REABILITAR EM RC OU MIH?

Mylene & Renato

8 Dec 202106:38

Summary

TLDRThis dental transcript discusses the importance of choosing between RC (Retruded Contact) and MH (Maximum Intercuspidation Habitual) positions for patient rehabilitation. It emphasizes the need to avoid creating premature contacts that could lead to the patient's system adapting to a non-physiological position. The speaker advocates for working in the RC position for a more symmetrical and comfortable musculoskeletal system, which can reduce headaches and neck pain. The script also mentions the use of neuromuscular programming to guide the patient's system to its most comfortable position, ensuring the longevity of dental treatments.

Takeaways

🦷 The dentist discusses the difference between RC (Centric Relation) and MH (Maximum Intercuspidation Habitual), emphasizing the importance of choosing the right one for dental rehabilitation.
🧠 MH refers to the habitual maximum intercuspidation position, which is an adapted position where the patient's neuromuscular system has adjusted for better occlusion.
🔍 The script explains that creating a new MH by restoring a tooth too high can lead to the patient's system adapting to a non-physiological position, causing discomfort and potential issues.
⏰ It's crucial not to create premature contacts that force the system to adapt to a new MH, as this can lead to muscle and joint imbalances.
🛠️ When rehabilitating a patient, aiming for RC is recommended because it's a position of comfort for the joints and muscles, promoting symmetrical function.
💪 The script highlights the benefits of treating in RC, such as reduced headaches and muscle aches, especially in the temporal and cervical regions.
👨‍⚕️ The dentist encourages practitioners to take advantage of treatment opportunities to reorganize the patient's system for better joint and muscle comfort.
🔄 The importance of not causing the patient's system to adapt to a non-physiological position is reiterated for the longevity and effectiveness of the treatment.
📚 The script suggests that there are resources available, such as videos, to teach how to construct a centric relation appliance, facilitating correct rehabilitation.
❤️ The dentist concludes with a warm sentiment, encouraging the audience to follow for more content on achieving the best rehabilitation outcomes.

Q & A

What is the main difference between RC and MH in dentistry?
-RC stands for 'Retruded Contact' and is about the relationship of comfort in the jaw and muscles, where the system works symmetrically. MH stands for 'Maximum Intercuspidation Habitual', which refers to the habitual position of the patient's occlusion where the maximum engagement between the upper and lower jaw is achieved for stability.
Why is it important to avoid creating new contacts in MH during rehabilitation?
-Creating new contacts in MH can lead the system to adapt to a new position that is not physiological, causing muscles to work asymmetrically and potentially leading to discomfort and instability in the occlusion.
What is the consequence of a patient feeling discomfort after a dental restoration?
-If a patient feels discomfort, it might indicate that the restoration is too high, causing the brain to protect the system by avoiding the contact and adapting to a new, non-physiological MH.
What should a dentist do if a patient complains about a high restoration on a Monday?
-The dentist should schedule an appointment to adjust the occlusion, preferably on the next working day, to avoid the patient's system adapting to an incorrect position.
What is the role of neuromuscular programming in dental rehabilitation?
-Neuromuscular programming allows the muscles and joints to find their most comfortable position, which is essential for achieving a physiological and comfortable occlusion during rehabilitation.
Why is it better to rehabilitate a patient in RC rather than MH?
-Rehabilitating in RC ensures that the patient's system is working in a symmetrical and comfortable manner, which is more physiological and beneficial for long-term stability and comfort.
What are the benefits of working in RC for a patient undergoing orthodontic treatment?
-Working in RC can help reorganize the patient's system, allowing the articulation to be in its best position for comfort and ensuring that muscles work symmetrically without the need for adaptation.
What kind of long-term effects can be expected from rehabilitation in a non-physiological MH?
-Non-physiological MH can lead to long-term issues such as headaches, especially in the temporal and cervical regions, and discomfort due to the system constantly adapting to an unnatural position.
How can a dentist ensure that they are working in the correct relationship of comfort articular during rehabilitation?
-A dentist can ensure they are working in the correct relationship of comfort articular by using neuromuscular programming to allow the muscles and joints to naturally find their most comfortable and physiological position.
What additional resources are available for learning more about centric relation and dental rehabilitation?
-There are many educational videos available that teach how to build a centric relation articulator with ease, which can help in performing rehabilitation in the correct manner.

Outlines

00:00

🦷 Dental Rehabilitation: Maximal Intercuspidation and Adaptation

This paragraph discusses the critical decision-making process for dental professionals when rehabilitating patients, specifically the choice between using RC (Retruded Contact) or MH (Maximal Intercuspidation Habitual). It explains the difference between the two positions, with MH being the habitual position where the patient's occlusion is at its maximum engagement for stability, and RC being a more retruded position that muscles may adapt to for comfort. The speaker uses an example of a patient who experienced discomfort after dental work, leading to the development of a new, non-physiological MH position to avoid the discomfort caused by premature contact. The importance of avoiding such premature contacts is emphasized to prevent the muscles and joints from adapting in non-physiological ways, which can lead to long-term issues. The paragraph concludes with the recommendation to always work in RC for rehabilitation to ensure symmetrical and comfortable muscle and joint function.

05:00

📚 Neuromuscular Programming for Optimal Dental Rehabilitation

The second paragraph delves into the concept of neuromuscular programming in dental rehabilitation, focusing on the importance of achieving a physiologically comfortable position for both the muscles and joints. It contrasts the RC position, which is described as more retruded but compensated by muscle direction, with the goal of finding the most comfortable position for the patient. The speaker emphasizes that it's not the dentist who defines this position, but rather the patient's musculature and joint structure. The paragraph stresses the benefits of working in a physiological position for rehabilitation to ensure the longevity and effectiveness of dental treatments, avoiding the need for the patient's system to adapt to non-physiological positions. The speaker encourages viewers to learn more about setting up a centric relation articulator for accurate rehabilitation and ends with a warm invitation to follow for more educational content.

Mindmap

Keywords

💡Rehabilitation

Rehabilitation in dentistry refers to the process of restoring the function and aesthetics of a patient's mouth, often after damage or disease. In the video, it is discussed in the context of choosing between RC (Centric Relation) and MH (Maximum Intercuspation Habitual) for achieving the best results. The script emphasizes the importance of proper rehabilitation to avoid discomfort and ensure the stability of dental occlusion.

💡Centric Relation (CR)

Centric Relation is the most retruded position of the mandible in relation to the maxilla, where the condyles articulate with the thinnest part of the articular discs. It is a key concept in the video, where it is contrasted with Maximum Intercuspation Habitual (MH). The speaker explains that working in CR can lead to better comfort and symmetry in the patient's jaw muscles and articulation.

💡Maximum Intercuspation Habitual (MH)

MH is the habitual maximum intercuspation position of the patient's teeth, which is not necessarily the most physiologically comfortable position. The video discusses how creating premature contacts in MH can lead to the patient's system adapting to a new, non-physiological position, which is not ideal for long-term rehabilitation.

💡Adaptation

Adaptation in this context refers to the body's response to changes or stimuli, such as a new dental contact. The video script mentions that if a dentist creates a premature contact, the patient's neuromuscular system will adapt by finding a new MH, which may not be the most comfortable or physiologically correct position.

💡Neuromuscular

Neuromuscular dentistry is an approach that considers the relationship between the nervous system and the muscles, particularly in the context of jaw function. The video emphasizes the importance of neuromuscular programming to allow the muscles and articulation to find their most comfortable position, which is crucial for successful rehabilitation.

💡Occlusion

Occlusion is the way the upper and lower teeth fit together. The video discusses the importance of proper occlusion in dental rehabilitation, explaining that achieving maximum intercuspation for stability and comfort is essential. The script also warns against creating premature contacts that could disrupt the occlusion.

💡Stability

Stability in the context of dental rehabilitation refers to maintaining a consistent and comfortable relationship between the maxilla and mandible. The video script discusses how achieving stability is crucial for the success of dental treatments and patient comfort.

💡Articulation

Articulation in dentistry refers to the movement and interaction of the jaw and its components. The video emphasizes the importance of achieving a comfortable and physiological articulation as part of the rehabilitation process, which can lead to better overall jaw function and patient comfort.

💡Symmetry

Symmetry in this context means the balanced and even functioning of the muscles and articulation on both sides of the jaw. The video script explains that achieving symmetry in jaw function is a goal of proper rehabilitation, which can help prevent discomfort and muscle strain.

💡Premature Contacts

Premature Contacts are early or unwanted contacts between the teeth that can occur during the process of dental rehabilitation. The video script warns that creating premature contacts can lead to the patient's system adapting to a new, non-physiological MH, which can cause discomfort and instability.

💡Longevity

Longevity in the context of dental rehabilitation refers to the durability and sustainability of the treatment over time. The video script suggests that by working in CR and avoiding premature contacts, the longevity of the treatment can be improved, leading to better long-term outcomes for the patient.

Highlights

The difference between RC (Rehabilitation Center) and MH (Maximum Habitual Intercuspidation) is explained.

MH is defined as the habitual position where the patient has maximum intercuspation for stability between the maxilla and mandible.

An adaptation position is created when the stomatognathic system adapts to find a better engagement.

Creating a new MH involves restoring a patient's tooth and adjusting the occlusion, which can lead to discomfort.

Premature contacts can lead the brain to protect the system by adapting to a new non-physiological MH.

The importance of avoiding new contacts in rehabilitation to prevent the system from adapting to a non-optimal position.

Orthodontic treatment offers the opportunity to reorganize the system for better joint and muscle comfort.

Working in RC (Rehabilitation Center) provides a symmetrical and comfortable relationship between muscles and joints.

Rehabilitation in RC can reduce headaches and neck pain by working in a physiological position.

The speaker emphasizes the long-term benefits of rehabilitation in RC over MH for treatment longevity.

The speaker discusses the impact of premature contacts on muscle adaptation and joint rotation.

Neuromuscular programming is mentioned to allow muscles to guide the joint to a more comfortable position.

The speaker explains that the muscle and joint define the position of comfort, not the practitioner.

The importance of working in a physiological position for patient benefits is highlighted.

The speaker advises against creating new contacts that force the system to adapt in a non-physiological way.

Videos are available to teach how to assemble a centricity articulator for proper rehabilitation.

The speaker ends with an invitation to follow for more educational content on the topic.