TMDs have a multifactorial etiology varying from bruxism, psychological illness and traumatic injuries from mastication, extreme mouth opening, or faulty dental restorations. The present case study highlights the importance of right diagnosis of the patients problem as this forms the foundation to formulate a comprehensive treatment plan which further ensures the right solution to the stated patient problem along with long term maintenance of healthy stomatognathic system. An hard occlusal splint has been indirectly fabricated on the semiadjustable articulator. Occlusal splint used in treatment of TMDs is designed to provide even and balanced Occlusal contacts without forcefully altering the mandibular rest position or permanently altering the dentition. One case of fabrication of mandibular occlusal splint and its therapeutic role is discussed in this case report. The splint successfully relieved the patient TMD signs and symptoms, when used over four months.
BACKGROUND: Endodontically treated teeth are structurally more susceptible to root fractures. Proper tooth restorations with digitally fabricated or fibre post following endodontic therapy is essential to restore function and esthetics. OBJECTIVE: The aim of this in vitro study is to evaluate the fracture load of digitally fabricated and prefabricated fibre posts in endodontically treated teeth. METHODS: Sixty extracted human single rooted teeth were selected. The crowns were sectioned at the cement-enamel junction to standardize the remaining root length at 15 mm from the apices. Cleaning, shaping and obturation was done using conventional step back technique to an ISO K-file size 40. The roots were divided into two groups of 30 samples each: Group S: teeth reinforced with digitally fabricated posts; Group F: teeth reinforced with fibre posts. Each group was further divided into three subgroups (S7, S9, S12, F7, F9, F12) based on lengths 7, 9 and 12 mm at which the posts were cemented. Composite resin core was fabricated and prepared to receive a complete metal crown. Universal testing machine was used to measure the compressive load required to fracture the teeth. RESULTS: The highest fracture resistance of 1532N was observed with fibre posts at 12 mm of post space length followed by digitally fabricated post 1398N at 12 mm, but the difference was not statistically significant. CONCLUSION: The highest fracture resistance was observed in the teeth restored with fibre posts with 12 mm length and the lowest with digitally fabricated post with 7 mm length. As the length of post increases irrespective of type of post fracture resistance increased.
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