Do AMPSAs cause AOBs? – PDP008

2021 UPDATE: If you want to learn more about Splints, check out the SPLINTEMBER Series I recently did: Which is the Best Dental Splint? Stay Away from TMD Michigan Splints are Overrated Anterior Only Occlusal Appliances Part 1 Anterior Only Occlusal Appliances Part 2 Pre-register for the Online Splint Course which will get rid of Splint confusion and teach you theory and practical you need to know to be confident with Splints (all types!) The use of anterior mid-point stop appliances (AMPSAs) in Dentistry is surrounded with controversies and misconceptions, so I am joined by Dr Barry Glassman in this episode to answer this much debated question. Need to Read it? Check out the Full Episode Transcript below! Attending Dr Glassman’s lecture last year was eye opening and career-transforming for me. It changed the way I thought about Occlusion! In this Episode with Dr Barry Glassman we discuss: To what extent are occlusions designed for Function?How much does Occlusion matter?Why canine guidance?Do Anterior midpoint stop appliances cause posterior teeth to over-erupt?When to avoid using AMPSAs?What mechanism is behind patients developing AOB after splint therapy? This is an example of a lower NTI or SCI (Sleep Clench Inhibitor). This falls in to the category of an anterior mid-point stop appliance (AMPSA) TLDL (Too Long Didn’t Listen): Jump to 22 mins and 30 seconds if you want the main question answered. Protrusive Dental Pearl: The BRB technique for incisor Class IV build ups to create an ‘instant wax-up’ within the putty. You can read more about this technique at Style Italiano. Do not miss out on the next Dentinal Tubules Congress in October! Dr Glassman will be lecturing again in the UK on ‘Myth-busting Occlusion for the General Dentist‘. He will be lecturing in Sheffield and London and this can be booked on the S4S website. If you use the discount code BG-PODCAST, this will give 30% off (RRP £179.99). If you want a substantial online training for Splints, the Online Splint Course is just weeks away from launch!   Barry Glassman, DMD, maintained a private practice in Allentown, PA, which was limited to chronic pain management, head and facial pain, temporomandibular joint dysfunction and dental sleep medicine.   He is a Diplomate of the Board of the American Academy of Craniofacial Pain, a Fellow of the International College of Craniomandibular Orthopedics and a Diplomate of the American Academy of Pain Management.  He is a member of the American Academy of Orofacial Pain and the American Headache Society.  He is on staff at the Lehigh Valley Hospital where he serves as a resident instructor of Craniomandibular Dysfunctions and Sleep Disorders.  He is a Diplomate of the Board of the Academy of Dental Sleep Medicine.  He has published articles that have appeared in both peer and non-peer reviewed journals in the fields of dental sleep medicine and orofacial pain.  Click below for full episode transcript: Opening Snippet: Most of us, unfortunately go to lectures to have what we already know. Justified. So as long as long as someone is telling me what I know and is what I'm doing is right has been right, then I can take on a new parole or something and add to it. I'm comfortable with that. If someone's telling me that what I've been doing may not be right, that's upsetting. And what I've been saying, Jaz, for years is that I'm not saying that what you've been doing is right... Jaz's Introduction: Do anterior midpoints stop appliances cause anterior open bites? Right, so if you're unfamiliar with these appliances, it's basically a night guard that only covers that say, 2-2 or 3-3 or 5-5. And there's many combinations and you know, opposing and whatnot, a larger, smaller, but essentially they don't cover all the teeth. They are segmental appliances. And the classic version of it, for example would be like an NTI or in the UK is known as a SCi,