Splints Orthodontic Appliances
Flat Occlusal Horseshoe Splint
The Flat Occlusal Splint is also known as a hard night guard. The indications for using this splint are the same as the Full Contact Splint with Anterior Guidance with no clicking joint present. It can be fabricated on the maxillary or mandibular arch. The occlusal surface can be finished to whatever manner desired with smooth cusp tip contact, cuspid rise, and or anterior guidance to disarticulate the teeth in protrusive movements. If natural undercuts will not provide enough retention, the lab will add ball clasps unless otherwise requested.
Splint acrylic (standard), Clear Splint, Hard/Soft Vacuum formed.
Upper and lower stone models. The models will be mounted in the maximum intercuspal position.
The Anterior Splint is designed to stop a patient’s clenching or grinding habit. It works by using a maxillary lingual anterior bite plane that is built up so that only the lower incisors contact the acrylic. This takes the posterior teeth slightly out of contact to remove any interferences that cause muscle disharmony and allows the condyles to properly seat. The appliance can be worn day or night. To prevent super-eruption of posterior teeth, the appliance should not be worn 24 hours per day. We will add ball clasps unless otherwise requested.
The Gelb Splint is used to reposition the mandible and can also be used to recapture the disc. The Gelb Splint is fabricated on the mandibular arch. It is fabricated in cold cure splint acrylic to a wax bite that brings the mandible and condyle into a more anterior, inferior position in the fossa. The posterior is connected by a lingual bar. Slight indexing of the upper lingual cusps tips is used to maintain the advanced position. The standard clasping is two ball clasps for retention.
Upper and lower stone models and a wax bite to the required advanced position open a minimum of 2 mm.
Flat Occlusal Plane Splint with Anterior Guidance
This splint is also known as The Superior Repositioning Splint. It is used for symptoms without the presence of a clicking joint. This splint is fabricated with clear splint hard acrylic. The acrylic is trimmed to achieve centric stop from the lower posterior cusp tips or upper posterior cusp tips. The acrylic is trimmed in the anterior region to form a ramp, providing incisal guidance. The lab will add ball clasps unless otherwise requested.
Upper & lower stone models with a centric relation wax bite open a minimum of 2 mm.
The Soft Splint is constructed using a heavy duty mouth guard material. Upper and lower models will be articulated for proper fit of opposing arches.
Upper and lower stone models and a centric occlusion bite.
The DTI Deprogrammer features a small anterior stop contacting the lower central incisors and disoccludes all teeth. It can be worn at night to relieve muscle fatigue and headaches. It can also be used
as a diagnostic tool as well as to determine centric relation. The lab will add ball clasps unless otherwise requested.
Upper and lower stone models.
The models will be mounted in the maximum intercuspal position.
This splint is also called the pull Forward Splint, and is
used for symptoms with the presence of a clicking joint.
This splint is used to recapture an anteriorly displaced
disc. The advanced mandibular position is maintained by
an upper inclined anterior ramp which rests lingual to
the lower anteriors, while the upper occlusal coverage is indexed with the lower posterior teeth. The lab will add ball clasps unless otherwise requested.
Upper and lower stone models and a protrusive bite open a minimum of 2 mm.
An accurate construction bite is essential for the proper fabrication of this appliance
A common style of bleaching tray is similar in construction to an athletic mouthguard. Initial indications are that a foam lined tray is more effective than a simple niteguard, tray, splint, or mouthguard. The Foam holds more of the active material next to the tooth's surface thus deceasing bleaching time by 20% to 30%.
Expansion & Arch
Finishing & Retention
Finishing & Relapse
Pontics & Partials