Bite plates, TMJ bruxism, night guards, teeth grinding clenching

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Pictures of Dentistry and Dental Procedures

The thousands of pictures on NYCdentist.com have been created for educational purposes
by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

Bite plates, TMJ bruxism, night guards, teeth grinding clenching
Click on the small photos below to enlarge.
Image	Photo Description
	Dental Reconstruction of a Wall Street executive who was afraid of dentistry who also needed a bite plate for bruxism. Total treatment time was about nine hours in two visits during one business week: Monday (four hours) and Friday (five hours). This patient hid his dental condition for over a decade by never smiling. In the first row of photos, note that the bite was over-closed due to a prior history of an eating disorder, now controlled, and a current teeth grinding bruxism habit. An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the bite. The third row shows x-rays taken after the Endodontist completed eight root canals on the first day on tooth #'s: 6 - 11 and 14, 15. The fourth row shows the lab-processed 11 unit (11 tooth) temporary bridge and the cast gold post/cores for the root canal treated teeth. The fifth row shows the cast gold post/cores cemented. The sixth row shows the lab-processed temporary bridge in place after the surgeon extracted tooth #'s: 3 - 5 and 12, crown lengthening gum surgery was performed on tooth #'s: 6 - 11, and a distal wedge was performed on #15. The patient will have a final porcelain-metal bridge made after the gums heal. Dental implants may also be placed in the upper right posterior. A bite plate is also necessary to try to mitigate the force of tooth grinding. Referral for pharmacological management of anxiety is also worthwhile.
	The left and right lateral view of the mandibular stabilization appliance, a night guard, for teeth grinding or bruxism. Note the cuspid rise to obtain disocclusion during lateral excursions.
	A mandibular stabilization appliance with a braided brass lingual reinforcement, occlusal stainless steel mesh and ball clasps. This is used to treat myalgia-myositis secondary to bruxism. Note the extension up the lingual aspect of the anterior teeth without incisor coverage. A mandibular stabilization appliance may also be referred to as a bite plate or night guard.
	The mandibular stabilization appliance, night guard, is in place. Note the cuspid rise to obtain disocclusion during lateral excursions. This device is helpful in the treatment of bruxism, teeth grinding.
Information about these dental photos In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile. For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side. Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand. This is particularly important because a majority of our visitors are from countries where English is not their primary language. Maxilla or maxillary refer to the upper jaw. Mandible or mandibular refer to the lower jaw. There are many other similar word combinations used throughout this website because our pages are read by patients and dentists. A few of the most common are discussed here. Tooth decay, tooth cavity and dental caries all mean the same thing. Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate. Oral rehabilitation and dental reconstruction mean smile makeover. The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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