In this case report, transitional bonding with the aid of a Kois deprogrammer was used to restore a patient’s worn dentition. Finding the centric relation might sometimes seem hard, but with appropriate devices, such as the Kois Deprogrammer it’ll become just obvious. The centric. The Kois Deprogrammer is a palatal-‐coverage maxillary acrylic device with a flat plane lingual to the anterior teeth. It separates the dental arches and provides.

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The excess of the acrylic platform palatal to the most retrusive contact should be relieved.

The use of the deprogrammer in this case was an integral component for the dentist, patient, and laboratory technician. Giano Ricci – 27 Feb Patrizia Lucchi – 9 May Franco Brenna – 7 Mar The Kois Deprogrammer is a removable, plastic appliance that covers the hard palate and creates a single point of contact between the lower central incisor and the anterior bite plane.

Kois Deprogrammer

The only uncertainty in the diagnosis was related to function. The full-face photographs displayed a brachycephalic facial form with hypertrophy of the masseter muscles Figure 5. An upper occlusal splint was made to prevent any damage if parafunction was indeed present Figure 12 through Figure When structural problems of TMJ are suspected positive load test the Kois Deprogrammer is not indicated.


When the patient closes their mouth and the same initial contact is confirmed — the patient is deprogrammed Fig Author of book edited by Quintessence: These variables were discussed, and it was decided to phase the treatment to allow a transition period to enable the patient to be comfortable with the esthetics as well as the new occlusal relationship. Giano Ricci – 23 May It can be used during bite registration. Stefan Koubi – 12 Sep Patient History and Chief Complaint: His dental history revealed he was sporadic in his dental re-care appointments.

Finding the Centric Relation – The Kois Deprogrammer – StyleItaliano

The patient, in turn, benefitted from being able to preview a new incisal length and chewing system before committing to porcelain restorations. There were no active caries present; however, the examination revealed several older posterior amalgams that were questionable.

Patrizia Lucchi – 11 Apr Testing occlusal management, previewing anterior esthetics, and staging rehabilitation with direct composite and Kois deprogrammer. It has been has shown that, in patients with a centric prematurity introduced for a short period of time, a percentage of them may take days veprogrammer weeks to lose the muscular uncoordination in the muscles of mastication once the prematurity is removed.

There was a slight gingival architecture asymmetry with the lips retracted, but this was not a concern, given the lack of gingival display. Giano Ricci – 4 Oct In this case, the patient requires posterior support and a Michigan splint is indicated.


Patrizia Lucchi – 7 Jan The periodontal diagnosis was AAP Type 1.

Kois Deprogrammer | Dental Services | Academy Dental

There was evidence of interproximal enamel demineralization on teeth Nos. The maxillary incisal edge position relative to face and lip was deficient and unacceptable for the patient.

In the resting position, there was no display of maxillary teeth Figure 3. Patrizia Lucchi – 25 Sep The patient was allowed to fully function with the transitional bonding for a period of 1 month.

Transitional Bonding with the Kois Deprogrammer: A Conservative Treatment Approach

Angie Segatto – 2 Oct Giuseppe Marchetti – 25 Jul The occlusion was refined using the deprogrammer. Styleitaliano – 18 Jan The patient had a normal range of opening.

deprobrammer Alisa Chegodaeva – 21 Oct Bone levels were within 2 koie of the cementoenamel junction with no infrabony defects. The patient was made aware that his bruxism put him at increased risk for future chipping of the restorations. Alisa Chegodaeva – 1 Apr Jordi Manauta – 19 Jun Filippo Cardinali – 26 May Digital Dental Academy – 13 Feb Are there any contraindications for the Kois Deprogrammer? Anna Salat – 22 Aug