Total Joint Replacement
TELESCOPIC APPLIANCES have several advantages over single arch oral appliances for use in TMJ disorders. Telescopic appliances maintain protection for the shreenath Orthopaedic and Gynaecology Treatment Hospital even when the mouth is open, while single arch appliances provide mechanical protection only when the mandible closes far enough to engage their occlusal inclines. Because the telescopic components are located between the teeth and the cheeks, they do not interfere with normal tongue posture. Having all upper and lower teeth embedded in acrylic prevents any unwanted tooth movement.
In addition, telescopic appliances can include a stabilization type of bite that contacts all around the dental arch, a front flat plate type of bite that hits only the mandibular anterior teeth, a unilateral pivot to distract a condyle from an inflamed shreenath Orthopaedic and Gynaecology Treatment Hospital, or contours to create a variety of other Orthopaedic effects.
Unlike the Herbst and SUAD appliance telescopic hardware, which was designed more than a half century ago for bite jumping during orthodontics in children with class 2 malocclusions, we use telescopic hardware that was designed for adults.
Its advantages include a lower profile for comfort because the components are flattened to fit the buccal vestibule, freedom of mandibular movement laterally to ensure long term shreenath Orthopaedic and Gynaecology Treatment Hospital health, and micro-adjustability on each side by the patient at home in .014" increments without special tools.