnosis and therapy
Dr. Noeke, Meschede, Germany 2012
American Association of Orthodontists
112th Annual Session Honolulu, Hawaii –
May 4-8, 2012
Authors:
Kathrin Weyer – University of Frankfurt, Germany
Felix Noeke
– University of Krems, Austria
Werner Noeke
Raphael Hoehr – private office, Meschede, Germany
Dr. Noeke, Meschede, Germany 2012
Aim of investigation:
The increasing job-related and private stress in population
leads to many CMD patients in dental surgery. The BC can
help to produce a relax-splint without deflective occlusal
contacts.
The grinding pattern is usually evaluated by putting the BC
on top of the natural arch. The new aspect in this case is the
placement of the BC on the relax-splint.
Dr. Noeke, Meschede, Germany 2012
Patient:
Felix N., age 22, with signs of abrasion
Dr. Noeke, Meschede, Germany 2012
Material and Methods:
The BC acc. to Prof. Sato is a one sided red color coated
foil which can be used by the pressure moulding
technique.
Dimension: 0,1 x 125 mm rd.
Chemical data – foil: polyvinyl chloride, coat: dinatrium2-benzoate
Splint: Durasoftfoil ® 1.8 x 125 mm rd. , acrylic
Dr. Noeke, Meschede, Germany 2012
Silicone impressions, a check bite and the arbitrary determination of
the hinge position with a face-bow (e.g. SAM-System) are necessary.
Dr. Noeke, Meschede, Germany 2012
The BC is put on top of the bite splint by using the pressure
moulding technique. (lower right)
Dr. Noeke, Meschede, Germany 2012
The patient wears the bite splint with the BC on top for one
night. Premature and unwanted contacts can be found and
eliminated on the following day. We used Durasoft foil 1.8
mm for the bite splint and acrylic for the occlusal plane.
The thickness of the BC after moulding is less than 0.1 mm.
EMG test showed no difference of effects on masticatory
muscles neither with nor without Bruxchecker. (Onodera,K.
2006)
Dr. Noeke, Meschede, Germany 2012
Results and Discussion:
By using the BC you can abandon an occlusion foil or
spray to find premature contacts.
Instead of guiding the patients lower jaw, contacts can be
found in a relatively “relaxed” position while sleeping.
Eliminating of the unwanted contacts is easy.
Dr. Noeke, Meschede, Germany 2012
A happy patient after using the BruxChecker®.
Conclusions:
Instead of guiding the lower jaw by hand, the premature
contacts will be marked by the BC under circumstances of the
habitual dysfunction.
With the BruxChecker® it is possible to visualize
interferences with the splint during sleep-bruxism.
BC simplifies the adaptation of an accurate bite splint and
shows the success of treatment.
Dr. Noeke, Meschede, Germany 2012
For more Information:
Werner Noeke, Raphael Hoehr
Oesterweg 5
59872 Meschede, Germany
phone: +49 291 7098
www.drwernernoeke.de
e-mail: [email protected]
Literature: http://www.kdcnet.ac.jp/college/occmed/brux-e.htm
This presentation is kindly supported by:
Scheu Dental, Iserlohn Germany, www.scheu-dental.com
Kaniedenta, Herford Germany, www.kaniedenta.de
Dr. Noeke, Meschede, Germany 2012