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Header DIR Konzept 02

“Dynamic Intraoral Registration” with the DIR® CONCEPT:
READY TO USE – simple – reproduceable – validated.

The DIR® Concept for manual-clinical and instrumental functional diagnostics is a self-contained medical history and therapy principle. It uses state-of-the-art medical technology to provide precise diagnoses and documentation (FunktioCheck Pro®, DIR® System 2). The results can be reproduced, and the DIR® Concept has been scientifically validated by numerous studies carried out by renowned universities and institutes. Although it is easy to use, the method is dependent on the skills of trained dentists. The DIR® Concept and the medical devices associated with it are continuously in development and DIR® dentists’ knowledge must be refreshed regularly. This training and many other benefits are provided by DIR® partner laboratories.

The DIR® Concept: a two-step treatment

TMD malocclusion or malregulation of the masticatory musculature can lead to painful conditions throughout the body. Malregulated masticatory muscles, which are connected with the cervical spine and the short neck muscles, can cause pain in the head area (headaches, tinnitus, facial tension), problems in the neck, in the shoulders, and along the spine, right down to the hips (tension, postural defects). Dentists should make sure that they listen attentively when patients come to their practices describing symptoms like these. They could be suffering from TMD and require treatment!

Step one: manual-clinical functional diagnostics

The DIR® treatment concept is based on a number of components. The first step is manual-clinical functional diagnostics

1. General and specific functional medical history
2. Functional analysis by the dentist (functional medical history) (brief examination)
3. Manual examination (palpation) to exclude arthropathy or myopathy
All of the data from these findings are collected precisely, saved securely and documented clearly for each patient using the medical history software “FunktioCheck Pro®” in order to ensure interdisciplinary cooperation.

Step two: instrumental functional diagnostics and functional therapy

Dentists use the DIR® System 2 to examine patients intraorally (Dynamic Intraoral Registration) for continued functional diagnostics in line with the DIR® Concept: version 2.1/2015.

1. An electronic support pin (in line with the Gysi/McGrane method) is used. Mandible movements are encoded and recorded under defined chewing power.

2. This is followed by the positioning of the bite. During this stage, the dentist focuses on physiologically ideal (centric) condyle positioning. 

3. If TMD is diagnosed, the data collected form the basis for occlusal correction using a DIR® bite splint.

4. Further patient care takes place (e.g. perfect dental prostheses on the basis of the data collected).

These measures are absolutely essential before any dental prosthetic treatment takes place!

Advantages at a glance:

  • Start with DIR® straight away:
    Dentists learn about the DIR® Concept during one compact training unit (possibly only one-day long) or step-by-step in three seminars, after which they can start using DIR® immediately. Refresher courses and self-assessments (DIR® quality seal) are offered regularly and are recommended. DIR® laboratories organise dentist qualification training.
  • Improving and expanding practice services:

    Reliably diagnosed and treated functional disorders ensure the success of further patient care. Functional diagnostics are a service that is invoiced privately.
  • Optimise dental prosthetics:

    On the basis of DIR® diagnostic data and in cooperation with a DIR® laboratory, patients receive dental prostheses that sit optimally.

Would you like more information? Please get in contact with us!

Related content:

Functional diagnostics
Research and studies
The DIR® Concept
The DIR® System 2
FunktioCheck Pro®
The DIR® bite splinT
Curriculum Functional Diagnostics

TMD occurs in about 8% of the general population, but only about 3% require treatment due to this condition. TMD symptoms seldom manifest in young children, but their frequency increases up until puberty. Women of child-bearing age are affected significantly more frequently than men, as they are by other pain conditions.
Source: Wikipedia (accessed: 27 November 2015, 11:12 UTC)


DIR Konzept 02

First step: Manual Clinical diagnostics

DIR Konzept 03The second step is instrumental functional diagnostics and functional therapy.