REABILITAR EM RC OU MIH?

Summary

This 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.