Michigan Splints are OVERRATED! PDP EP-040

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Jaz: Small error made in video where I show a Facebow being used at 10 mins mark but I am talking about Leaf gauges - sorry!
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Michigan Splints AKA Stabilization Splints are the 'gold standard' occlusal splint according to many occlusal camps.
It is actually a great all-rounder splint - but there are some key reasons why Michigan appliances (or Tanner for the lower) is massively overrated!
Listen to this episode as I cover:
- What is a Michigan splint?
- How does this splint work?
- What records do you need for a Michigan splint?
- Do you need a Facebow?
- What are the limitations of Michigan occlusal splints?
- Why might other splints be better for many scenarios?
- Why you should be careful prescribing Michigan splints to primary clenchers
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Опубликовано:

9 июл 2024

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Комментарии : 14

@tomstickland 3 года назад

I found that very interesting. I'm not a clencher or a grinder but I have muscular pain and spasms and I'm going to see a specialist next week. This is helping inform me in preparation.

@amw4011 3 месяца назад

How do you fabricate a splint in CR if its the first point of contact? Wont there be no clearance for material?

@DuncanMaguire 5 месяцев назад

I'm due to have a MS fitted next month by the (gulp) NHS. After watching this I think I'll cancel the appointment, what a waste of time. 🤔

@protrusive 5 месяцев назад

totally don't think it's a waste of time - it's a very useful splint and much superior and well considered than what is usually done on the NHS. It would be a great dis-service to you if you cancelled this opportunity. The purpose of this episode was to raise awareness of alternatives to Dentists- but it's still a very good splint choice. Without fully assessing you I'm not sure if it would be my first choice for you, but it is first choice for about 30-40% of my patients due to their needs.

@Fatdogchannel 20 дней назад

I have a question regarding to deprogramming. After deprogramming, do restore full mouth, do we still need to offer px splint?

@protrusive 19 дней назад

short and concise answer: if they are a bruxist and/or high force patient then yes. CR is not a vaccine for bruxism

@carlylouisei4439 Год назад

Hello, I have been recommended a tanner/ Michigan splint. But then also I have done research to find they do a splint that sits on the front 4 teeth. I am in agonising pain on a weekly basis with my jaw/ muscle pain. I have tried Botox.. nothing! Which splint would you recommend? The one on the front for teeth for clenching/ grinding or the tanner/ Michigan? Thank you😊

@protrusive Год назад

Thanks for your question Carly - I wish I could advise based on the given information but I usually spend an hour with a patient to decide what is the ideal solution - so many anatomical factors involved. My advice is trust your Dentist to use their best judgement for your care.

@viktorijamitkiene9287 2 года назад

Thanks. What is best for primary clenchers?

@protrusive 2 года назад

many different schools of thought - if all the other factors are favourable then I will consider an AMPSA to suppress muscle activity/contraction (assuming you are a Dentist) Regards