Functional Bite Turbos made of composite are prepared intraorally . Although this method saves the extra laboratory procedures. A high load bearing composite resin (Anabond Blu-Bite resin, - flexural modulus 10500MPa, Compressive strength 420MPa, Diametral strength 78MPa) is used to build the turbos. Anabond blu-bite is a light Cure Radiopaque Composite. It is a highly crosslinked polymeric material composed of a mixture of two or more macromolecules which are essentially insoluble.

Since the average height of the turbos was around 4-5mm, Some amount of composite is scooped and packed at the base of Teflon coated composite carrying instrument. Composite carrying instrument having the uncured composite then carried intraorally to the respective dental arch and then pressed tightly against the occlusal and bucco-lingual surfaces of the teeth. Every care is taken to see that the composite block is snugly fitted over the respective dental arch. Once the fit is assured, it is then held in the same place and then photo-cured from all sides for 20 seconds. The same procedure is then repeated for each of the remaining three quadrants until composite turbos are glued onto the occlusal surfaced of each of the first premolars. 

The turbos for the maxillary arch are made with the apex roughly lying straight  above the distal margin  of the maxillay first premolars. The inclines (45 degrees) of the turbos slope downwards towards the mesial side where it meets the tooth at its mesial margins.

The Turbos for the mandibular arch are made with the apex roughly lying straight above the mesial margins of the mandibular first premolars. The inclines (45degrees) of the turbos slope downwards towards the distal side where it meets the tooth at its distal margins.

After curing of the turbos, routine methods of polishing and finishing of turbos done by micromotor composite finishing burs. Any sharp points or edges are eliminated to see to it that smooth, shiny and hygienic turbos, non-irritable to the oral mucosa remain in the mouth.

All the necessary instructions pertaining to oral hygiene maintenance are given to the subject. The patient is instructed to avoid hard and a sticky food that may dislodge or break the Turbos.

After initial check, the patient is recalled after three weeks. All points pertaining to maintenance of the Turbos were re-explained and correct lower jaw movements.

Thereafter each patient was recalled after every four weeks. At each clinical visit, it was confirmed either from the parent or from the patient as to whether there was any discomfort for mastication, speech with the appliance. Debonding of any of the bite turbos was checked for and immediately repaired.