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Talon Splint Therapy: Traditional vs. Digital Methods
Written by Andrew Sedler
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Approximately 80-90% of the population grinds their teeth, according to the International Journal of Oral Science. Bruxism contributes to temporomandibular joint disorders (TMJ), chronic pain, and myofascial disorders. This occurs because bruxers can exert about six times more force during chewing than non-bruxers, which causes an array of symptoms, including teeth grinding, clenching, flattened teeth, fractured or chipped teeth, and pain or sensitivity in the mouth.
Many clinical experts strongly recommend a conservative approach to TMJ treatment since it is a complex joint with many nerves. This translates to finding solutions that avoid surgery entering the jaw or joint tissues. This has led to the development of nocturnal splint therapy. These therapies have helped many patients find relief from the symptoms of sleep bruxism.
Talon Splints
One option for patients suffering from teeth grinding is to use splint therapies. The Talon Splint is a highly prescribed therapy for this purpose. The Talon Splint is for those cases that require the combined features of a hard and soft splint. A thermoplastic polymer is used to fabricate this occlusal splint. A thermoplastic layer is bonded to a harder acrylic layer to create an occlusal table.
The splint can be customized simply by heating in water. A patient can warm up the device every time they wear it. As well as providing exceptional retention, it is very comfortable. These are the benefits of the Talon Splint:
The highest level of comfort
Excellent retention
Opposing dentition maintains a proprioceptive response
Requires no clasps to be retained
The ability of the patient to speak will not be impaired
With its soft retentive area, the Talon Splint provides a superior fit. This feature enables the patient to adapt quickly to the new environment since there are no pressure points.
In addition, this feature also reduces chair time since the need to make adjustments is minimized.
Steps to an Excellent Talon Splint (Traditional Impression Methods)
It is important to ensure an occlusal guard fits predictably and provides comfort to the patient. If there are issues with a splint not fitting properly in the patient’s mouth, it may be due to the following:
Distorted impressions
Bite issues (poor or no bite registration)
Mounting issues
To create a more predictable outcome, impression-taking and model work are extremely important and accuracy is crucial. When an appliance does not fit properly, this will cost the laboratory as well as the doctor time and money and will require an additional visit for the patient. With patient satisfaction being so important to a dental practice, taking the right steps with any dental procedure can have a huge impact on a patient’s experience.
When working with traditional impression methods, the following should be considered to allow for accuracy in the final splint:
In most cases, a custom impression tray will be the most suitable choice.
For multiple pours, use polyvinyl or polyether.
To prevent the impression from separating from the tray, use an adhesive. It is possible for even the slightest separation to result in an appliance that does not fit properly.
A sufficient amount of impression material should be used.
The dentition should be dried before the impression tray is placed in the mouth. Better adaptation will be possible after drying.
Consider using a construction bite like a wax bite, Lucia jig, or George gauge.
For accurate horizontal and occlusal plane measurements, use a face bow, such as the Kois Facial Analyzer.
Based on this information, the case can be mounted on a semi-adjustable articulator like the Panadent. In this manner, the occlusal needs of the patient will be accurately represented, and the appliance will be constructed with the most precision.
As long as these initial steps are accurate, Burbank Dental Lab can guarantee the fit of the appliance will be accurate.
Steps to an Excellent Talon Splint (Digital Impression Methods)
Accuracy is equally important for those practices using an intraoral scanner for digital impressions. For a digital workflow, the following steps are necessary:
Using an intraoral scanner, scan the complete upper and lower arch.
Take a construction bite with the desired appliance placement in mind.
Once the bite is set, then the left and right buccal are scanned.
A digital file will be created with the bite in the proper position.
A model can then be printed, and the occlusal appliance fabricated.
Digital impression methods are now a staple in many dental practices. There are advantages to using digital technologies, and the main advantage is the improved overall workflow.
Some of the additional benefits include:
Faster turnaround times
Lower shipping costs
Patients report being more comfortable than traditional methods
More accurate replication of the oral environment
Burbank Dental Lab has been the lab of choice for over 65 years because we understand the needs of our clients. By understanding your needs and providing support, we can provide services that help your patients and, ultimately, you.
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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.
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