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Dr Stephen J Davies
BDS , M.D.Sc., D.G.D.P.(UK)
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Treatment

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Treatment - Splint therapy

Counselling | Physiotherapy | Pharmacotherapy | Splint therapy

Soft Bite Guard (S.B.G)

This should be the first line of treatment for PDS (pain dysfunction syndrome). Should be warn at night, and in some cases during the day, for up to 3 months. Ideal for bruxism, though in severe cases can make bruxism worse as it just gives the patient something new to clench and grind on.


Soft Bite Guard

Localised Occlusal Interference Splint (L.O.I.S)

Aka 'Interceptor'. This is designed so that only 4 teeth touch during closure. The proprioceptive fibres in those 4 teeth are 'overloaded', sending a message to the brain, reminding the patient not to grind or clench their teeth.

Stabilisation Splint (S.S)

Removeable ideal occlusion. This is used for:

  • PDS
    • Should be warn at night
    • Should be used for 3 months
    • Slowly weaned off
  • Establishing CR (Centric relation) before major restorative work
  • Providing balanced adjustable occlusion in patients with major bone pathology

This is made by taking:

  • Upper Impression
  • Lower Impression
  • Centric Relation Registration
  • Face Bow record


Stabilisation Splint

Anterior Repositioning Splint (A.R.P.S)

Very important splint in the treatment of Disc displacement with reduction. The earlier the click in the opening cycle, the easier it will be to treat using this method and the greater the chance of success. This splint is made by taking:


Anterior Repositioning Splint on plaster model, used in treatment of disc displacement with reduction

To ensure healing and reattachment of the disc to the condyle, the splint must be warn 24 hours a day for 3 months, then slowly the patient should be weaned off.


Patient's teeth before fitting of splint


Patient's teeth after fitting of splint

Treatment

Options include...

Counselling
Physiotherapy
Pharmacotherapy
Splint therapy
Intra-articular steroids
Manipulation under GA
Surgery
Further referral