Clinical evaluation of laboratory-made and CAD-CAM—fabricated occlusal devices to treat oral parafunction

Brandt, Stephen B.; Brandt, J.; Lauer, Hans–Christoph; Kunzmann, Anna

doi:10.1016/j.prosdent.2018.11.017

Cited by 6 publications

(8 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the different fabrication methods, to make the ODs comparable some standardized fabrication guidelines were established. The common guidelines were: devices were located on the maxillary dentition, all maxillary teeth were covered, minimum 1.5 mm interocclusal thickness between the posteriors (first molars), 1 mm of buccal extension below from the survey line flat, smooth occlusal contact, surfaces balanced, simultaneous static occlusion between the occlusal device and all the buccal cusps of the mandibular teeth, posterior disocclusion during lateral and protrusive movements, condylar inclination of 25°, immediate side shift of 2 mm, progressive side shift of 10° were selected as standard parameters 17,18,22 …”

Section: Methodsmentioning

confidence: 99%

“…were selected as standard parameters. 17,18,22 The silicone impressions were poured 30 min after acquisition with dental stone type IV (Fugi Rock; GC Europe, Leuven, Belgium)…”

Section: Study Design and Patient Selectionmentioning

confidence: 99%

“…21 While other authors evaluated the patient's preferences in a random crossover study. 22 To the best of the authors' knowledge, studies quantitative evaluating the extent of occlusal modifications of analog or digitally fabricated ODs after intraoral occlusal adjustment are lacking. For this reason, this clinical pilot study aims to evaluate the volumetric changes on occlusal surface of computer-aided design and computeraided manufacturing (CAD-CAM) ODs fabricated following a fully digital workflow before and after occlusal adjustment, compared to those fabricated with an analog workflow.…”

Section: Introductionmentioning

confidence: 99%

“…Others conclude that high‐quality Michigan splints can be fabricated by using a fully digital workflow 21 . While other authors evaluated the patient's preferences in a random crossover study 22 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

CAD‐CAM and analog occlusal splints comparison based on the amount of occlusal adjustments. 3D analysis of the volumetric changes: A pilot study

Blasi

Henarejos-Domingo

Palacios-Bañuelos

et al. 2023

J Esthet Restor Dent

View full text Add to dashboard Cite

ObjectiveTo evaluate the volumetric changes on occlusal surface of computer‐aided design and computer‐aided manufacturing (CAD‐CAM) occlusal devices fabricated following a fully digital workflow after occlusal adjustment, compared to those fabricated with an analog workflow.Materials and MethodsEight participants were included in this clinical pilot study, receiving two different occlusal devices fabricated with two different workflows, fully analog and fully digital. Every occlusal device was scanned before and after the occlusal adjustments to compare the volumetric changes using a reverse engineering software program. Moreover, three independent evaluators assessed a semi‐quantitative and qualitative comparison using visual analog scale and dichotomous evaluation. The Shapiro–Wilk test was performed to validate normal distribution assumption, and a dependent t‐Student test for paired variables was used to determine statistically significant differences (p‐value < 0.05).ResultsThe root mean square value was extracted from the 3‐Dimensional (3D) analysis of the occlusal devices. The average values of the root mean square were higher for the analogic technique (0.23 ± 0.10 mm) than the digital technique (0.14 ± 0.07 mm) but the differences were not statistically significant (paired t‐Student test; p = 0.106) between the two fabrication techniques. The semiquantitative visual analog scale values between the impression for the digital (5.08 ± 2.4 cm) and analog (3.80 ± 3.3 cm) technique were significant (p < 0.001), and statistically significant differences values were assessed for evaluator 3 compared to the other evaluators (p < 0.05). However, the three evaluators agreed on the qualitative dichotomous evaluation in 62% of the cases, and at least two evaluators agreed in 100% of the evaluations.ConclusionsOcclusal devices fabricated following a fully digital workflow resulted in fewer occlusal adjustments, as they could be a valid alternative to those fabricated following an analog workflow.Clinical SignificanceFabricated occlusal devices following a fully digital workflow could have some advantages over analog workflow such reduce occlusal adjustments at delivery appointment, which can result in reduced chair time and therefore increased comfort for the patient and clinician.

show abstract

Section: Methodsmentioning

confidence: 99%

“…were selected as standard parameters. 17,18,22 The silicone impressions were poured 30 min after acquisition with dental stone type IV (Fugi Rock; GC Europe, Leuven, Belgium)…”

Section: Study Design and Patient Selectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

CAD‐CAM and analog occlusal splints comparison based on the amount of occlusal adjustments. 3D analysis of the volumetric changes: A pilot study

Blasi

Henarejos-Domingo

Palacios-Bañuelos

et al. 2023

J Esthet Restor Dent

View full text Add to dashboard Cite

show abstract

“…Próteses totais e parciais removíveis possuem aplicações bem sucedidas através de técnicas digitais para impressão, registro virtual da relação maxilomandibular, desenho e confecção das bases da prótese e arranjo de dentes artificiais (INFANTE et al, 2014;RUSSO;SALAMINI, 2018;NISHIYAMA et al, 2020). Por fim, dispositivos oclusais confeccionados por sistema CAD/CAM para o tratamento do bruxismo proporcionam menos etapas clínicas de produção e podem ofertar maior conforto (LAUREN;MCINTYRE, 2008;BRANDT et al, 2019).…”

Section: Introductionunclassified

Análise De Indicadores De Saúde Bucal Do Pmaq-Ab Nos Estados Brasileiros E Distrito Federal

Aguiar¹,

Sousa²,

Queiroz³

et al. 2023

Avanços Do Conhecimento Científico Na Odontologia 2

View full text Add to dashboard Cite

Os autores desta obra: 1. Atestam não possuir qualquer interesse comercial que constitua um conflito de interesses em relação ao artigo científico publicado; 2.Declaram que participaram ativamente da construção dos respectivos manuscritos, preferencialmente na: a) Concepção do estudo, e/ou aquisição de dados, e/ou análise e interpretação de dados; b) Elaboração do artigo ou revisão com vistas a tornar o material intelectualmente relevante; c) Aprovação final do manuscrito para submissão.; 3. Certificam que os artigos científicos publicados estão completamente isentos de dados e/ou resultados fraudulentos; 4. Confirmam a citação e a referência correta de todos os dados e de interpretações de dados de outras pesquisas; 5.Reconhecem terem informado todas as fontes de financiamento recebidas para a consecução da pesquisa; 6. Autorizam a edição da obra, que incluem os registros de ficha catalográfica, ISBN, DOI e demais indexadores, projeto visual e criação de capa, diagramação de miolo, assim como lançamento e divulgação da mesma conforme critérios da Atena Editora. DECLARAÇÃO DA EDITORA A Atena Editora declara, para os devidos fins de direito, que: 1. A presente publicação constitui apenas transferência temporária dos direitos autorais, direito sobre a publicação, inclusive não constitui responsabilidade solidária na criação dos manuscritos publicados, nos termos previstos na Lei sobre direitos autorais (Lei 9610/98), no art. 184 do Código Penal e no art. 927 do Código Civil; 2. Autoriza e incentiva os autores a assinarem contratos com repositórios institucionais, com fins exclusivos de divulgação da obra, desde que com o devido reconhecimento de autoria e edição e sem qualquer finalidade comercial; 3. Todos os e-book são open access, desta forma não os comercializa em seu site, sites parceiros, plataformas de ecommerce, ou qualquer outro meio virtual ou físico, portanto, está isenta de repasses de direitos autorais aos autores; 4. Todos os membros do conselho editorial são doutores e vinculados a instituições de ensino superior públicas, conforme recomendação da CAPES para obtenção do Qualis livro; 5. Não cede, comercializa ou autoriza a utilização dos nomes e e-mails dos autores, bem como nenhum outro dado dos mesmos, para qualquer finalidade que não o escopo da divulgação desta obra.

show abstract

Fully digital workflow of an occlusal device including digital facebow record: A clinical report

Voß,

Bunz,

Kurbad

et al. 2024

The Journal of Prosthetic Dentistry

View full text Add to dashboard Cite

Clinical evaluation of laboratory-made and CAD-CAM—fabricated occlusal devices to treat oral parafunction

Cited by 6 publications

References 25 publications

CAD‐CAM and analog occlusal splints comparison based on the amount of occlusal adjustments. 3D analysis of the volumetric changes: A pilot study

CAD‐CAM and analog occlusal splints comparison based on the amount of occlusal adjustments. 3D analysis of the volumetric changes: A pilot study

Análise De Indicadores De Saúde Bucal Do Pmaq-Ab Nos Estados Brasileiros E Distrito Federal

Fully digital workflow of an occlusal device including digital facebow record: A clinical report

Contact Info

Product

Resources

About