What is the Qualification of Doctor in Bite Treatment?

Graduate, Kois Center

  
          Dr. Enatsu with International Kois Member

Kois Center concept is based on getting the right bite to lower the risk of your teeth or restorations to breakdown. In addition to Kois Concept, Dr Enatsu also studied at the Orognathic Bioesthetic Institute and attained a Level II accreditation. He also took many other courses pertaining to bite and have reached his conclusion to introduce Kois concept at the United Dental Office Tokyo.

Functional Occlusal Therapy is to reconstruct your bite to function with decreased risks for deterioration of joint, teeth, and supporting structures

Persons with the following problems may need Crowns or Veneers made: 

• Worn, chipped, or cracked front or back teeth.
• Have chipped or broken crowns that have been recemented.
• Difficulty chewing or chewing with only the back or front teeth.
• Do not know proper alignment of how teeth should fit together.
• Sore or tight jaw muscles.

 The Bite is Composed of Three components:

1. Jaw Joint Position: this is our reference point to build the new bite. Patients with dysfunction cannot reliably bite down on the same spot every time. 
2. Home position: Have both sides of the back teeth touch at the same time with equal intensity when you bite down. This is the most important component.
3. Guide in the front teeth: to relieve friction on the back teeth and avoid chewing interference.

Bite is Treated in the Following Sequence:

1. You will wear an appliance to find your jaw joint position for about one month.
2. When this position is located, we will need to balance the bite, by lowering the high spot and adding to the low spot, so left and right side of the back teeth can touch at the same time with same intensity.
   This may require
   • Occlusal adjustment to lower the high spot
   • Add to the low spot,
     • ⇒Composite
     • ⇒Temporary crowns
3. If possible, a Guide will the made in the front tooth area. This may require:
   • Occlusal adjustment
   • Occlusal Adjustment and Composite
   • Temporary Crown

No final restorations are made until patient feels the new bite acceptable. 
In order to try out the new bite, we will need to build the new bite with treatment provisionals. The time to complete the treatment will vary. 
It must be emphasized that longer the dysfunction, the more difficult to modify the old habits and old feedback that is already engrammed into the brain. Even the best possible reconstruction may not be totally comfortable, as the occlusion also depend on the ability of the patient to adapt to the new bite and turn off the abnormal jaw movement.

The bite treatment cannot be guaranteed as it depend also on the existing physical compromises patient has (joint, tooth position, tooth integrity, jaw bone, engram). To be realistic, some compromises may be required.