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Published on: January 25, 2019
Clinical comparison of conventional and additive manufactured stabilization splints
Christian Berntsen1, Martin Kleven2, Marianne Heian2
1Department of Prosthodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Digital additive manufacturing of stabilization splints offers superior patient comfort compared to conventional methods. Both techniques yielded similar treatment outcomes, but digital scanning was preferred over traditional impressions.
Area of Science:
- Dentistry
- Biomaterials Engineering
- Prosthodontics
Background:
- Occlusal stabilization splints (SS) are crucial for managing temporomandibular disorders (TMD).
- Conventional fabrication methods can be time-consuming and may impact patient comfort.
- Digital additive manufacturing offers potential advancements in splint production.
Purpose of the Study:
- To compare conventional and digital additive manufacturing of hard occlusal stabilization splints (SS).
- To evaluate both technical and clinical parameters of each manufacturing method.
- To assess patient preference and comfort levels between the two techniques.
Main Methods:
- 14 subjects underwent DC/TMD Axis I and Axis II assessments.
- Subjects received either conventionally manufactured SS (CM-SS) or CAD-CAM additive manufactured SS (AM-SS).
- Both conventional alginate impressions and intraoral digital scanning were utilized.
Main Results:
- Subjects significantly preferred digital intraoral scanning over conventional alginate impressions.
- Additive manufactured splints (AM-SS) showed significantly higher comfort (mean VAS 15) than conventional splints (CM-SS, mean VAS 42).
- Splint manufacturing method did not influence treatment outcomes or improvements in jaw opening.
Conclusions:
- Digital additive manufacturing provides a more comfortable option for stabilization splints.
- While digital scanning is preferred, it is more time-consuming than conventional impressions.
- Both manufacturing methods result in improved oral function for patients with TMD.
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