DTR which stands for Disclusion time reduction is a unique treatment method for management of myofacial pain in TMJ disorders. Invented by Dr. Robert Kerstein in 1980s, it is painless, splintless and medications free way of management of myofacial pain. It is based upon a concept of muscular hypercontraction in group function. In some cases, group function occlusion tends to cause increased posterior friction leading to hyperactivity in muscles.
Disclusion time which is time taken to achieve canine guidance and swift dis-occlusion of posterior teeth, is increased. Chronic fatigue over time leads to painful spasms in the muscle. In such cases, Treatment philosophy revolves around immediate complete anterior guidance development (ICAGD) and ensuring disclusion of posterior teeth. This essentially eliminates friction during mastication. Tired muscles get relaxed, lactic acid buildup in…
