Disclusion Time Reduction (DTR). High-Precision Occlusal Therapy for Mouth-Body Harmony and Muscular TMD Relief
Disclusion Time Reduction (DTR). High-Precision Occlusal Therapy for Mouth-Body Harmony and Muscular TMD Relief
Course overview
Mouth-body dentistry using Disclusion Time Reduction (DTR) protocols to manage muscular TMD symptoms, tooth sensitivity, posture, and airway function through T-Scan and electromyography-based occlusal analysis!
Join pioneering global researcher Dr. Robert B. Kerstein as he explores advanced protocols, supported by scientific literature, and precise techniques to alter tooth pressure forces and jaw muscle activity based on objective data obtained from T-Scan and electromyography (EMG).
What you will learn
Complete protocols for analyzing T-Scan and EMG data
The DTR treatment approach for managing TMD
Protocols of occlusal adjustment with immediate complete anterior guidance development (ICAGD)
The role of DTR in treating tooth hypersensitivity
Physiological airway improvement without the use of an appliance
Posture improvement with the DTR treatment approach.
Course lessons
Lesson 1. Introduction to Disclusion Time Reduction (DTR)
Defining Disclusion Time Reduction (DTR)
Literature review on T-Scan
DTR treatment approach for managing TMD
DTR in treating tooth hypersensitivity and airway constriction
Digital occlusal analysis of excursive friction.
Lesson 2. DTR Diagnostic Multi-Bite and Excursive T-Scan and EMG Recording Techniques
Evaluation of how T-Scan 10 measures occlusion
Force, time, and pressure mapping accuracy with the Tekscan sensor
Proper multi-bite recording technique
Proper right excursive movement recording
Closure portion of right excursive T-Scan/EMG data
Excursive portion of right excursive T-Scan/EMG data
Recording the right excursion disclusion time with T-Scan 10 synchronized with BioEMG
Protocols for recording left excursion movement
Muscle hyperactivity and canine guidance.
Lesson 3. The Neurophysiology of Long and Short Disclusion Time Reduction (DTR)
High muscle flaring associated with prolonged disclusion time in restored cases
Evaluation of abnormal spastic non-working right temporalis during left excursive movement
Muscle flaring in implant cases opposing natural teeth
Effects of long and short disclusion time reduction (DTR) on masticatory muscles.
Lesson 4. Patient Candidacy for Disclusion Time Reduction (DTR)
Clinical indications for the application of DTR
CBCT diagnosis of the TMJ
Evaluation of MIP, anterior guidance, and canine guidance
Complications and clinical findings that make the patient not readily treatable.
Lesson 5. Clinical Cases for the Application of Disclusion Time Reduction (DTR)
Open canine contact and chronic facial pain case
Digital analysis of right and left excursion movements
Occlusal adjustment with Immediate Complete Anterior Guidance Development (ICAGD)
DTR treatment via ICAGD
Step-by-step analysis of clinical cases treated with DTR via ICAGD.
Lesson 6. Researched Patient Benefits of Disclusion Time Reduction (DTR)
Reduction in clenching and grinding
Physiological airway opening without the use of an appliance
Posture improvement with the DTR treatment approach
Improved human chewing function with DTR.
Lesson 7. Quality of Life Improvement from Disclusion Time Reduction (DTR)
Evaluation of symptoms before and after DTR treatment
Reduction in chronic facial muscle pain
Improved sleep quality due to decreased parafunctional activity
Enhanced ability to chew and speak comfortably
Increased patient satisfaction and emotional well-being.
