A Miracle Tool, more must than a Dental chair for me and all my Doctors. By and large we all agree in private talks that Dental Occlusion has remained as the most neglected subject World over. Every Procedure begins in a periodontal textbook with “Adjust the Occlusion “, and I have only seen a few colleagues talk about it, leave alone correcting. A few Corrections I have read are too complex and tedious. I personally feel and so do some fellow colleagues that our textbooks have been written too complex and terminologies too cumbersome for a very very simple subject.
T- Scan
“This Crown/Bridge will feel alright in a few days”, is what I grew up listening to in Dentistry, only to now know that it is scientific blasphemy. All studies conducted by Engineers more or less point to use of articulating paper of no value. T-Scan which is not just a Pressure scan but a Pressure over time scan –which gives direction of force too, on individual tooth basis is the only tool in the World to accurately guide to you here. It is capable of dividing a 1 second of bite into 1000 frames.
Hence a dentist can exactly see interferences, pressures imbalances etc. It is also capable of telling Disclusion and occluding times, the concept of which I sadly found missing largely in Dawsons book too. Its a researchers dream tool.
That struggle of a conscientious dentist with laboratory to give a great anatomy only to lose it while occluding -I have witnessed it many times. That wish “only if I knew which point is exactly not allowing the patient to feel comfortable, particularly on Lingual of molars”-I have heard it many a times. I have witnessed the frustration of talk about interference but not knowing how to pinpoint it. I wished for a magic genie, and decided to go to ITI with some such design I had in my mind. And “LO” , my wish was heard , Dr. Rajiv Aggarwal , a fellow colleague ,heading scientific committee called me a few years ago, to say excitedly ,”Sir , that design you had in mind already exists”. H e sent me the dealer and I did not allow the dealer to leave without delivering the piece to me.
Not only did all my problems go away like “Whoosh”, it turned out to be a great marketing tool too. Patients were amazed to see those graphs and Sophisticatory (pardon me), and they learnt with me, and would excitedly, “doctor –that point in computer is high and yes I can feel that too”. Three months later I realised, I have recovered my costs with richer patients seeking me out of referrals. Paid my loan and bought five more, although initially I thought it will take at least 9 months to recover the price. Even the fellow colleagues were mesmerized at the accuracy and sent me good business and respect. It’s a major tool if you want to cure Tmj disease.
For example no book worth its name tells us that disclusion time during lateral excursion should be less than .05 seconds , or Anterior teeth should first fend off pressures and guide posterior teeth into occlusion ,taking 100 percent load and reducing it to 2%, in less than .01 second. Humans cannot see these things and no sheet can measure these things. My Orthodontics became interesting too. The same tool with some advanced knowledge with the help of emg can help a dentist relieve most headaches too. In the west a patient today asks this question commonly “Doctor, Do you have a T-Scan to relieve my headaches”
T-scan is a product from a large medical giant Tek-Scan, US , and was primarily developed by Dr. Robert Kirstein, a man who is considered an icon in Occlusion and father of digital occlusion. He has put in his 27 years into development of T-Scan, and has published innumerable studies on the same. More than 50 top universities including UCLA and NYU have done research on T-scan with very positive inputs.
You can log on to fb and search Alchemist Academy for Dental Education for more Knowledge, or write to alchemistdental@gmail.com , to get your personal queries handled by me.