Talon™ Occlusal Splints & Splint Success Guide

mm Written by Andrew Sedler

Talon Occlusal Splints - Burbank Dental Lab
One of the most beneficial treatments in dentistry is the use of nightguards and occlusal splints. It is important to follow a few simple but critical guidelines to attain the most predictable results. As the clinician, you can control the parameters of the appliance and ensure an accurate and comfortable fit and proper occlusal relationship. The purpose of this article is to cover some of the basic but essential steps to follow and additionally to discuss the value of prescribing Talon™ splint appliances.

 

It is frustrating to the clinician and the technician when the appliance fits the model but not the patient.

 

Why does this happen? 

    1. Distorted or incomplete impressions.
    2. Construction bite not used.
    3. Mounting on inadequate articulator.
    4. Damage to models in the laboratory processing.

What You Will Learn In This Article

  • Steps to acquiring the best impression possible
  • Types of construction bites
  • Reasons for taking a face-bow
  • Prescribing a Talon™ appliance
  • Choose Burbank Dental Lab for fabrication of the Talon® appliance

Steps to Occlusal Appliance Success

Step 1: Acquiring the best impression possible.

Taking impressions for an orthotic appliance should not be treated lightly. If the appliance does not fit the patient, remaking the impression and the appliance costs the doctor and laboratory money and necessitates an additional visit for the patient. The impression for a night guard or occlusal splint requires as much detail as does an impression for any restoration.

Following proper protocol for the impression is critical for having a working model that is a true replica of the teeth. This will ultimately minimize remakes and lead to accurate splints the first time. There are several ways to accomplish this:

Ensure that the tray is fit properly. It is important to fully capture all of the teeth. Very often the distal abutment has distortions or is incomplete. Being sure the tray is large enough is also very important. The tray should not impinge on areas such as the maxillary tuberosities, the retromolar pads, or the facial or lingual folds. When the tray is seated, the pressure should not be excessive, and the tray should be held in place without further compression while the impression material is setting. A custom tray is the most predictable tray choice.

talon tray if fit properly

It is recommended to use polyvinyl or polyether material, this will allow multiple pouring of the impression and facilitate the checking of fit after processing. 

It is very important that the appropriate tray adhesive is used, and that the entire surface of the inside and borders of the tray be coated. If the impression separates from the tray in any way the distortion may cause an ill-fitting appliance. The same procedures must be followed for the impression of the opposing as well.

Talon tray adhesive

Tray adhesive - Figure 3

Ensure that adequate impression material is used, especially the posterior of the tray. 

Drying the teeth before seating the impression will allow better adaptation of impression materials to the tooth surfaces.

Step 2: Construction Bite

The use of a construction bite is one of the most important steps that the clinician can take to ensure the desired occlusal relationship. If no bite is taken or just a MIP bite is taken, then the occlusal relationship will change significantly if the technician is left to open the bite on a simple hinge articulator.

If the clinician makes a construction bite in the patient’s mouth to the desired specification then when the models are articulated they are in the correct position. You have effectively used the best articulator to create the relationship, that being the patient’s own jaw relationship. Regardless of your occlusal philosophy, this puts you in the driver's seat. If you take a bite in CR or an opening from MIP, you control the results.

Types of Construction Bites

  • Horseshoe shape
  • 1CM thick
  • Incisal edges of incisors should not be covered; it should be lingual of the lower incisors
  • Shorten the distal ends so that the last molar is not covered

Wax construction bite

Establish the VDO and occlusal relationship desired, then use a PVS bite registration material to lock in the posterior for articulation purposes. 

Lucia Jig

George Gauge

Step 3: Take A Face-Bow

Specifically, I like the Kois facial analyzer bow. This tool allows you to take a very quick face-bow record, and establish the relationship of the central incisors to the condyles and capture an accurate horizontal and plane of occlusion.

Taking a face-bow
It also allows the technicians to mount your casts quickly and accurately onto a semi-adjustable articulator (Panadent). Mounting the case onto a semi-adjustable articulator will enable the technician to more accurately refine the appliance to your occlusal records.

Prescribing a Talon™ Appliance is your silver bullet to patient comfort.

 

Talon Appliance from Burbank Dental Lab

If you follow the above steps and prescribe the use of Talon™ material to fabricate your occlusal orthotic you will be virtually guaranteed a successful result.

Talon™ appliances are much easier to deliver than conventional hard appliances.

Most clinicians have often experienced that splints and orthotics can take an inordinate amount of chair-time to get the patient comfortable. Talon™ appliances solve this challenge by combining the best features of a hard splint and a soft splint while eliminating the inherent disadvantages of either type.

The portion of the appliance that comes in contact with the teeth is made of a soft, thermoplastic polymer. The appliance can be pre-warmed in warm water to allow for a “custom fit” every time the patient inserts it. It is this attribute that allows Talon™ appliances to deliver an extremely comfortable wearing experience while maintaining maximum retention.

Talon™ material is engineered for ideal comfort and retention at body temperature. It provides superior retention without creating any forces that can cause the teeth or tissues to become sore. Internal adjustments are virtually nonexistent due to the “custom fit” experience at each insertion. The pliable thermoplastic interior is bonded to a hard acrylic shell that allows for occlusal build up and normal occlusal adjustments. Unlike other thermoplastics currently available, Talon™ maintains its original flexibility for years. A hard acrylic is chemically bonded to processed Talon™ material to form splint's occlusal surface, allowing easy, precise occlusal adjustments. Proper proprioceptive response with the opposing dentition is maintained.

Benefits of Talon™ Appliances

  • 1

    Comfort

    Ultimate comfort while still maintaining maximum retention.

  • 2

    Allows for Adjusting and Polishing

    Accurate and adjustable hard occlusal surface allows for normal occlusal adjusting and polishing.

  • 3

    Great Treatment Options

    Great treatment option for patients needing a splint for bruxism, periodontal splinting, orthodontic stabilization, or TMJ dysfunction.

  • 4

    Safest Splint Tested

    Safest Splint Tested - No Discernible Leaching of Free Monomer! Studies verify residual monomer level of only 0.14%

  • 5

    Great Utilization

    Can be utilized for all splint designs.

Step 4: Final

The final step is to use a lab that is exceptionally experienced in the fabrication of
occlusal orthotics, and specifically in the fabrication of Talon® appliances. Burbank Dental Lab has over 25 years of experience with this type of appliance and is one of a very few certified Talon™ laboratories in the country.

Did you like this article?

Let us know by giving us a clap!

Top 10 Most Clapped Articles

Resource Center

Products

Slide 1

Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
State-Of-The-Art
3d Printers

Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.

Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
State-Of-The-Art
3d Printers

Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.