Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved]
Bruxism is increasingly common in today's stressful world and affects mainly young patients. It is a combined disease that involves dentition and its supporting structures, muscles, ligaments and the temporomandibular joint (TMJ). Here we present a complete combined analog and digital clinical...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2022-09-01
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| Series: | F1000Research |
| Subjects: | |
| Online Access: | https://f1000research.com/articles/10-894/v2 |
| _version_ | 1828106357994160128 |
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| author | Krasimir Mladenov Dobromira Shopova |
| author_facet | Krasimir Mladenov Dobromira Shopova |
| author_sort | Krasimir Mladenov |
| collection | DOAJ |
| description | Bruxism is increasingly common in today's stressful world and affects mainly young patients. It is a combined disease that involves dentition and its supporting structures, muscles, ligaments and the temporomandibular joint (TMJ). Here we present a complete combined analog and digital clinical protocol in a patient with parafunction. A young patient sought help due to impaired aesthetics, as a result of abraded tooth surfaces and severe symptoms of TMJ. We implemented a therapeutic protocol of six stages: deprogramming of the muscles and determination of treatment position and digital optimization; realization of the morphological plan for the upper dentition; non-invasive repositioning of the lower jaw by splint therapy; splint placement and follow-up; morphological planning of the lower dentition and replacement of the splint with fixed prosthesis with follow-up; and completion of the case with ceramic restorations. The digitally modeled temporary constructions for the upper jaw were made of PMMA and placed in the patient's mouth together with the splint on the lower jaw, made of Ceramill Splintec. After an adaptation period, all restorations were replaced by permanent zirconia. We achieved restoration of the defects of the dental arches and hard dental tissues and recovery to normal height of the lower third of the face (vertical dimension occlusion), fixed a stable and balanced position of the lower jaw, and repaired the normal physiological position of the TMJ for the patient. Аfter a multi-stage treatment we received a result satisfying the patient, the dentist and the dental technician. Aesthetics and function were restored, and clinical symptoms were removed from the TMJ. |
| first_indexed | 2024-04-11T10:15:30Z |
| format | Article |
| id | doaj.art-d2bc9c0068d14023a6b5bbb8aa1036c9 |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-04-11T10:15:30Z |
| publishDate | 2022-09-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-d2bc9c0068d14023a6b5bbb8aa1036c92022-12-22T04:29:58ZengF1000 Research LtdF1000Research2046-14022022-09-0110137676Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved]Krasimir Mladenov0Dobromira Shopova1https://orcid.org/0000-0003-1287-930XCenter for Dental Medicine, Kyustendil, BulgariaDepartment of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Plovdiv, 4000, BulgariaBruxism is increasingly common in today's stressful world and affects mainly young patients. It is a combined disease that involves dentition and its supporting structures, muscles, ligaments and the temporomandibular joint (TMJ). Here we present a complete combined analog and digital clinical protocol in a patient with parafunction. A young patient sought help due to impaired aesthetics, as a result of abraded tooth surfaces and severe symptoms of TMJ. We implemented a therapeutic protocol of six stages: deprogramming of the muscles and determination of treatment position and digital optimization; realization of the morphological plan for the upper dentition; non-invasive repositioning of the lower jaw by splint therapy; splint placement and follow-up; morphological planning of the lower dentition and replacement of the splint with fixed prosthesis with follow-up; and completion of the case with ceramic restorations. The digitally modeled temporary constructions for the upper jaw were made of PMMA and placed in the patient's mouth together with the splint on the lower jaw, made of Ceramill Splintec. After an adaptation period, all restorations were replaced by permanent zirconia. We achieved restoration of the defects of the dental arches and hard dental tissues and recovery to normal height of the lower third of the face (vertical dimension occlusion), fixed a stable and balanced position of the lower jaw, and repaired the normal physiological position of the TMJ for the patient. Аfter a multi-stage treatment we received a result satisfying the patient, the dentist and the dental technician. Aesthetics and function were restored, and clinical symptoms were removed from the TMJ.https://f1000research.com/articles/10-894/v2splint TMJ disorders bruxism Exocad CeramillMind digital technologieseng |
| spellingShingle | Krasimir Mladenov Dobromira Shopova Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] F1000Research splint TMJ disorders bruxism Exocad CeramillMind digital technologies eng |
| title | Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] |
| title_full | Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] |
| title_fullStr | Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] |
| title_full_unstemmed | Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] |
| title_short | Case Report: A digital workflow in the treatment of bruxism in a young patient [version 2; peer review: 2 approved] |
| title_sort | case report a digital workflow in the treatment of bruxism in a young patient version 2 peer review 2 approved |
| topic | splint TMJ disorders bruxism Exocad CeramillMind digital technologies eng |
| url | https://f1000research.com/articles/10-894/v2 |
| work_keys_str_mv | AT krasimirmladenov casereportadigitalworkflowinthetreatmentofbruxisminayoungpatientversion2peerreview2approved AT dobromirashopova casereportadigitalworkflowinthetreatmentofbruxisminayoungpatientversion2peerreview2approved |