It is estimated that nearly one-third of the population of North America are bruxers and clenchers. Since the forces generated during bruxism can be as much as six times the maximum forces caused by ordinary chewing, many dental and joint conditions can be created in the patient with bruxism.
It has been shown that the signs and symptoms of bruxism can be countered by nocturnal splint therapy, and can provide immediate relief. It is especially vital to initiate splint therapy before and after placement of dental restorations, to both diagnose and intercept bruxism and to ensure maximum life of the new restorations.
"Burbank Dental Lab is very involved in the fabrication of virtually every type of occlusal guard and bite splint. We are aware of the appliances for which our clients give the most positive feedback. BiteSoft® is one of the most popular bruxism and TMD appliances that we offer."
--- TONY SEDLER, PRESIDENT
There are many competing philosophies and treatment modalities for addressing bruxism and temporomandibular joint disorder. As a full-service dental lab, Burbank Dental Lab is very involved in the fabrication of virtually every type of occlusal guard and bite splint. We are aware of the appliances for which our clients give the most positive feedback BiteSoft® is one of the most popular bruxism and TMD appliances that we offer.
Why Use BiteSoft® in Your Dental Practice?
Based on the responses from our clients there are several reasons to consider using BiteSoft® in your practice.
- Patient compliance - Patients actually wear BiteSoft® more than their full arch counterparts. Compliance is critical to the success of any treatment, even if you argue that there are better appliance therapies. If those appliances are not worn the treatment is a failure.
- Incorporates several essential attributes - Essential attributes that are individually beneficial for the successful treatment of bruxism and TMD, and combined they make BiteSoft® one of the more predictable successful treatment splint appliances.
- Posterior disclusion - This allows for less muscle stress and can cool down hot, overactive facial muscles. It does this by directing all of the bruxing forces to the weakest biting force in the anterior.
- Mandible anterior repositioning - The lingual repositioning ramp keeps the mandible positioned down and forward. This relieves joint and muscle pain and keeps the airway slightly more open.
- Prevents anterior splaying - Unlike some smaller anterior deprogrammers, BiteSoft® prevents anterior splaying. This is accomplished by covering all 6 anterior teeth (6-11) as opposed to two teeth on which some appliances rest.
- Basic Clinical Records - Clinical records required are straightforward and can be easily delegated to your dental team. Only Upper and lower impression and MIP bite are needed.
- Adjustments are minimal to nonexistent.
- May reduce snoring by keeping airway more open.
- Anterior lingual discluding ramp
- Indicated for maxillary arch only
- Fabricated in dual laminate
- Only covers 6-11
- Protects porcelain restorations
- Prevents tooth damage
- May relieve jaw and neck pain
- Provides 70% reduction in the intensity of bruxism
- Eliminates posterior clenching
- Stabilizes occlusion for TMD patients
- More comfortable than full arch appliances
- Extremely high patient compliance.
Initial Impression Appointment:
- Simply take a PVS impression of mandibular and maxillary arches.
- No special bite registration is required.
- Simply insert the appliance in the patient’s mouth and check that it cannot be easily removed with just the lip or tongue pressure.
- Adjust the device and ensure the patient cannot retrude the mandible past the posterior edge of the ramp. This is best done with the patient lying down. The lingual ramp is designed to guide the incisors onto the incisal table. It is vital that the occlusal load is distributed evenly over 3 or 4 opposing incisor teeth to optimize bruxism inhibition.
- The vertical opening with the appliance does not need to be more than 2 millimeters in the majority of cases because minimal clearance of posterior teeth is all that is required for all positions of the mandible.
- Be sure to check that the incisal table is at right angles to the long axis of the opposing anterior teeth.
- Because some patients occasionally require extra time to adapt to their splint, it is crucial that these patients only wear their splint for a few hours before bed until they become more familiar and comfortable with the appliance. Some initial muscle tenderness is not uncommon in patients, especially for those who have not worn splints previously.
- Only the four opposing incisor teeth should contact the incisal table simultaneously. To facilitate muscle relaxation, check that the opposing cuspids do not contact the incisal table.
- There should be no posterior contacts against the appliance when the opposing incisors are in contact with the incisal table or in any excursive movement. Opposing cuspids may contact the appliance in lateral excursions. Cuspid contact in lateral excursions will not diminish the inhibition effect.
- It is recommended to make contact with the patient soon after the insert appointment to assess the BiteSoft® splint for comfort and compliance. Review the appliance and teeth at regular intervals.
The BiteSoft® splint is designed to help patients who clench or grind their teeth at night.
Dentists who prescribe the BiteSoft® splint can help reduce discomfort and promote a more restful night’s sleep.
If your patient suffers from TMJ or Bruxism, the BiteSoft® device can be a safe, pain-free, and effective way to reduce adverse symptoms.
BiteSoft® is one of the most effective treatments for bruxism and TMJ pain. Because of its therapeutic design and comfort patients will love it and wear it.