North Texas Dentistry Volume 6 Issue 5 North Texas Dentistry Volume 6 Issue 5 | Page 17

C2O Therapy

Physical therapy of Gregg’s TMJ was initiated with Condylar Centering
Orthotic (C2O) therapy. This is a maxillary hard acrylic orthotic that creates
a biologic anterior proprioceptive guiding environment in the stomatognathic
system. It was regularly and methodically adjusted on a weekly basis utilizing
dead soft shims. The condylar repositioning was tracked with a MCD Instrument (ad2usa.com) to verify complete seating of the condyles. When the
C2O therapy was completed and verification of the seated condyles was
made, a hinge-axis recording was taken along with a final centric open bite.
This allowed for accurate vertical dimension restoration of the occlusion.
A final DX wax-up was completed with excellent centric stops and
anterior guidance.

Treatment

By utilizing adhesive composite rejuvenation
techniques as taught by the faculty at The Texas
Center for Occlusal Studies, the wax up was
predictably and carefully duplicated in the mouth
to within 10 microns of accuracy creating a harmonious anterior proprioceptive guided chewing
system at the improved vertical dimension of
occlusion. The composite used was G-aenial
Universal Flow (GC America). This is a unique
highly filled nanohybrid flowable composite with
excellent wear resistance and polishability.

Minimally Invasive

Preservation of natural tooth structure is critically important and every clinician should consider this when creating any treatment plan
whether it is for one tooth or for full mouth
rehabilitation, as is the case here.

One of the most outstanding features of this
type of treatment is that, with the exception of
three old crowns and his lower right bridge
needing replacement, Gregg’s mouth was
restored with absolutely no tooth structure being
ground down or permanently altered.
Dr. Stewart has been rejuvenating mouths in
this manner since 2001, and he has many
cases that are still going strong with little to no
maintenance required over the years. This is
one of the features of the BioRejuvenation
Dentistry treatment that Gregg, and many other
patients, find so appealing.

Results

The final results are not only functional but extremely esthetic. Note the changes not only in
the teeth themselves but in the face and eyes
of the patient. By restoring the occlusion to a
stable condylar position in centric relation and at
a restored vertical dimension, not only do the
teeth look great but the facial muscles as well
as the muscles of mastication are relaxed and
functioning harmoniously with one another.
The occlusion is ideal so the pressure on the
teeth is minimal resulting in long-term stability
and esthetics. Gregg feels great and he loves
the way his smile and entire face have been
transformed. This is typical of the results that
we see at The Texas Center.
Equally as important is that this result was accomplished while preserving 100% of Gregg’s
natural tooth structure and at a fraction of the
cost of a full mouth case with all crowns.

The Texas Center for Occlusal Studies 6011 Morriss Road, Flower Mound, Texas 75028
[phone]
www.TXCOS.com
www.northtexasdentistry.com

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