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CC BY 4.0 · Eur J Dent 2022; 16(04): 815-819
DOI: 10.1055/s-0041-1739546
Original Article

3Shape Digital Design Software in Splints Creation—A Pilot Study

Dobromira Shopova
1   Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria
,
Miroslava Yordanova
2   Department of Orthodontics, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria
,
Svetlana Yordanova
2   Department of Orthodontics, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria
› Author Affiliations Funding This study was funded by Medical University, Plovdiv, Bulgaria (grant no 13/2020).
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Abstract

Objectives Digital technologies have widened their horizons into the world of dental medicine and now further expanding to cover all branches. This new modern technology replaces traditional laboratory techniques allowing effective patient care. Patients who suffer from bruxism—the act of involuntary habitual grinding of teeth—have widely been benefited by splint treatments. The aim of this article is to display the variety of occlusal splints that can be created by the 3Shape Digital Design Software and their application in specific clinical situations.

Materials and Methods Six variations in the splints were created digitally—three with uncombined designs and the remaining three with a combination of two of the main options available. During this study, 36 splints were made for patients aged 24 to 55 inclusively.

Results The largest number of splints according to the clinical picture were made of “raise to antagonist cusp tips” (14 pieces) and the remaining were of combined type “raise to antagonist cusp tips + raise to antagonist plane” (12 pieces). There thickness was within the range of 1.5 and 5 mm.

Conclusion 3Shape Digital Design Software—Splint Studio is a suitable system for designing and creating occlusal splints with respect to certain clinical situations. It is possible to combine the three main types in a separate section of the dental arch according to the case.

Keywords

occlusal splints - bruxism - digital technologies - 3Shape

Note

The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Ethics Committee of Medical University of Plovdiv, Bulgaria – protocol N°3 /20.05.2021.




Publication History

Article published online:
24 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Lobbezoo F, Naeije M. [Etiology of bruxism: morphological, pathophysiological and psychological factors]. Ned Tijdschr Tandheelkd 2000; 107 (07) 275-280
    PubMedSearch in Google Scholar
  • 2 Cuccia AM. [Etiology of sleep bruxism: a review of the literature]. Recenti Prog Med 2008; 99 (06) 322-328
    PubMedSearch in Google Scholar
  • 3 Alóe F. Sleep bruxism treatment. Sleep Sci 2009; 2 (01) 49-54
    Search in Google Scholar
  • 4 Dylina TJ. A common-sense approach to splint therapy. J Prosthet Dent 2001; 86 (05) 539-545
    CrossrefPubMedSearch in Google Scholar
  • 5 Restrepo CC, Medina I, Patiño I. Effect of occlusal splints on the temporomandibular disorders, dental wear and anxiety of bruxist children. Eur J Dent 2011; 5 (04) 441-450
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Alkan A, Bulut E, Arici S, Sato S. Evaluation of treatments in patients with nocturnal bruxism on bite force and occlusal contact area: a preliminary report. Eur J Dent 2008; 2 (04) 276-282
    Thieme ConnectPubMedSearch in Google Scholar
  • 7 Leberfinger AN, Jones CM, Mackay DR, Samson TD, Henry CR, Ravnic DJ. Computer-aided design and manufacture of intraoral splints: a potential role in cleft care. J Surg Res 2021; 261: 173-178
    CrossrefPubMedSearch in Google Scholar
  • 8 Ye N, Wu T, Dong T, Yuan L, Fang B, Xia L. Precision of 3D-printed splints with different dental model offsets. Am J Orthod Dentofacial Orthop 2019; 155 (05) 733-738
    CrossrefPubMedSearch in Google Scholar
  • 9 Aly P, Mohsen C. Comparison of the accuracy of three-dimensional printed casts, digital, and conventional casts: an in vitro study. Eur J Dent 2020; 14 (02) 189-193
    Thieme ConnectPubMedSearch in Google Scholar
  • 10 Venezia P, Muzio LL, De Furia C, Torsello F. Digital manufacturing of occlusal splint: from intraoral scanning to 3D printing. Journal of Osseointegration 2019; 11 (04) 535-539
    Search in Google Scholar
  • 11 Lauren M, McIntyre F. A new computer-assisted method for design and fabrication of occlusal splints. Am J Orthod Dentofacial Orthop 2008; 133 (4, Suppl): S130-S135
    CrossrefPubMedSearch in Google Scholar
  • 12 Wahlund K, List T, Larsson B. Treatment of temporomandibular disorders among adolescents: a comparison between occlusal appliance, relaxation training, and brief information. Acta Odontol Scand 2003; 61 (04) 203-211
    CrossrefPubMedSearch in Google Scholar
  • 13 Ekberg E, Vallon D, Nilner M. The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial. J Orofac Pain 2003; 17 (02) 133-139
    PubMedSearch in Google Scholar
  • 14 Shi CS, Wang HY. Postural and maximum activity in elevators during mandible pre- and post-occlusal splint treatment of temporomandibular joint disturbance syndrome. J Oral Rehabil 1989; 16 (02) 155-161
    CrossrefPubMedSearch in Google Scholar
  • 15 Lotzmann U. Studies on the influence of occlusal pre-therapy in centric jaw relation: or for mandibular autoreposition in the course of the initial occlusal therapy dysfunction-related. Disease the craniomandibular system. Quintessence 1999
    PubMedSearch in Google Scholar
  • 16 Bumann A, Lotzmann U. TMJ Disorders and Orofacial Pain. Stuttgart, New York: Thieme; 2002
    Thieme ConnectSearch in Google Scholar
  • 17 Pita MS, Ribeiro AB, Garcia AR, Pedrazzi V, Zuim PRJ. Effect of occlusal splint thickness on electrical masticatory muscle activity during rest and clenching. Braz Oral Res 2011; 25 (06) 506-511
    CrossrefPubMedSearch in Google Scholar
  • 18 Nishi SE, Basri R, Alam MK. Uses of electromyography in dentistry: an overview with meta-analysis. Eur J Dent 2016; 10 (03) 419-425
    Thieme ConnectPubMedSearch in Google Scholar
  • 19 Olthoff LW, van der Glas HW, van der Bilt A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil 2007; 34 (08) 560-565
    CrossrefPubMedSearch in Google Scholar
  • 20 Suvinen TI, Reade PC, Könönen M, Kemppainen P. Vertical jaw separation and masseter muscle electromyographic activity: a comparative study between asymptomatic controls & patients with temporomandibular pain & dysfunction. J Oral Rehabil 2003; 30 (08) 765-772
    CrossrefPubMedSearch in Google Scholar
  • 21 Dawson P. Functional Occlusion: From TMJ to Smile. Philadelphia: Mosby; 2007: 94-95
    Search in Google Scholar
  • 22 Taneva I, Grozdanova-Uzunova R, Uzunov T. Occlusal splints–changes in the muscular activity. J Phys Conf Ser 2021; 1859 (01) 012046
    CrossrefSearch in Google Scholar