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Establishing a CAD/CAM workflow for stabilization appliances (Michigan splints).
Quintessence International (Berlin, Germany : 1985)
|September 17, 2024
Summary
This study introduces a digital workflow for creating Michigan splints, commonly used for bruxism and temporomandibular disorders (TMDs). This new method utilizes intraoral scanning and CAD/CAM technology for efficient and high-quality splint fabrication.
Area of Science:
- Dental Technology
- Biomaterials Engineering
- Digital Dentistry
Background:
- Stabilization appliances, such as Michigan splints, are standard for managing bruxism and temporomandibular disorders (TMDs).
- Traditional fabrication involves manual wax modeling and resin pressing onto physical casts from impressions.
- This conventional method is time-consuming and can lead to variations in material quality.
Purpose of the Study:
- To describe a fully digital workflow for fabricating stabilization splints.
- To demonstrate the application of intraoral scanning and CAD/CAM technology in this process.
- To highlight the benefits of a digital approach for dental practitioners and technicians.
Main Methods:
- Utilizing intraoral scanners to capture digital impressions of the oral cavity.
- Employing computer-aided design (CAD) software to design the stabilization splint on a digital cast.
- Manufacturing the splint autonomously using computer-aided manufacturing (CAM) grinding machines in a subtractive process.
Main Results:
- The digital workflow enables autonomous manufacturing of stabilization splints via CAM.
- Eliminates the need for traditional wax modeling and physical cast fabrication, saving time and cost.
- Ensures homogenous splint material quality through precise digital control.
Conclusions:
- The described all-digital workflow offers an efficient and precise alternative for fabricating stabilization splints.
- This CAD/CAM approach is suitable for both dental practitioners and technicians, improving workflow efficiency.
- The digital method enhances the consistency and quality of splint fabrication for bruxism and TMD management.

