Divine Medicare Mik Leaf Gauge

• Thin, flexible mylar sheets (0.1mm thickness)
• Adjustable leaf number for vertical control
• Quick deprogrammation and CR recording
• Precise aid in occlusal equilibration
• Easy midline placement for accuracy

Mik Leaf Gauge is a dental instrument featuring thin, flexible mylar sheets, each around 0.1 mm thick, stacked together for precise occlusal evaluation and treatment. It aids in deprogramming, CR position recording, and occlusal equilibration by separating posterior teeth and facilitating adjustments. However, caution is warranted for patients with strong elevator muscles and deep overbites. Its design enables quick identification of CR, enhancing treatment accuracy. The gauge’s versatility and ease of use make it an essential tool for achieving optimal occlusal harmony in dental procedures.

Indications
For short deprogrammation, For recording Centric Relation bite, especially at a pre-determined VDO, For identifying RCP intra-orally, When performing reductive occlusal equilibration in the patient’s mouth 

Advantages
Simple and versatile to use, Cost effective, as the gauge can be cold sterilised and reused, Very comfortable for patient,Technique is easy to master.

• Material: Smooth, flexible mylar sheets
• Thickness: Approximately 0.1 mm per sheet
• Function: Occlusal assessment and treatment tool
• Adjustability: Variable number of leaves for controlling vertical opening in millimeters
• Technique: Placement along midline, parallel to palatal plane; adjustment based on patient feedback
• Final Record Method: A-Silicone bite registration paste
• Benefits: Quick CR identification, precise occlusal adjustments, versatile in dental procedures
• Dimensions: 30.72 × 28.94 × 29.22 mm

• 60 LEAFS in each gaug

• Step 1: Start with an arbitrary number of leafs enough to produce posterior disclusion (typically 5-8). With patient in a reclined position, orient the gauge along the midline between upper and lower central incisors.
• Step 2: Have the patient bite down towards MIP. Increase number of leafs if patient can feel contact on back teeth following 2-5 minutes of deprogrammation.
• Step 3: Making sure no back teeth are contacting, have the patient clench onto the gauge to ensure this does not cause tension or tenderness in the TMJoint region (Load Testing).
• Step 4: Once CR is verified, record this bite using either A-Silicone bite
  registration paste or Aluwax (like BiteAl). The basic philosophy here is to use the mylar strips to separate posterior teeth, thereby allowing the patient’s own neuromusculature to seat the condyles into their CR position. Number of leafs can be increased or decreased to control
  the amount of vertical opening in millimeters.