{"id":3913,"date":"2024-05-23T12:38:37","date_gmt":"2024-05-23T10:38:37","guid":{"rendered":"https:\/\/dir-system.de\/the-dir-concept\/"},"modified":"2024-11-07T08:43:54","modified_gmt":"2024-11-07T07:43:54","slug":"the-dir-concept","status":"publish","type":"post","link":"https:\/\/dir-system.de\/en\/the-dir-concept\/","title":{"rendered":"The DIR\u00ae concept"},"content":{"rendered":"\n<p class=\"has-dir-darkest-grey-color has-text-color has-link-color wp-elements-147281df36b123e4886c2f753e637352\">A really good concept as a supporting framework for a strong partner network is the result of years of development work. Good and coherent, a<br\/>concept that makes it possible to use the DIR\u00ae system as a therapeutic link between dentistry and dental technology as well as complete planning<br\/>from the first impression to the finished restoration (planning reliability). <\/p>\n\n<p class=\"has-dir-darkest-grey-color has-text-color has-link-color wp-elements-8092f6e56d3ae7004733447d934d9da3\">The range of indications for the DIR\u00ae concept includes both the prosthetic restoration of patients with CMD syndrome and the fabrication of new dentures for functionally healthy patients.<\/p>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"724\" height=\"1024\" src=\"https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-724x1024.jpg\" alt=\"\" class=\"wp-image-180\" srcset=\"https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-724x1024.jpg 724w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-450x637.jpg 450w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-600x849.jpg 600w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-212x300.jpg 212w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-768x1087.jpg 768w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage-1086x1536.jpg 1086w, https:\/\/dir-system.de\/wp-content\/uploads\/2024\/05\/Behandlungspfad-fuer-Homepage.jpg 1181w\" sizes=\"auto, (max-width: 724px) 100vw, 724px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<h3 class=\"wp-block-heading\" id=\"h-befundung\" style=\"font-size:17px\">Diagnostics<\/h3>\n\n\n\n<p style=\"font-size:16px\">As part of the DIR\u00ae concept, the FunktioCheck Pro\u00ae software documents the preliminary dental findings.  <\/p>\n\n\n\n<p style=\"font-size:16px\">The type of complaints and previous visits to the dentist from other specialist disciplines are recorded as part of the functional dental history.\nIn the brief dental findings, missing canine guidance, non-age-appropriate abrasion of the teeth in the sense of grinding facets and abrasions or The brief dental findings record missing canine guidance in the sense of grinding facets and abrasions or wedge-shaped incisions, tooth loosening, tilting and migration, gingival recessions with Still-man clefts and McCall&#8217;s garlands, pain during muscle palpation, temporomandibular joint noises as well as restrictions and asymmetrical mouth opening movements, resulting in a three-grade probability statement for the presence of a functional disorder and a recommendation for further findings. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-dir-darkest-grey-color has-text-color has-link-color wp-elements-b2ba2e577a0ee3cf7c41b4b3f24b0aa9\"><strong>Axis 2 diagnostics<\/strong><\/p>\n\n\n\n<p>The special functional analysis carried out in the case of a high probability of CMD, the so-called Axis 2 diagnostics, is highly relevant for the success of the subsequent therapy and is objectively assessed using a Graded Chronic Pain Scale and a pain perception scale, whereby an evaluation of the patient&#8217;s degree of psychological stress is possible in an evaluation form.<\/p>\n<\/div>\n<\/div>\n\n<div class=\"wp-block-columns alignwide are-vertically-aligned-top is-layout-flex wp-container-core-columns-is-layout-9cc1e744 wp-block-columns-is-layout-flex\" style=\"margin-top:0px;margin-bottom:80px\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading has-dir-blue-color has-text-color has-link-color wp-elements-3c1f357041ece1a3bc44b37b8533993a\" id=\"h-manuell-klinische-diagnostik\" style=\"font-size:17px;text-transform:capitalize\">Manual-clinical diagnostics<\/h3>\n\n\n\n<p style=\"font-size:16px\">The subsequent manual-clinical diagnostics allow an assessment of a manifest arthropathy with examination of the temporomandibular joint function to exclude or confirm the presence of a disc perforation or a disc displacement, condylar osteoarthrosis, hypermobility, capsulitis or inflammation of the bilaminar zone.\nThe morphological or structural remodeling processes in the hard tissues should of course be confirmed radiologically (MRI).\nManifest myopathy is assessed by performing standardized masticatory muscle examinations using the isometric tension test and muscle palpation.  <\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" \/>\n\n\n\n<h3 class=\"wp-block-heading has-dir-blue-color has-text-color has-link-color wp-elements-48d6d12a95f9260016ebd5e1539b573b\" id=\"h-instrumentelle-funktionsanalyse\" style=\"font-size:17px;text-transform:capitalize\">Instrumental functional analysis<\/h3>\n\n\n\n<p style=\"font-size:16px\">The manual functional analysis is followed by the instrumental functional analysis with the DIR\u00ae system, which is also carried out on functionally healthy patients as part of prosthetic planning. The electronic measuring method is based on the arrow angle or support pin registration according to Gerber with recording of the marginal movements of the mandible under physiological masticatory pressure and without reference to occlusion.<\/p>\n\n\n\n<p style=\"font-size:16px\"><strong>Centric position as target bite<\/strong><\/p>\n\n\n\n<p style=\"font-size:16px\">Once the DIR\u00ae measurement has been completed, the centric position determined is encoded in the patient&#8217;s mouth as a so-called target bite by guiding the support pin into a fixation plate under defined chewing pressure. This is followed by transfer to the articulator. In the following model analysis, an occlusion analysis is performed, whereby the deviation of the habitual occlusion or the current actual state from the centric occlusion or the target bite is documented.<\/p>\n\n\n\n<h5 class=\"wp-block-heading has-dir-darkest-grey-color has-text-color has-link-color wp-elements-a11f8d57b4d1b9c3f2797bd958cde3b4\" id=\"h-auf-basis-dieser-ergebnisse-wird-die-entsprechende-therapie-geplant\">The appropriate therapy is planned on the basis of these results.<\/h5>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-dir-blue-color has-text-color has-link-color wp-elements-a0f414f80edbacfce84ecd127db9a323\" id=\"h-das-dir-konzept-zur-behandlung-von-funktionsstorungen-cmd-ist-wissenschaftlich-validiert-und-folgt-einem-geschlossenen-anamnese-und-therapieprinzip\" style=\"font-size:17px\">The DIR\u00ae concept for the treatment of functional disorders (CMD) is scientifically validated and follows a closed anamnesis and therapy principle.<\/h3>\n<\/div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The DIR\u00ae concept is based on a multi-stage treatment plan The range of indications for the DIR\u00ae concept includes both the prosthetic treatment of patients with CMD syndrome and the fabrication of new dentures for functionally healthy patients.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[125,157,150,164,158,161,151,156],"class_list":["post-3913","post","type-post","status-publish","format-standard","hentry","category-unkategorisiert","tag-cmd-en","tag-concept","tag-dir-rail","tag-functional-dignostics","tag-instrumental-functional-analysis","tag-manual-clinical-functional-analysis","tag-splint-therapy","tag-treatment-pathway"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.1 (Yoast SEO v27.2) - 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