How Occlusal Splints Work For My Practice

orthodontic-splits

Our treatment philosophy at Masters Orthodontics is characterised by clearly defined treatment goals. Possibly the most important of these goals is to have healthy and stable Temporomandibular joints (TMJ’s) before, during and after orthodontic treatment.

Many of our patients present signs and symptoms of TMJ problems when they come in to see us for an initial orthodontic consultation. Frequently the teeth don’t occlude properly and the joints adapt by moving the mandible into a more “comfortable” position to allow them to fit together better. In essence, there is a discrepancy between Maximum Intercuspation (MI) and Stable Condylar Position (frequently referred to as Centric Relation). Over time, this altered condylar position can, unfortunately, lead to temporomandibular disorders (TMD).

In my practice we first need to stabilise any articular problems before embarking on any irreversible orthodontic treatment. We scan the patient, design and 3D print a deprogramming splint which is used to reduce muscular pain and hyperactivity and to stabilise the condyles thus obtaining better occlusal stability.

In short, the important goals in orthodontic treatment (namely facial aesthetics, dental aesthetics, functional occlusion, periodontal health and TMJ health) are based on a stable and healthy joint.

There are many different types of splint shapes and designs, all of which have their own rationale and philosophy. Some are used in the upper arch whilst others in the lower. 

At Masters Orthodontics we use a 3 piece FACE Functional Splint. As the name implies, it is comprised of three separate pieces, 2 posterior segments (used during the day) and one anterior segment (used at night).

The objective is to obtain equal intensity stops with anterior and canine guidance incorporated into the design. By relaxing the muscles of mastication we allow the condyles to adopt a stable position within the glenoid fossa. 

It is imperative that we see the patient periodically to adjust the splint. Unfortunately the splint by itself has limited therapeutical effect if not checked and adjusted. The splint must be used 24/7 (including during meal times) and should only be removed to clean.

Dr. Laurence Masters

Ready To Smile?

Had Invisalign treatment (top and bottom teeth) with Dr Masters from Feb '19 to March '20. Great professional and friendly service, options thoroughly explored and explained which was required as I had a tricky... situation with a remaining baby tooth to work around. Very pleased with the results, everything went smoothly in line with predicted time frames. Highly recommend Dr Masters to anybody else considering teeth straightening procedures.read more
Michael Beasley
Michael B.
I couldn't have asked for a better dentist doing my braces. Lawrence is an excellent orthodontist - always providing the best service. I travel from Manchester to see him and I would highly recommend him. Grateful for... everything he has done for me. Thank you again Lawrence.read more
Zainab Arshad
Zainab A.
Dr Masters is a highly qualified orthodontist applying the latest technology to provide a service of excellence. Highly recommended.
Amarals Trilogy
Amarals T.
I was very impressed with Dr Masters' approach, he took his time to explain the different treatment options for my particular dental problem. I have been suffering with jaw pain for several years and in 45 minutes Dr... Masters managed to explain to me what no one had been able to do for 20 years. I am very happy with the treatment and I no longer suffer from headaches and jaw pain. I highly recommend him.read more
John Straker
John S.
I was recommended to see Laurence for my orthodontics and it's so worth it!I travel all the way from Oldham to Chester every 6 weeks for my treatment and wouldn't change that for anything.He is very professional and... extremely knowledgeable in this field, yet treats you just like a family friend and is somebody who I would certainly recommend to see, whatever your concerns may be, he is the man!I'm half way through my treatment, currently have fixed braces on and there has been so many positive changes so far... I can't wait till it's all complete, thanks again Laurence!read more
Jay Parker
Jay P.
I have recently started Invisalign treatment with Dr. Masters and so far I am really happy with it. Laurence is knowledgable, friendly and very professional. He takes the time to explain procedures and has a true... passion for his work. He offers the latest 3D technology instead of the horrible mold they usually take of your bite. He uses a camera that instantly projects your teeth on a screen - amazing technology and no discomfort.With English not being my native language, I was so happy that I could explain everything to him in my own language as he speaks Spanish, Portuguese and English all fluently! I highly, highly recommend him!!read more
Diana Caballero
Diana C.