BTS TMJOINT contents contents icons, symbols and acronyms radio regulation disposal (WEEE) intended use regulatory label receiving unit regulatory label EMG wireless probes regulatory label charger regulatory label warnings copyright introduction general description case contents system components receiving unit wireless EMG probes...
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BTS TMJOINT contents patient setup POC4 protocol POC6 protocol guide to the use of BTS DCA initial screen menu bar tool bar probes status bar patient list and research filter patient, session and trial information trial viewing and report generation area...
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BTS TMJOINT contents ISTO tab MAST tab INFO tab appendix A – technical specifications wireless probes receiving unit appendix B – environmental specifications appendix C – power supply and switch off appendix D – battery appendix E – troubleshooting guide warning –...
BTS TMJOINT icons, symbols and acronyms Symbol in the instructions for the function. The icon represents the information which requires special attention. Symbol in the instructions for the function. This icon makes reference to a more detailed discussion of the subject in hand.
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BTS TMJOINT icons, symbols and acronyms Symbol on the equipment: The figure in the square indicates the insulation class and the part types used. In accordance with Standard ISO 60601-1, the equipment has an internal power supply and the parts used are type BF.
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BTS TMJOINT icons, symbols and acronyms the European Union (see Declaration of Conformity). Symbol on the equipment: CE mark with the code of the Notified Body. The CE mark certifies that the product conforms to the Directive 99/05/EEC - R&TTE and obtained the Expert Opinion by IMQ.
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BTS TMJOINT icons, symbols and acronyms Symbol on the equipment: Symbol located next to the model number (ref.to catalogue). Symbol on the equipment: Symbol located next to the series number on the equipment. Acronyms used in this manual: Receiving Unit...
(2) this device must accept any interference received, including interference that may cause undesired operation. Modifications not expressly approved by BTS SpA could void the user’s authority to operate the equipment under FCC rules. BTS Biomedical...
BTS TMJOINT disposal (WEEE) In disposing of the equipment observe the legal prescriptions. In accordance with Directive 2002/96/CE (WEEE) all equipment supplied after 13/08/2005 may not be disposed of in general domestic waste. This equipment belongs to Category 8 (medical equipment) and is classified in the Business-to-Business sector.
European Directive 93/42/CE (and its amendments). BTS TMJOINT must always be used only for this purpose, by qualified persons, in an environment suitable for the execution of EMG analyses and respecting the prevailing regulations in the countries in which it is being utilised.
We recommend to carry out any kind of operation keeping strictly to the security regulations contained in this manual. TMJOINT is a medical device (EU Directive 93/42/CE and its amendments, including Directive 2007/47/CE) which use must be at all times be supervised by qualified and authorized personnel, according to the laws in force in the nation it is in use.
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The appertaining national regulations and standards of the country of use, with regards prevention of accidents and environment, are an extension of the users’ instructions. - TMJOINT is a device that is able to function CONTINUOUSLY, BTS Biomedical...
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(i.e. probes, receiving unit,...) integrity is never compromised. The information contained in this manual is subject to change without notice and does not constitute product specifications or any obligation on the part of BTS S.p.A. BTS Biomedical...
BTS product. All trademarks are registered by the respective owners. This publication contains reserved information which is the property of BTS S.p.A.
BTS TMJOINT introduction General description BTS TMJOINT is the solution for the functional analysis of dental occlusion. Functional information is provided on the neuromuscular alterations induced by occlusal contact. BTS TMJOINT integrates the latest wireless technology available today. Based on wireless technology, this solution includes a set of EMG probes...
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BTS TMJOINT is a modular and scalable solution, structured on various levels of analysis. The first level, called POC4, includes 4 capture probes and the analysis protocol.
BTS TMJOINT introduction Case contents • Receiving Unit • Probes Kit available in 2 versions: • POC4: include 4 wireless probes* • POC6: include 6 wireless probes* *(identificative labels available in 4 different colors) • Probes Charger (AC adapter included)
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BTS TMJOINT introduction • Set of disposable electrodes • USB extension cable • User manual You will receive the instructions for use for other possible optional components not mentioned in this manual. BTS Biomedical...
BTS TMJOINT system components BTS TMJOINT system consists of two parts: the receiving unit and the wireless EMG probes. Receiving unit The receiving unit, connected to the PC trough USB, allows the WiFi reception of the EMG signal acquired by the wireless probes...
BTS TMJOINT system components Wireless EMG Probes BTS FREEEMG 300 utilises miniaturized probes with active electrodes weighing less than 13 grams. The special design ensures maximum space-saving and comfort for the patient who is free to move around without obstacles.
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BTS TMJOINT system components During the recharging phase the steady blue LED is on. This phase occurs when the probes are connected to the charger turned on, and the charge level is less than 90%. When the charge level reaches 90% the led turns OFF.
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BTS TMJOINT system components the probe continues to acquire, storing the data locally for one minute and at the same time scans the assigned channel trying to reconnect to the receiving unit. If after one minute the scan is unsuccessful, the probe returns to the “Active-Scanning”...
BTS TMJOINT system components Charger The Charger, included with the product, charges the BTS TMJOINT probes. The Charger can simultaneously charge all the EMG probes of the system (6 maximum) and includes a lodging to store the receiver when not in use for acquisition.
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BTS TMJOINT system components In any case, the Charger comes with an output short circuit protection system also in case of reversed recharging poles. To recharge connect all the probes that you would like to charge to the Charger (follow the instructions described above) and connect the AC/ DC adaptor to the mains and turn on the switch located on the rear panel.
BTS TMJOINT installation User PC minimum configuration Operating system Windows 7 Processor Intel Dual Core 2 GB Video resolution 1280x800 Disk space 100 MB for the application, not including storage for acquired data Connections The wireless probes transmit in real-time the acquired data to the receiver connected via USB to the Workstation.
However, if it is necessary to perform again the installation just follow the instructions below. Once entered in the CD player of the computer dedicated, the BTS CD software containing the installation files, launch the .exe file “POCAnalyzer- X.X.XX.X.msi” and follow the instructions provided by the application.
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BTS TMJOINT After have accepted the installation terms and chosen the Typical installation, click always on “Next” key, until the procedure end. Then perform a double click on the “CDM20814_Setup.exe” file and wait for the window that has just opened, to close.
BTS TMJOINT Check that on the PC are installed the following two elements: • “Microsoft.NET Framework 3.5” (for Windows XP) or “Microsoft.NET Framework 4” (for the next versions); • “PDF Creator 1.2.1” (disable the research for possible updates) In case they are not already on your PC please download them from the Internet (they are free) and install them.
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BTS TMJOINT Once inside the Device Manager menu, select “Ports (COM & LPT)” and click the right button on the item below “USB Serial Port (COMx)” and select “Properties”. Entering the port properties window it will be displayed the following: In which you must select “Port Settings”.
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BTS TMJOINT Set in the drop box menu related to the “Bits per second”, the value 115200 and then click “Advanced”. In the window that opens, you must set the value of “Latency Timer (msec)” equal to 1msec, and then click “OK”, returning to the previous screen.
BTS TMJOINT First software use Continuing to keep the USB receiver into the USB input, double-click the icon on your desktop “Dental Contact Analyzer” to run the software. On the first start it will be asked to choose the preferred language for the interface software;...
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BTS TMJOINT Clicking on the device settings, a new window will open. Select the correct COM port number among the voices in the drop box menu “Port”. BTS Biomedical...
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BTS TMJOINT If the chosen port is the one corresponding to the USB receiver and if it is set correctly, the fields below will activate showing the “MAC Address” of the probes associated with the receiver you are using.
BTS TMJOINT patient setup POC4 Protocol The POC 4 protocol provides the acquisition of 4 muscles: the masseter and the temporalis anterior bundle for both face sides. Temporalis Anterior Masseter Each probe is numbered and for this protocol we will use the probes from 1 to 4.
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BTS TMJOINT patient setup For the RIGHT temporalis anterior bundle, touch the muscle during the maximum clenching and find the major axis of the zygomatic process of the frontal bone; the electrode should be applied along a line parallel to this axis that runs through a couple of centimeters posterior to the process and above the temporal process of the zygomatic bone.
BTS TMJOINT patient setup POC6 Protocol The POC 4 protocol provides the acquisition of 6 muscles: will be acquired also the sternocleidomastoid muscles, in addition to the masseters and the temporalis anterior bundles analyzed in the POC 4 protocol. Temporalis Anterior...
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BTS TMJOINT patient setup to the instructions in the previous paragraph. To find the RIGHT sternocleidomastoid, asks the subject to rotate, as much as possible, the head to the left; the electrodes will be positioned on the muscle so identified.
BTS TMJOINT guide to the use of BTS DCA Initial screen To launch the software DCA doubleclicking on the relative icon. Once loaded the software the following windows will be loaded: The windows includes the following main areas: • the menu bar •...
BTS DCA BTS TMJOINT Menu bar The menu bar contains: • The “Database” menu which manages all the operations associated with the patient database; • The “Laboratory” menu from which to configure the EMG devices to use;...
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The second menu of the menu bar is the “Laboratory” menu: From this menu the voice “Set Emg Device” may be accessed: BTS TMJOINT use an Embedded EMG device, for this reason be sure that this option is selected. The BTS Dental Contact Analyzer software can interface itself also with the BTS FREEEMG systems for the data acquisition.
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BTS DCA BTS TMJOINT The following windows will be displayed: This window is divided in two areas: • the “Device” area containing the information related to the Port and to the RF Channel for the data transmission;...
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BTS DCA BTS TMJOINT If any change has been done, click on “Update” to make the changes effective, while clicking on “Cancel” the values previously saved won’t be changed. The next menu is the “Options” one: From this menu the following functions may be accessed: •...
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BTS DCA BTS TMJOINT From this menu voice the following windows may be accessed: Click on “Save and Exit” to make the changes effective, or close this windows to come back to the previous screen.
BTS DCA BTS TMJOINT To close this windows and come back to the previous screen, just click on the top right hand corner cross. Tool bar The tool bar provides rapid access to the most used functions: •...
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BTS DCA BTS TMJOINT The LED can appear: - blinking GREEN if the probe is active; - blinking RED if the probe is not active; - GRAY if the probe is not enabled. It is also possible to know the active probes battery status by clicking on the button marked by the symbol “>>”:...
BTS DCA BTS TMJOINT Patient list and research filter On the left side of the screen there is the area to manage the patients inserted in the database. At the software startup, it appears empty: By opening the drop box menu marked with the red ellipse, a list of all the patients inserted in the Database will appear.
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BTS DCA BTS TMJOINT example “Surname”. It is possible to search for the patient via “Surname” or “Internal Code”. When the number of patient included in the database is high, it is possible to use a search filter to restrict the number of patients displayed in the drop box menu.
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BTS DCA BTS TMJOINT data. To compact the list and hide the trials or the sessions click the “-” symbol. When the node is selected, the node icon is substituted by an azure arrow. In this way the patient, the session, or the selected trial, can always be identified..
BTS DCA BTS TMJOINT Patient, session and trial information In the bottom left hand corner area of the main screen there are the information of the selected patient, session and trial. There are two main panels: - the first one contains the information related to the patient that are: •...
BTS DCA BTS TMJOINT It is also possible to visualize the information of the session that contains the selected trial by clicking on “Session information”. “Close session information” close the panel. Trial viewing and report generation area...
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BTS DCA BTS TMJOINT To proceed with the report generation, it is necessary to identify the type of trial by using the 8 button at the left of the panel: The software will automatically assign a typology among “COT”, “CLE”, “ROT”, “MASTDX”, “MASTSX”, to each trial loaded.
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BTS DCA BTS TMJOINT To facilitate the procedure of classification, when one trial is selected the “Acquisition date” and any “Trial notes” are displayed on the right side of the panel: To remove a label from a trial in the list, select it and click on “CLEAR”.
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BTS DCA BTS TMJOINT massage will be displayed. For example: When a PRE-POSt report must be created it is possible to use two different trials of cotton type labeled as “COT” and “COT POST”(typically when we need to compare trials acquired in different days), or to use just on “COT”...
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BTS DCA BTS TMJOINT • the main area shows, organized in TABS, the graphs, the tables and the info that can be inserted in the report. • the button bar contains the “Print preview”, “Print” and “Save Report”...
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BTS DCA BTS TMJOINT The scale of the y-axis can be modified selecting the maximum value to be visualized among the value of the drop box menu “(+-mV)” placed at the right of the panel.
BTS TMJOINT main features of the BTS DCA software New patient Select “New Patient” from the menu and tool bar to open the window below: To insert a new patient simply fill in the fields and click “Add Patient”. The fields marked with an * are mandatory.
BTS TMJOINT main features of the BTS DCA software New session Select “New Session” from the menu and tool bar to open the window below: To create a new session simply fill in the fields and click “Create Session”. In particular it is required to: •...
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BTS TMJOINT main features of the BTS DCA software • select the pathology among the voices available in the drop box menu (automatically the first voice of the list respect the alphabetic order will be proposed). the list of pathologies is completed entirely by the user.
BTS TMJOINT main features of the BTS DCA software Edit Pathology From the “New Session” window, click the symbol to open the pathology list. In the central panel all the pathology already inserted in the database are listed in alphabetic order.
BTS TMJOINT main features of the BTS DCA software • Select the pathology to be deleted • Click on the recycle bin icon • Confirm the deletion of the trial by clicking “Yes”. To exit from the window “Edit pathology” click on “Close”.
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BTS TMJOINT main features of the BTS DCA software 7 typologies of test are allowed: • COT4: requires the use of 4 probes placed on the temporal and masseter muscles. To the subject it is required to perform a clenching of 5 seconds with two cotton roll interplaced between the two arches, one for each side.
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BTS TMJOINT main features of the BTS DCA software Before clicking on “Acquire”, ensure that the receiving unit is connected to the PC via USB and check the status of the probes from the probes status bar of the probes.
BTS TMJOINT main features of the BTS DCA software simply close the window. The procedure for trial acquisition or import can be repeated several times to add more trials to the same session. Note that the system doesn’t allows for two tests with the same name under the same session.
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BTS TMJOINT main features of the BTS DCA software On the top bar is shown the six probes status: Information displayed are referred in sequence to probes number 1, 2, 3, 4, 5, and 6 starting from left going to right.
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BTS TMJOINT main features of the BTS DCA software The oscilloscope allows to verify the correct probes positioning before starting the real acquisition and to verify the proper movement execution required to the patient. For a better signals visualization it is possible to modify the axis scales clicking on the drop down menu on the bottom: To start the acquisition all probes required in the selected trial’s...
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BTS TMJOINT main features of the BTS DCA software The clenching trials CLE4, COT4, CLE6 and COT6 stop automatically after 5 seconds, while chewing trials MASTRT and MASTLT stop after 15 seconds. By the way it is possible to interrupt before the record clicking on “Stop”.
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BTS TMJOINT main features of the BTS DCA software If more than one acquisition of clenching trials has been performed, besides the pie chart of the current trial, there will be also displaied pie charts of the previous ones (up to two) to allow the verification of the data repeatability: If the acquisition is good it is possible to save the trial clicking on “Save”.
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BTS TMJOINT main features of the BTS DCA software If the trial just acquired is not good enough to be saved, it is possible to proceed with a new acquisition. To do that click on “View” to restart the real-time oscilloscope and repeat the recording procedure.
BTS TMJOINT main features of the BTS DCA software Edit patient Select “Edit patient” from the menu and tool bar to open the following window: Note that to do this a patient must be selected in the database, otherwise the following warning message will appear: The “Edit patient”...
BTS TMJOINT main features of the BTS DCA software Se l’operazione è andata a buon fine comparirà la seguente finestra: Finally, to exit without making any changes to the data click on “Cancel”. Any change made will be lost. Edit session Select “Edit Session”...
BTS TMJOINT main features of the BTS DCA software Note that to do this a patient must be selected in the database, otherwise the following warning message will appear: The “Edit Session” window will show all the selected patient data previously entered.
BTS TMJOINT main features of the BTS DCA software A conform to the cancellation will be asked: Note that to do this operation a patient must be selected in the database, otherwise the following warning message will appear: Delete session To remove a session from the database, select it and choose “Delete Session”...
BTS TMJOINT main features of the BTS DCA software Note that to do this operation a session must be selected in the database, otherwise the following warning message will appear: Delete trial To remove a trial from the database, select it and choose “Delete Trial”...
BTS TMJOINT more features of the BTS DCA software Database and data folder From the menu bar select the “Database” option, and then the “Database & Data folder” function to open the window below: The field “Current database” shows the path of the database actually selected.
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If you wish to use the new database as a reference, tick the option “Set current database as default”. If this is not done, the setting will be lost when the BTS Dental Contact Analyzer is closed, and the default database will be loaded at the next launch of the program.
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BTS TMJOINT more features of the BTS DCA software If this is not done, the setting will be lost when the BTS Dental Contact Analyzer is closed, and the data will be saved in the default folder at the next launch of the program.
BTS TMJOINT more features of the BTS DCA software To apply the changes click “Save and exit”. Managing files in the recycle bin If you wish to remove a patient, session or trial, the file is moved to the recycle bin.
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BTS TMJOINT more features of the BTS DCA software In the file tree the node labels may have three different colors: • The black label indicates that the file (patient, session or trial) has been removed from the database together with all the files associated with it.
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BTS TMJOINT more features of the BTS DCA software If the button is deactivated, it means that the file is not present in the recycle bin (the icon alongside dark grey text), or it may not be recovered individually. In this case it is necessary to select the root file.
BTS TMJOINT guide to the report data reading The data report is automatically generated by the software DCA. The results of the data elaborations are organized in tabs: INT, EXT, POC, ISTO and MAST. Moreover there is an INFO tab for the customization of the printed report.
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BTS TMJOINT guide to the report data reading The elaborated data are divided into PRE and POST sections, for the comparison of two tests of the same acquisition session, or of tests made in different temporal session. This is helpful in evaluating the treatment efficacy and for the patient follow up.
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BTS TMJOINT guide to the report data reading neuromuscular balance of the stomatognathic system; with 6-channel protocol, is calculated in addition the coefficient of overlapping percentage of the sternocleidomastoid muscles POC SCM, indicator of the influence of tooth contact on the cranio-cervical neuromuscular balance.
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BTS TMJOINT guide to the report data reading range. So it is easy to observe the predominance of the right or left temporal in the anterior quadrants, and the masseter, left or right, in the posterior quadrants. The value of the POC SCM does not affect the targets position, but only the percentage of co-contraction of neck muscles during MVC.
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BTS TMJOINT guide to the report data reading The two horizontal dark gray lines with dots, superimposed to dental arch, represent the BAR value equal to 100%, while the gray bands represent the normal range up to 90%. The two targets will be translated at a distance from the relative horizontal...
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BTS TMJOINT guide to the report data reading There will be the letter “R” when there is mainly a torsion to the right, while the letters “L” when the torsion is mainly to the left. It will be also reported in what percentage the dominant couple contributes to the creation of torque.
BTS TMJOINT guide to the report data reading • NOTE In the “Notes” field it is possible to add a text description that the clinicians want to include in the printable report as a comment of the represented data in the INT tab.
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BTS TMJOINT guide to the report data reading In this tab are represented the ulterior calculated indices, reporting for an easier reading also the values of the coefficients already seen in the previous tab. The referring indices are TA%, MM%, SCM%, ATTIV, TORQUE, POCm, ASIM, CL and IMP.
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BTS TMJOINT guide to the report data reading values: left TA% = 57.92%, right MM = 45.62%, left MM = 38.67%. The bars can be green if the width value is greater than 83%, yellow if the amplitude is less than 83%, but above 75%, red if the width value is less than 75%.
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BTS TMJOINT guide to the report data reading Provides an estimate of the occlusal barycenter position. It is very useful for an immediate interpretation of the biomechanics levers induced by the contact of the teeth. When the contact points tend to focus on the molars, the masseters record a greater contraction than the corresponding temporalis and so the index takes a positive value.
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BTS TMJOINT guide to the report data reading represents the global POC. Also in this case the normality range is on ≥83% values. • ASIM: asymmetry This index allows you to compare the activity of the muscles of the right side with the muscles of the left side.
BTS TMJOINT guide to the report data reading area under the curve of the electrical activity of muscles examined in the time. The normal range of the index are in the range 100% ± 15%. Higher values indicated that the subject should be considered a strong clencher.
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BTS TMJOINT guide to the report data reading The first and second columns show the average activity of 4 muscles in microvolts, relative to clenching trials performed respectively with and without cottons. The third column, instead, shows the percentage value of the average activity of the 4 muscles as the ratio between the values obtained from the clenching trial without cotton and those with cotton.
BTS TMJOINT guide to the report data reading light blue sector the one of the right, the red sector represents the activity of the left masseter muscle, while the yellow of the one of right. With a good neuromuscular balance, corresponding to the absence of malocclusion, the colors will be equally distributed in the 4 quadrants.
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BTS TMJOINT guide to the report data reading The tab “ISTO” provides an alternate view of the main indices calculated: Masseter POC, Temporal POC, Sternocleidomastoid POC (where provided 6 channels), TORS and BAR. In the graphs of the POC the activities associated to homologous muscles are represented as histograms.
BTS TMJOINT guide to the report data reading MAST tab The chewing protocol is composed of two separate trials, of 15 seconds each, in which the patient must chew a chewing gum holding it, for the entire duration of the test, on one side only.
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BTS TMJOINT guide to the report data reading The ideal situation, corresponding to a good level of chewing coordination, is when the two ellipses of confidence are equidistant from the origin and present reduced dimensions. In addition to the graphical representation, some numerical indexes are calculated, for left and right side of chewing: •...
BTS TMJOINT guide to the report data reading INFO tab This tab allows you to enter data to customize the report and upload your own logo if desired. To do this, complete the fields of interest and click on “Browse” to select the image of your logo directly from your PC or put a check next to “None”...
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BTS TMJOINT guide to the report data reading Saving the data they will be automatically loaded at the next opening. It is possible to make further changes to the saved data. To save these changes it is necessary to click on “Modify info”. The following windows will appear: Clicking on “Yes”...
BTS TMJOINT appendix A technical specifications Wireless Probes Geometry: variable Electrodes: standard with clip connection Separation: min: 16mm - max: 66mm Autonomy: 5h of use some days stand-by Battery: rechargeable, lithium ion Dimensions: 17x36x8mm mother electrode diameter 17 x 8mm satellite electrode Weight: <9g battery included...
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BTS TMJOINT appendix 2.4GHz (standard IEEE802.15.4) * The system is calibrated at the factory. No further calibration is required BTS Biomedical...
BTS TMJOINT appendix B environmental specifications Note Operating Temperature -20° +45° Relative, Operating Humidity non-condensing Storage and Transport 0° +40° Temperature Storage and Transport Relative, Humidity non-condensing Altitude 2000m Degrees of protection provided by the dangerous enclosures of water and dust (IEC 60529): IPX0.
BTS TMJOINT appendix C power supply and switch off The receiving unit is powered by the USB port. To switch off the system the following operation must be done: - Exit from the DCA application - Unplug the receiving unit from the USB port.
BTS TMJOINT appendix D battery BTS TMJOINT probes are internally powered. The Probe battery replacement can be done only by BTS qualified personnel. The probes are sealed to avoid the access to the internal circuit components. Batteries are equipped with battery protection circuit to: -over-voltage, threshold 4.3V...
BTS TMJOINT appendix E troubleshooting guide Warning – Invalid trigger mode During the hardware installation, the USB port dedicated to the receiver, is configured. May happen that these port settings went lost. This event may occur for example when another USB device is connected to the PC and the PC assigns to it the same port previously assigned to the receiver, returning the port setting to the default configuration.
BTS TMJOINT appendix F declaration of conformity DECLARATION OF CONFORMITY BTS SpA Via della Croce Rossa 11, 35129 Padova (PD) – Italy Tel. +39 049 981 5500 Fax +39 049 792 9260 declare under our sole responsibility that the product(s): name / description: Electromyographic system / device for the functional analysis of dental occlusion.
BTS TMJOINT appendix appendix G bibliography 1. Ferrario VF, Sforza C, D’Addona A, Miani A Jr. Reproducibility of Electromyographic measures: a statistical analysis. J Oral Rehabil. 1991 Nov;18(6):513-21. PubMed PMID: 1845607. 2. Ferrario VF, Sforza C, Miani A Jr, D’Addona A, Barbini E. Electromyographic activity of human masticatory muscles in normal young people. Statistical evaluation of reference values for clinical applications. J Oral Rehabil. 1993 3. Ferrario VF, Sforza C. Biomechanical model of the human mandible in unilateral clench: distribution of temporomandibular joint reaction forces between working and balancing sides.
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BTS TMJOINT appendix J Oral Rehabil. 1999 Jul;26(7):575-81. PubMed PMID: 10445477. 6. Ferrario VF, Sforza C, Serrao G, Colombo A, Schmitz JH. The effects of a single intercuspal interference on electromyographic characteristics of human masticatory muscles during maximal voluntary teeth clenching. Cranio. 1999 Jul;17(3):184-8. PMID: 10650405. 7. Ferrario VF, Sforza C, Colombo A, Ciusa V. An electromyographic investigation of masticatory muscles symmetry in normo-occlusion subjects. J Oral Rehabil. 2000 Jan;27(1):33-40. PubMed PMID: 10632841. 8. Ferrario VF, Sforza C, Serrao G, Fragnito N, Grassi G.
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BTS TMJOINT appendix 11. Ferrario VF, Sforza C, Tartaglia GM, Dellavia C. Immediate effect of a stabilization splint on masticatory muscle activity in temporomandibular disorder patients. J Oral Rehabil. 2002 Sep;29(9):810-5. PubMed PMID: 12366533. 12. Ferrario VF, Sforza C, Dellavia C, Tartaglia GM. Evidence of an influence of asymmetrical occlusal interferences on the activity of the sternocleidomastoid muscle. J Oral Rehabil. 2003 Jan;30(1):34-40. PubMed PMID: 12485381. 13. Ferrario VF, Tartaglia GM, Maglione M, Simion M, Sforza C.
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BTS TMJOINT appendix Man Ther. 2007 Nov;12(4):372-9. Epub 2006 Sep 14. PubMed PMID: 16973402. 17. Sforza C, Zanotti G, Mantovani E, Ferrario VF. Fatigue in the masseter and temporalis muscles at constant load. Cranio. 2007 Jan;25(1):30-6. PubMed PMID: 17304915. 18. Dellavia C, Romeo E, Ghisolfi M, Chiapasco M, Sforza C, Ferrario VF. Electromyographic evaluation of implant-supported prostheses in hemimandibulectomy-reconstructed patients. Clin Oral Implants Res. 2007 Jun;18(3):388-95. Epub 2007 Feb 13. PMID: 17298492. 19. Ries LG, Alves MC, Bérzin F. Asymmetric activation of temporalis, masseter, and sternocleidomastoid muscles in temporomandibular disorder patients.
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BTS TMJOINT appendix supported prostheses. Clin Oral Implants Res. 2008 Oct;19(10):1081-8. PubMed PMID: 18828826. 22. Ferrario VF, Sforza C, Tartaglia GM. Commentary to Suvinen and Kemppainen (JOR 2007;34:631-44). J Oral Rehabil. 2009 Jan;36(1):9-10. PubMed PMID: 19207367. 23. De Felício CM, Sidequersky FV, Tartaglia GM, Sforza C. Electromyographic standardized indices in healthy Brazilian young adults and data reproducibility. J Oral Rehabil. 2009 Aug;36(8):577-83. Epub 2009 Jun 22. PubMed PMID: 19548958. 24. E. Di Palma, M. Leopardi, S. Alonzi, M. Lucci, V. Parziale C. Chimenti Effetti immediati di uno splint di stabilizzazione sull’attività...
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BTS TMJOINT appendix electromyography in patients with TMD. Cranio. 2010 Oct; 28(4):266-73. PubMed PMID: 21032981. 27. Rodrigues-Bigaton D, Berni KC, Almeida AF, Silva MT. Activity and asymmetry index of masticatory muscles in women with and without dysfunction temporomandibular. Electromyogr Clin Neurophysiol. 2010 Nov-Dec;50(7-8):333-8. PMID: 21284371. 28. Krechina EK, Lisovskaia VT, Pogabalo IV. Electromyographic evaluation of functional status of temporal muscles and mastication muscles in patients with close position of frontal teeth in cases of different occlusion.
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BTS TMJOINT appendix J Oral Rehabil. 2011 Sep;38(9):648-54. doi: 10.1111/j.1365- 2842.2011.02208.x. Epub 2011 Feb 18. PMID: 21332571. 32. De Felício CM, Ferreira CL, Medeiros AP, Rodrigues Da Silva MA, Tartaglia GM, Sforza C. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: A correlation study. J Electromyogr Kinesiol. 2012 Apr;22(2):266-72. Epub 2011 Dec 27. PubMed PMID: 22206640. BTS Biomedical...
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