Dentistry Today — October 2022

Inside this issue

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1. Page 6

   DirectaDentalGroup DIRECTA topdental ORSING parkell physics forceps RØNVIG TrollDental Sendoline CONTACTEZ DIRECTA USA FOCUS As part of the long-term commitment to establish the Directa Brand around the globe, Directa AB opened Directa USA. A decision that would have a tremendous impact on how Directa and its North American business partners would interact and benefit for years to come. The local presence of Directa in the United States has been vital for the growth of the Directa Dental Group. Directa USA - Commitment The strategic growth of Directa in North America and around the world has been the continuous commitment to…

2. Page 8

   Not Feeling Groovy Minimally invasive dentistry has become a buzzword in the past few years. For years we were still doing G.V. Black preparations, which were designed for amalgam, with our composites. Extension for prevention and obliterating every groove in the occlusal has led to generations of fractured teeth and larger restorations. We now, of course, have better bonding materials; high-strength flowables; and better diagnostic tools to use, especially for interproximal lesions. The "modal or distal" foss has been redefined. We also have new remineralization products as well as "bioactive" and even antibacterial materials to keep these preparations smaller. Lasers…

3. Page 10

   How Habits Can Change Your Practice (and Your Life) Ever wonder why change is so hard? The truth is that when we're looking to make a change in patterns, what we are really looking to change are our habits. Habits can be hard to break. Why? Because they are comfortable. Everything we do in life, whether it is our morning routine or how we examine and/or treat our patients, is rooted in our habits. A habit has been defined as a settled or regular tendency or practice. In other words, you are comfortable with your routine, and to change that…

4. Page 12

   VIEWPOINT continued from page 10 they just do not know where to start. They make an attempt to add something in, and then give up quickly because it was not easy or did not deliver the expected outcomes. In James Clear's book Atomic Habits, he describes the concept of "habit stacking," which I have come to interpret as habit integration. We can stack a new habit onto an existing one that will become our cue. Let me explain how to begin this process by using the Four Laws of Behavior Change, also described by Clear. These 4 laws give us…

5. Page 14

   The Orthodontic Mindset in General Practice Michael Grossman, DDS, offers his perspective on why orthodontics is such a key factor in treatment planning as well as educating patients about DIY orthodontic companies through intelligent marketing. Q: What is the current level of orthodontic training new GP dentists receive following dental school graduation and a one-year residency? A: I graduated in 2004 with as much knowledge in orthodontics as I had in obstetrics, and in the almost 20 years since, I haven't seen much improvement, and it is sad. I recently met with 2 dentists who were 3 years out. Both…

6. Page 16

   System Simplifies Extraoral Imaging DAYTON, Ohio—Midmark's Extraoral Imaging System (EOIS) product line, including 2D panoramic and 3D CBCT imaging x-ray devices with cephalometric add-on options, is designed to simplify the workflows of panoramic and CBCT imaging. With the launch of the EOIS 3D unit, Midmark invites general dentists to create their own 3D moments that will help take their practices into the future. Midmark designed its EOIS units with general dentistry in mind, providing intuitive controls and software for improved staff adoption and keeping the footprint of the unit small to make it easy to fit into existing spaces. Whether…

7. Page 18

   Scanner Provides Easier and More Accurate Solution FORT LEE, NJ - Ray America's RAYFace is an innovative 3D facial scanner and sets out to completely change the way clinicians think about the patient experience. It is the first 3D facial scanner to accurately superimpose a patient's dentition data with only a single click of the mouse. Rather than relying on an antiquated method of custom impression trays with external scan body face. It is personalized medicine the way it was intended to be in dentistry. For more information, call Ray America at (800) 978-4586, visit rayamerica.com, or email info@rayamerica.com. FREEinfo,…

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   Lubrication Unit Simplifies Process of Cleaning Handpieces LAS VEGAS–The iClean Automatic Lubrication Maintenance Unit from Medidenta is an easy-to-use automatic lubrication unit that will save office time and extend the life of handpieces. It was designed in response to dentists' requests. Its user friendly interface simplifies the process of cleaning handpieces. It takes just 15 seconds to clean and lubricate each handpiece and less than one minute for 3 at a time. In order to improve the user experience, the iClean includes these exceptional details: (1) an LCD Screen, (2) a simply disassembled front door, (3) an exclusive chuck care…

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   Current Economic State of Our Country/Industry and What Medidenta Is Doing to Help By Sean Ryan, CMO, Medidenta Often people only focus on gas prices, more expensive groceries, or even the cost of lumber, but the economy isn't anywhere near that simple. Inflation, supply and demand, sanctions—the list goes on and on. While these are the most common issues that people face, the problem is so complex and affects all types of businesses. This includes dental offices and their suppliers. Medidenta's repair department is working around the clock to keep up with the increasing demand for repairing old clunkers, as…

10. Page 24

    27th Annual FALL PRODUCT SHOWCASE Dentistry Today's 2022 Fall Product Showcase highlights the latest products being offered to dental professionals. The products appear in no particular order. Booth numbers for the ADA's SmileCon 2022 are included. For more information on these products, COMPOSITE GrandioSO is an extremely toothlike, universal, light-cured, 89%-filled nanohybrid composite celebrating 10 years of proven performance and longevity. For a decade, practitioners have enjoyed its easy, non-stick handling and the exceptional aesthetics it provides. It is formulated to incorporate a range of physical properties to closely mimic natural tooth structure. This combination of uniquely toothlike properties make…

11. Page 25

    Every shade. One choice. omnicHROMA Flow One-Shade Flowable Composite OMNICHROMA FLOW is the world's first one-shade flowable composite to esthetically match every color of tooth from A1 to D4 with a single shade of composite. Tokuyama Dental's Smart Chromatic Technology, first implemented through the universal composite OMNICHROMA, has changed the way thousands of dentists practice restorative dentistry forever. Now, the same one-shade benefits are made available in a flowable consistency capable of addressing a wider range of restorative needs, saving clinicians even more time and money. Outstanding Features • Unprecedented shade matching • High polishability • High stain resistance •…

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    Aseptico PORTABLE DENTAL SYSTEM The GO Ultra Portable Dental System shatters barriers of size, weight, and energy efficiency in portable systems. This highly capable system can perform restorative dentistry and hygiene functions, yet is so light and compact it qualifies as carry-on luggage. It features universal voltage inputs and can also operate off battery. It is made in the United States. For more information, call (866) 244-2954 or visit the website aseptico.com. BOOTH NUMBER: 2052 FREEinfo, Glidewell IN-OFFICE SOLUTION With the glidewell.io In-Office Solution, one can deliver fully sintered BruxZir NOW crowns and bridges with no oven time and big…

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    FALL PRODUCT SHOWCASE K6R Whitening WHITENING SYSTEMS K6R Home Whitening Systems offer at-home whitening that consistently produces amazing results. These systems are available for night-time and daytime whitening. K6R Night provides excellent whitening results for the average patient. K6R Night's patients comfortably whiten teeth while they sleep. K6R Day is for patients who are unable to wear trays during sleep or are supersensitive patients. For more information, call (866) 763-7753 or visit k6rwhitening.com. FREEinfo, PreXion CBCT SYSTEM With the launch of the Excelsior line, PreXion still has one of the smallest focal points in the industry. The company has also…

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    Shatkin F.I.R.S.T. IMPLANT The Mono Bendable Implant is a one-piece implant with a bendable straight abutment, which can bend to 45° when bending torque is applied to the abutment. The Mono Implants have an RBM-treated bone condensing thread, a machined straight narrow collar, and an abutment. In appropriate clinical conditions, the implants can be loaded immediately. For more information, call (888) 474-2854 or visit the website shatkinFirst.com. BOOTH NUMBER: 1309 FREEinfo, Ortek Therapeutics CARIES DETECTION DEVICE The Ortek-ECD caries detection device instantly detects early cavitated occlusal lesions that often go undiagnosed by x-ray and visual methods. The patented device is…

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    Millennium Dental Technologies LASER The PerioLase MVP-7 has the first and only scientifically proven FDA clearance for True Bone Regeneration with the LANAP Protocol, which reverses moderate and severe periodontitis. It can regenerate bone around failing implants via the LANIP protocol, return on investment and patient satisfaction by adding the novel, no-sew perio procedures patients want, with a 6-month, money-back, clinical results guarantee and a built-in power meter and Joule counter for safety and efficacy. For more information, call (888) 49-LASER (495-2737) or visit lanap.com. FREEinfo, DirectaUSA-Division of Directa Dental Group PERITOME Luxator periotomes are instruments designed specifically for extraction…

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    Parkell BIOACTIVE CEMENT Predicta cement fills and seals microgaps with hydroxyapatite formation at the margin and alleviates or prevents microleakage, which is associated with recurrent decay. By combining all the properties and performance benefits of premium universal resin cements with bioactivity, Parkell offers a cement that gives crown margins unprecedented protection against secondary caries. For more information, call (800) 243-7446 or visit parkell.com. FREEinfo, Align Technology IMAGING SYSTEM The iTero Element 5D Plus Imaging System includes Near-Infrared Imaging (NIRI) Technology, which aids in the detection of interproximal caries. It offers all of the existing orthodontic and restorative digital capabilities doctors…

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    Microcopy POLISHERS Dentists agree that with polishers, things can get more confusing than advanced college calculus. NeoShine sterile polishers, however, are simple, 2-step mini polishers for use on composite, metal, and zirconia. For more information, call (800) 235-1863 or visit neoshinepolisher.com. BOOTH NUMBER: 936 FREEinfo, TruAbutment ABUTMENT The pioneering concept of the Angulated Screw Channel (ASC) Ti-bases has allowed users to deal with challenges by providing a restoration that is aesthetic and convenient. TruAbutment ASC integrates the ASC into the current custom abutment solutions. This allows the users to retain the advantages of a full custom abutment while being able…

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    Dental NANOHYBRID COMPOSITE With more than 30 years of experience, DMP has developed an innovative manufacturing process that integrates a unique blend of microand nano-fillers into the resin matrix, creating an easy-to-sculpt nanohybrid composite for class I to IV restorations. NANOCERAM-BRIGHT outperforms the competition, achieving superior physical and aesthetic results. Excellent color matching, high polishability, and lifelike translucency allow the restoration to blend into the natural tooth structure and surrounding area for a chameleon effect. For more information, visit dmpdental.us or email info@dmpdental.us. FREEinfo, Filhol POST SYSTEM The prefabricated FILPOST System preserves a healthier and stronger tooth structure due to…

19. Page 40

    Sonendo ROOT CANAL THERAPY SYSTEM The GentleWave System is a minimally invasive root canal therapy (RCT) option that combines broad-spectrum acoustic energy and fluid dynamics to remove debris, bacteria, and tissue from the root canal system. GentleWave technology was designed to help save more teeth for more patients— and is something the company strives to help customers achieve every day, with more than 500,000 patients treated with the GentleWave Procedure. Sonendo innovates for the improvement of patient care. For more information, call (844) SONENDO (766-3636) or visit sonendo.com. FREEinfo, 97 Jordco ENDODONTIC STORAGE SYSTEM The Endoring FileCaddy organizer provides a…

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    Dentsply Sirona Endodontics ENDODONTIC FILES ProTaper Ultimate is the latest generation of the world famous ProTaper family. Developed by Dentsply Sirona in collaboration with international key opinion leaders in endodontics, ProTaper Ultimate delivers a complete solution with enhanced irrigation and obturation protocols to handle the most difficult anatomies and provide a seamless solution. For more information, visit dentsplysirona.com/protaperutimate. FREEinfo, DenMat SOFT-TISSUE LASER This cordless soft-tissue laser enables one to deliver the benefits of laser dentistry to each patient while increasing practice production across all departments. The pocket-size, wireless NV PRO3 Microlaser is completely portable yet just as powerful as conventional…

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    Dentis USA IMPLANT SURGICAL GUIDE SYSTEM The Digital Guide Center was created to help doctors overcome obstacles by designing and printing the guide for you. The process is simple: Submit an oral scan and CBCT data, and Dentis USA's technicians design the guide. After the clinician reviews and approves the design, Dentis USA prints it and ships it directly to him or her. It is a simple process that is efficient and cost-effective, headed by a world-wide leader in dental implants for quality assurance. For more information, visit dentisusa.com/web-guide/ or email digital@dentisusa.com. FREEinfo, AdDent HEAT DISPENSER Compex HD delivers the…

22. Page 44

    Septodont ROOT CANAL FILLING MATERIAL Hailed as a breakthrough in mineral-based root canal filling materials for permanent canal obturation, BioRoot RCS root canal sealer incorporates an easy-to-use cold obturation technique that ensures a long-lasting, seal-free seal and high pH (>11). And because it is biocompatible and resin-free, it will not have any impact on human cells in case of overobturation. For more information, call (800) 872-8305 or visit septodontusa.com. FREEinfo, A-dec STOOLS The A-dec 500 doctor's and assistant's stools offer a dynamic seating system that conforms and moves with the body. With years of research behind it, the innovative stool…

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    New Technology Why Dental Practices are Switching to 3D Imaging in the Cloud What Is 3D Dental Imaging? Also known as cone-beam computed tomography (CBCT) scanning, 3D dental imaging allows dental professionals to create detailed digital models of the entire mouth. In contrast to conventional 2D x-ray technology—which records a single, flat image—CBCT scanners use a mechanical arm that rotates around the patient's head to capture multiple x-rays. Using 3D dental imaging, dental professionals can capture and view highly accurate 3D models of their patients' mouths, including details that you might otherwise miss with the naked eye. This scanning technology…

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    Implant Fixture Maximizes Placement, Depth Control, and Fixation Power LA PALMA, Calif.–SQ Implant fixture from Dentis USA was developed based on decades of implant technology and clinical expertise. It's a sub merged and qualified system that is easy to install. It's a bone-level implant that maximizes placement, depth control, and fixation power, solving many challenges of implantology. Along with SQ implant fixture, SQ Drill Guide System is a perfect match for implant surgery key solutions. It's a fast and economical digital guide system that allows dentists to design and fabricate the appliance directly in a dental clinic. Clinicians with long-time…

25. Page 50

    Bone Grafting Solution Makes Delivery of Allograft More Convenient IRVINE, Calif. - Glidewell's RAPTOS Cortico-Cancellous Blend in a Syringe is specially designed to make the delivery of allograft for extraction sockets, bony defects, immediate implant sites, and other clinical applications simpler and more convenient. With this bone grafting solution, clinicians have an all-in-one tool for grafting sites with predictable and cost effective results. [IMAGE: A syringe with yellow plunger containing bone graft material and an orange cap] Each syringe contains prepackaged mineralized cortico-cancellous allograft and is ready to use after a quick and simple hydration procedure. Users will simply remove…

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    Composite Showcases Great Shade Matching and Aesthetics ENCINITAS, Calif.–Tokuyama Dental America's OMNICHROMA FLOW, a one-shade flowable composite, follows in the footsteps of OMNICHROMA. OMNICHROMA FLOW is capable of matching any of the 16 VITA Classical tooth shades with a single shade of composite. By eliminating the need to shade match or stock multiple shades of composites, OMNI-CHROMA FLOW simplifies restorative procedures and allows dentists to reduce their inventory, saving time and cost. OMNICHROMA FLOW is indicated for Class I through V restorations in anterior and posterior teeth. The following qualities make OMNICHROMA FLOW an excellent choice for dentists looking for…

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    Self-Curing Composite Provides Enhanced Strength THE VILLAGES, Fla-Bright Temporary C&B from DMP USA is a self curing composite for temporary crowns, bridges, inlays, and onlays. It is a unique combination of nanosized particles and similarly sized glass filler that provides enhanced composite strength. Its elastic properties provide easy, failure-free placement with the added advantage of the company's Chameleon Effect that matches shade, opacity, and fluorescence for a natural look. It offers 2 significant benefits, including (1) a short trim and finish time of 3 minutes, which eliminates the need for glazing and polishing, and (2) its convenience, which provides a…

28. Page 53

    Hydrosonic Toothbrush's Ergonomic Design Offers Ability to Reach All Areas MESA, Ariz.- The Hydrosonic Pro Toothbrush from Curaprox offers savvy design with its innovative, 3-brush head technology, resulting in some of best oral health. CUREN filaments are gentle and effective for manual cleaning, and strong and powerful in hydrodynamic cleaning. The extra small head, with its innovative drop-like design, cleans each tooth with maximum precision and supports the hydrodynamic effect. Every area can be easily reached with CURACURVE ergonomics. Also, an extra-pleasant rubberized back prevents unpleasant vibrations. The Hydrosonic boasts 7 intensity levels with up to 84,000 movements per minute.…

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    Ritter Dental: More Than 135 Years of History and Innovation The first dental units were manufactured at Ritter more than 135 years ago. Since then, Ritter, which is owned and managed by Germans, has stood for the development and production of high-quality dental treatment units. Today, Ritter still stands for quality and reliability made in Germany. How It All Began It all began in 1887 in Rochester, NY, where Frank Ritter (1844 to 1915) founded the Ritter company. In 1889, he succeeded in launching the completely redesigned Columbia chair, which even then offered all the adjustment options familiar to today's…

30. Page 56

    Industry News SmileFast Now Available in the United States After a delay due to the pandemic, SmileFast—a groundbreaking advancement in delivering composite veneers directly to teeth—is now available stateside. The pre-separated SmileFast stents are built with tooth separators placed within them so that up to 10 teeth can be restored simultaneously. Not having to worry about sectioning teeth and obliterating contacts or struggling with the isolation in the "every-other-tooth" technique allows dentists to predictably restore smiles in an instant, with far less stress and clinic time necessary. But it's not just the separators that make the system so unique. The…

31. Page 58

    Water Fluoridation Prevents Tooth Decay and Helps the Environment AI Tech to Automate Denture Design and Increase Efficiency Researchers from Trinity College Dublin teamed with researchers from University College London to demonstrate for the first time that the environmental footprint of water fluoridation is considerably lower when compared to other preventive measures for tooth decay. To do that, the team employed a life cycle assessment (LCA) by carefully measuring the combined travel, the weight and amounts of all products, and the processes involved in all 3 preventive programs (toothbrushing, fluoride varnish programs, and water fluoridation). Data was then entered into…

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    NEWS & TRENDS 59 Industry News continued from page 56 Keating Dental Lab Celebrates 20 Years Keating Dental Lab celebrated its 20th anniversary on September 3. Based in Irvine, Calif., the company was founded by its president and CEO Shaun Keating, CDT, and has grown to become one of America's top dental labs. "Like any great company, you're only as good as your people, and for the last 20 years, we've been blessed to have some of the best people in the dental industry working with us," Shaun Keating said. "Keating is proud of our people, and we stand behind…

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    Modern Technology for Minimally Invasive Dentistry INTRODUCTION Technological advancements continue to evolve the capabilities of our society in healthcare. It allows us to discover pathology earlier so that we can be less invasive and people can live longer, healthier lives. The dental industry is no different in that technology continues to advance the level of care we can provide to our patients. Providing our patients with modern diagnostic technology allows us to provide less invasive dental procedures, which typically offer better longevity for our restorative materials and potentially save more tooth structure. Patients may experience less density in their lives,…

34. Page 64

    Figure 4. CariVu image showing distal decay extending into the dentin. Figure 5. Finding and uncovering tooth decay. Remaining damage can be evaluated with various intraoral cameras and caries indicators. Figure 6. Removal of only the damaged tooth structure without causing iatrogenic trauma to adjacent tooth structure. Figure 7. Showing metal shim/barrier to prevent damage to adjacent teeth. Modern Technology for Minimally... continued from page 62 radiograph evaluation (DEXIS) (Figure 3) The Canary System is a low-level laser diagnostic tool that quantifies the tooth's crystalline structure, providing a numerical value and an audible notification for the patient and practitioner to…

35. Page 65

    OraFit All aligners are not alike. Discover clear aligners with excellent clarity, strength, and gentle, consistent teeth-moving forces1,2 REALIGN YOUR EXPECTATIONS. VISIT HCP.MYORAFIT.COM INDICATION: The OraFit Custom Clear Aligner System is indicated for use in the alignment of permanent teeth through orthodontic treatment of misalignment and malocclusion. IMPORTANT SAFETY INFORMATION: ClearCorrect/OraFit Custom Clear Aligner System is contraindicated in patients who: • Are allergic to plastics • Have active periodontal disease. WARNINGS: • In rare occurrences, patients may be allergic to the thermoplastic polyurethane materials of the aligners. Advise patients that if they experience an allergic reaction, they should discontinue use…

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    Figure 19. Preoperative radiograph showing decay on the mesial and distal of tooth No. 4. Figure 20. Pre-op photograph. Figure 21. A Trident WedgeGuard (Ultradent Products) was placed on the distal while decay could still be seen on the original floor, but there was no dam age to the adjacent tooth. Figure 22. FenderWedge placed on the mesial to prepare the tooth structure and protect the adjacent tooth. A small amount of decay can still be seen. Figure 23. FenderMate (Directa USA – Division of Directa Dental Group) placed to restore the anatomical contour of the tooth distally without the…

37. Page 67

    RESTORATIVE 67 Figure 27. Pre-op radiograph of teeth Nos. 3 to 6. Figure 28. Pre-op CarRu image of distal decay on tooth No. 6. Figure 29. Pre-op CarRu image of mesial decay on tooth No. 4. Figure 30. Pre-op Trident WedgeGuard in place for mesial proximal box preparation. Figure 31. The Trident WedgeGuard still in place as a matrix and it will be used to place the Ceramir Restore in the distal cavity preparation located on tooth No 6. Figure 32. Tight contact achieved once the Trident WedgeGuard is removed prior to cleanup. Figure 33. Post op Ceramir Restore material…

38. Page 68

    RESTORATIVE tooth while preparing the tooth and removing the decay; it can be slid out from the interproximal and replaced with the corresponding mesial or distal thin or thick FenderMate interproximal matrix device. In this particular case, after placing the FenderMate interproximal matrix on the distal, the composite margins of the preparation design were so close together that traditional techniques to implement composite and syringes used for composite placement would manner using the thin mesial FenderMate. The final minimally invasive restorations were restored with a bioactive flowable with no adjacent lat distal thin or thick FenderMate interproximal matrix device. A…

39. Page 69

    Could TMJ Problems Indicate More Than Dental Problems? INTRODUCTION Patients usually present to their dentists with TMJ problems. The usual treatment of nightguards may not best serve some patients. They may be suffering from many other quality of life affecting health symptoms but didn't see the need to mention those to their dentists. Careful review of medical history and medications prescribed for various symptoms would give the dentist a more complete clinical picture. Even the most appropriate dental treatment could severely exacerbate their symptoms. "First, do no harm." Often, a dentist with the appropriate training might be the practitioner who…

40. Page 70

    [Vatechi]. Analyses of these volumes were done to discern TMJ condition and position, the pharyngeal airway, and cervical alignment and rule out any tooth or bone pathology. The maximum opening scan shows if the condyles are able to translate and if the condyles are subluxing past the eminence. The maximum protrusion scan shows if there is condyle-to-fossa contact, which indicates a missing or highly degenerated articular disc, and if there is improvement in the pharyngeal airway (Figures 4 to 6). Multiple surface electromyography studies of the temporalis anterior and medial masseters give data on mandibular posture; sternocleidomastoid (SCM) and digastric…

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