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BDS Module 4 > M+O 8 - CMDs and splints > Flashcards

M+O 8 - CMDs and splints Flashcards

1
Q

What are the 3 types of splints used for the management of CMDs?

A
  • soft splints
  • full coverage hard splints
  • repositioning splints
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2
Q

What arches can soft splints be used for?

A

both - maxillary or mandibular

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3
Q

How are soft splints made?

A

thermoformed

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4
Q

What are the benefits of soft splints?

A
  • quick and easy to make
  • “relaxation” splint
  • no occlusal adjustment
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5
Q

What is the downside of soft splints?

A

they wear - especially with nocturnal bruxists

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6
Q

What are stabilisation splints?

A
  • hard splint
  • stable occlusal contacts
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7
Q

What is the aim of stabilisations splints?

A
  • RCP same as ICP
  • ideal occlusion
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8
Q

What is a downside to stabilisation splints in the UK?

A

need NHS approval

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9
Q

What is a Michigan splint?

A
  • maxillary arch
  • ramps to create:
    • canine guidance on lateral excursions
    • anterior guidance on protrusion
    • posterior discussion on excursion
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10
Q

What are some of the features of a stabilisation splint?

A
  • with or without clasps
  • point occlusal contacts
  • guidance ramps
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11
Q

What are 3 types of stabilisation splints?

A
  • Michigan splint
  • Tanner application (similar to Michigan splint but for mandibular arch)
  • Thermoformed splint
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12
Q

What is a thermoformed stabilisation splint like?

A
  • hard/soft laminate (hard on outside, soft on inside)
  • can produce similar features as Michigan splint
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13
Q

When are stabilisation splints usually worn?

A

night time

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14
Q

What do you need to record to make an anterior repositioning splint?

A

protrusive occlusion

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15
Q

What are anterior repositioning splints used in cases of?

A

disc displacement with reduction

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16
Q

What arches can repositioning splints be used on?

A

full coverage- upper or lower
- indentations for upper and lower teeth

17
Q

What does a repositioning splint do?

A
  • eliminated click
  • recaptures the disc
18
Q

How often is a repositioning splint worn?

A

full time wear initially, then gradually reduced

  • need to be used with great care
19
Q

What problem can be caused by a partial coverage splint (posterior coverage)?

A
  • over eruption of anterior teeth
  • posterior open bite
20
Q

Should splints be used alone?

A

splints have a role as part of a management place
i.e alongside physiotherapy type exercises etc

21
Q

Can soft splints be used long term?

A

no, short term only

22
Q

What are the downsides of stabilisation splints?

A
  • difficult to make
  • require regular follow up
23
Q

What are the downsides of repositioning splints?

A
  • (rarely used)
  • require regular follow up to monitor occlusion
24
Q

Should you use partial coverage splints?

A

No - do not use partial coverage splints

BDS Module 4 (65 decks)

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