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The Roth Prescription

Signs that mand. is not in centric –
Occlusal wear
Excessive tooth mobility
TMJ sounds
Limitation of mouth opening
Myofacial pain
Tightness of mandibular musculature
Important to diagnose a patient from centric
Guide mandible into centric, and check for first tooth contact
Articulator mounting may be necessary.
Splint therapy may be needed.

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