Reverse planning for making an occlusal splint before restorative treatment: case report of rehabilitation of a patient with bruxism

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8689

Keywords:

Temporomandibular Joint Disorders; Dental Restoration Wear; Bruxism; Composite resins.

Abstract

Recovery of worn tooth surfaces using composite resin has been increasingly accepted by clinicians, since rehabilitation through additive techniques aims at minimal or no intervention and preserves healthy dental structure, ensuring longevity to the treatment. Adhesive dentistry can afford promising results through a correct diagnosis and treatment plan. Planning can offer not only dental rehabilitation, but also controlling cause of the wear process. Strategies that seek to prevent the progression of muscle activities such as bruxism, should be established. This article aims to present a clinical case report of a rehabilitation treatment planned and executed through the digital flow, in which the patient presents wear and tear caused by the habit of bruxism. The rehabilitation of the anterior upper teeth was carried out in direct composite resin, associated with the preparation and installation of an occlusal splint, used before, during and after the restorative treatment, ensuring the reestablishment of the shape, function and dental aesthetics.

Author Biographies

Joselúcia da Nóbrega Dias, Federal University of Rio Grande do Norte

Postgraduate student in Dental Sciences, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

Iasmim Mainny Diógenes Veras, Federal University of Rio Grande do Norte

Dentistry graduate, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

Gustavo Augusto Seabra Barbosa, Federal University of Rio Grande do Norte

Assistant Professor, Graduate in Dentistry and Postgraduate Program in Dental Sciences, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

Isauremi Vieira de Assunção, Universidade Federal do rio Grande do Norte

Assistant Professor, Graduate in Dentistry, Specialization in Dentistry and Postgraduate Program in Dental Sciences, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.

References

Berntsen, C., Kleven, M., Heian, M. & Hjortsjo, C. (2018). Clinical comparison of conventional and additive manufactured stabilization splints. Acta Biomater Odontol Scand, 4 (1), 81-89.

Dedem, P. & Türp, J.C. (2016). Digital Michigan splint: from intraoral scanning to plaster less manufacturing. Int J Comput Dent, 19(1), 63–76.

Ender, A. & Mehl, A. (2015). In-vitro evaluation of the accuracy of conventional and digital methods of obtaining full-arch dental impressions. Quintessence Int., 46(1), 9-17.

Gholampour, S., Gholampour, H. & Khanmohammadi, H. (2019). Finite element analysis of occlusal splint therapy in patients with bruxism. BMC Oral Health, 19(1), 205-213.

Gulamali, A.B., Hemmings, K.W., Tredwin, C.J. & Petrie A. (2011). Survival Analysis of Composite Dahl Restorations Provided to Manage Localized Anterior Tooth Wear (Ten Year Follow-Up). Br Dent J, 211(4), 1-8.

Jokubauskas, L., Baltrušaitytė, A. & Pileičikienė, G. (2018). Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017. J Oral Rehabil, 45(1), 81-95.

Kitsoulis, P., Marini, A., Iliou, K., Galani, V., Zimpis, A., Kanavaros, P. & Paraskevas, G. (2011). Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear Nose Throat Disord, 11(5), 1-8.

Lee, H.S., Baek, H.S., Song, D.S., Kim, H.C., Kim, H.G., Kim, B.J. & Kim, M.S. et al. (2013). Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction. J Korean Assoc Oral Maxillofac Surg, 39(1), 14-20.

Loomans, B. & Özcan, M. (2016). Intraoral Repair of Direct and Indirect Restorations: Procedures and Guidelines. Oper Dent, 41(7), 68-78.

Macedo, C.R., Silva, A.B., Machado, M.A.C., Saconato, H. & Prado, G.F. (2007). Occlusal splints for treating sleep bruxism (tooth grinding). Cochrane Database of Systematic Reviews, (4).

Mesko, M.E., Sarkis-Onofre, R., Cenci, M.S., Opdam, N.J., Loomans, B. & Cenci, T.P. (2016). Rehabilitation of severely Intraoral Repair of Direct and Indirect Restorations: Procedures and Guidelines worn teeth: A systematic review. J Dent 2016, 48, 9-15.

Negrão, R., Cardoso, J.A., Oliveira, N.B., Almeida, P.J., Taveira, T. & Blashkiv, O. (2018). Conservative restoration of the worn dentition - the anatomically driven direct approach (ADA). Int J Esthet Dent, 13(1), 16-48.

Revilla-León, M., Raney, L., Piedra-Cascón, W., Barrington, J., Zandinejad, A. & Özcan, M. (2019). Digital workflow for an esthetic rehabilitation using a facial and intraoral scanner and an additive manufactured silicone index: A dental technique. The Journal of Prosthetic Dentistry, 123(4), 564-570.

Salmi, M., Paloheimo, K.S., Tuomi, J., Ingman, T. & Mäkitie, A. (2013). A digital process for additive manufacturing of occlusal splints: a clinical pilot study. J R Soc Interface, 10(84), 1-6.

Vailati, F., Gruetter, L. & Belser, U.C. (2013). Adhesively restored anterior maxillary dentitions affected by severe erosion: up to 6-year results of a prospective clinical study. Eur J Esthet Dent, 8(4), 506-530.

Van Noort, R. (2011). The future of dental devices is digital. Dent Mater, 28(1), 3-12.

Vasques, M.T, Mori, M. & Laganá, D.C. (2020). Three-dimensional printing of occlusal devices for temporomandibular disorders by using a free CAD software program: A technical report. J Prosthet Dent., 123(2), 232-235.

Downloads

Published

02/10/2020

How to Cite

DIAS, J. da N.; VERAS, I. . M. D.; BARBOSA, G. A. S. .; ASSUNÇÃO, I. V. de. Reverse planning for making an occlusal splint before restorative treatment: case report of rehabilitation of a patient with bruxism. Research, Society and Development, [S. l.], v. 9, n. 10, p. e4209108689, 2020. DOI: 10.33448/rsd-v9i10.8689. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/8689. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences