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Orthodontics using an occlusal splint: a clinical report
Akit Patel1, Christopher J Tredwin, Daljit S Gill
1Unit of Prosthodontics, UCL Eastman Dental Institute, University College London, London WC1X 8LD, UK.
Summary
Occlusal splint therapy, specifically a Michigan-type splint with z-springs, can facilitate precise jaw position registration and orthodontic tooth movement for complex prosthodontic cases. This approach aids in achieving favorable restorations by correcting occlusal and esthetic form.
Area of Science:
- Dentistry
- Prosthodontics
- Orthodontics
Background:
- Successful prosthodontic treatment relies on meticulous occlusion management.
- Accurate jaw position registration is crucial for reorganized occlusal schemes.
- Occlusal splints are indicated when achieving accurate jaw position is challenging.
Observation:
- A 60-year-old male patient presented with Prosthodontic Diagnostic Index Class IV dentition.
- The patient required full-mouth reconstruction.
- Prior to reconstruction, occlusal splint therapy was initiated.
Findings:
- A Michigan-type occlusal splint with integrated z-springs was utilized.
- The splint enabled concurrent orthodontic movement of two anterior teeth.
- This facilitated correction of occlusal and esthetic form for favorable restorations.
Implications:
- Occlusal splint therapy can be a valuable tool in complex prosthodontic cases.
- The integration of orthodontic mechanics within splints offers a combined treatment approach.
- This case highlights a method for improving restorative outcomes in patients with significant dental discrepancies.