Alternative splint therapy for TMD.
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Biomedical subjects
Publications and source records attributed to M C Alpern.
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New modalities--TMJ direct parasagittal CT and MRI scans and arthroscopic visualization and surgery--along with psychological and other health professional support, are changing the approach to clinical orthodontic practice. This report presents an update on clinical experience over a period of time, with emphasis on orthodontics, psychology, and arthroscopic surgery.
A cemented palatal expansion appliance with a bite plane is used successfully in adults up to 43 years of age, augmented with lateral maxillary osteotomy in the older ages range.
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An overview of an interdisciplinary approach to TMJ problems, with preliminary findings on the application of CT scanning and arthroscopic surgery in cases that do not respond to conservative therapy.
Direct CT studies of the temporomandibular joints, using axial, coronal, and condylar axis corrections for parasagittal views perpendicular to the long axis of the condyle head to provide detailed CT examination of the bony structures and associated soft tissues. Images of selected patients are correlated with arthroscopic evaluation and treatment, yielding a unique perspective for evaluation of the imaging method and the joint itself. Based on these findings, a hypothetical mechanism of TMJ derangement is proposed.
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One practitioner's approach to minimizing patient exposure in diagnostic x-ray procedures in an individual orthodontic practice.
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A panoramic head positioning device, the S.C., was tested for magnification production of radiographs and for repositioning. Ten skeletal Class I dentulous skulls with uniform metal markers were examined. The purpose was to see if a skeletal analysis could be obtained from panoramic radiographs. Basal skeletal magnification varied anatomically both vertically and horizontally, but the magnification percentages and their ranges, for the most part, were calculable. The few exceptions were believed due to lack of proper alignment of the S.C. and the General Electric Panelipse. Proper alignment could also correct the right to left asymmetrical magnification differences. Means and standard errors from 290 skeletal measurements were calculated and could serve as standards for skeletal analysis using panoramic cephalometrics.
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