Follow-up treatment after initial splint therapy

IMG_2833 Splints as therapeutic treatment instruments in temporomandibular
disorder patients are widely accepted. The combination
of splint therapy and aligner orthodontics not only provides
comfortable and almost invisible treatment but also
constitutes a powerful instrument for the orthodontic treatment
of the temporomandibular disorder patient. To this end,
precise knowledge of the temporomandibular joint, temporomandibular
disorders and treatment using removable and
fixed splints is indispensable. The two-phase treatment and
the combination of fixed splint and aligner transform occlusal
splint therapy into a permanently stable occlusion with physiological
posterior vertical support.
An occlusal splint can be both a therapeutic instrument and
a diagnostic tool:
• to determine whether the occlusion is the cause or only
a cofactor in the development of a complaint
• for the determination of the physiological jaw relationship
before definite measures for occlusal correction
are taken.
A re-evaluation of the performed functional therapy is carried
out approximately 3 to 6 months after the start of the
splint therapy. The focus lies on the occlusal analysis and
the question of the therapeutic effect of the performed
corrections of the occlusion. If orthodontic treatment is indicated,
it is carried out by means of aligner orthodontics.


Werner Schupp, Julia Funke, Julia Haubrich, Wolfgang Boisserée

erschienen in: Journal of Aligner Orthodontics 2019;3(2):147–164

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