International Journal of Health Sciences and Research

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Case Report

Year: 2017 | Month: July | Volume: 7 | Issue: 7 | Pages: 376-380

Initial Prosthetic Treatment of Patients with Occlusal Wear: Fabrication of Michigan Splint- A Case Report

Duggal Nidhi1, Jaitly Kanika2, Chowalta Rajat3, Kaur Amardeep2

1MDS Prosthodontics, Associate Professor, 2Post Graduate Student,
Department of Prosthodontics, Crown and Bridge, Govt. Dental College and Hospital, Patiala, Punjab.
3MDS Oral and Maxillofacial Surgery, Lecturer, Y.S. Parmar Govt. Medical College and Hospital, Nahan, Himachal Pradesh.

Corresponding Author: Jaitly Kanika


Restoring the vertical dimension of occlusion in cases of worn dentitions is an elusive subject. In case of such dilemma, before proceeding with irreversible tooth preparations, the adaptability of the patient to the increased vertical dimension of occlusion can be evaluated by use of an occlusal splint. Being a removable device, it is a reversible form of treatment before going for definitive restorations. A Michigan splint is an oral appliance that covers all the teeth in either the maxilla or mandible and is therefore termed a "full-coverage splint". Maxillary splints being more stable and retentive are usually preferred. Mandibular splints on the other hand are more discreet and are used for daytime use but are relatively less retentive. This paper describes a technique for modification of conventional mandibular michigan splint with additional ball clasps to improve its retention.

Key words: Occlusal wear, initial prosthetic treatment, occlusal splint, michigan splint with modification

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