Clayton A. Chan, D.D.S. – Las Vegas, NV
I don’t need a tool that measures 67-100 micron as a cut off standard for my 20% difficult TMD detailed patients who feel at a level below the 100 micron threshold.
You definitely are not a stickler enough to wonder why I don’t use 100 micron thin occlusal bite wafer technologies to adjust my patients occlusion. To work at levels for the 20% TMD cases that are falling through the TMD cracks is what interests me. It tests one’s occlusal philosophy and strength of skill levels to take on the more difficult. Sure the 80% of cases who have bite problems can be remedied with thicker micron adjusting devices, but that may not always be effective for those who require a higher level of detail attention. That is why I use scan 12 and Scan 4/5.
I don’t want my patients who have occlusal proprioceptive issues bite down on a wafer and skew their mandibles that I know is only measuring at 100 micro accuracy…they deserve better than that. Don’t get me wrong. T scan does accurate measure and gives timing but only at 100 micron accuracy….that is not always detailed enough for my patients. T scan is good for the 80%ers who don’t worry about the micron details…it is fine! I have no contention that is measures and give you location of where to adjust the high spots, etc. but it just doesn’t help you with knowing where the mandible is physiologically suppose to close on an isotonic trajectory. Patients who have occlusal interferenes more often then not retract their mandibles off of an optimized myo-trajectory. I don’t want to adjust on the wrong closing path.