Don’t know about Dental Impressions and how they work? Is it a good idea to use a Dental Splint for Bruxism?
A Dental Splint impression is a custom-made oral device that fits over your teeth and is used to treat a variety of dental problems. Unlike over-the-counter dental splints, which are generic and not designed to fit your specific mouth, a custom-made dental splint impression is created by a dentist who takes an impression of your teeth to ensure a perfect fit.
This type of dental splint is typically used to treat bruxism, a condition in which you grind or clench your teeth while you sleep. It can also be used to treat temporomandibular joint disorder (TMJ), a condition that affects the jaw joint and can cause pain and discomfort.
The dental splint impression is designed to help protect your teeth from damage caused by grinding or clenching, as well as to help relieve symptoms of TMJ. It can be worn at night while you sleep or during the day, depending on your specific needs.
What are Dental Impressions Used for?
Dental impressions are a common procedure used in dentistry to create a replica of a patient's teeth and surrounding tissues. These impressions are used to create custom dental devices such as crowns, bridges, dentures, and dental splints.
In particular, a dental splint impression is a custom-made oral device used to treat bruxism, a condition characterized by the grinding or clenching of teeth during sleep. This condition can lead to tooth damage, jaw pain, headaches, and other oral health problems.
A dental splint impression, also known as an occlusal splint or night guard, is designed to protect the teeth from damage caused by bruxism. The device is made from an impression of the patient's teeth and fits snugly over the top or bottom teeth. It works by preventing the teeth from coming into contact with each other and absorbing the forces created by grinding and clenching.
Dental splint impressions can be made from a variety of materials, including hard acrylic, soft vinyl, or a combination of both. They are typically worn at night while sleeping but can also be worn during the day. Let’s see the different materials used in dental splint impressions:
Hard Acrylic: These splints are made of rigid, hard plastic and are the most durable and long-lasting option. They are also highly effective in preventing teeth grinding and jaw clenching. However, they may be uncomfortable for some patients to wear and can be more expensive.
Soft Vinyl: These splints are made of a soft, flexible material and can be more comfortable to wear. They are often less expensive than hard acrylic splints and can be a good option for patients with sensitive teeth or jaws. However, they may not be as effective at preventing teeth grinding and may wear out more quickly than hard acrylic splints.
Combination Splints: These splints combine the benefits of both hard acrylic and soft vinyl materials. They are made of a hard outer layer and a soft inner layer for comfort. They can be effective in preventing teeth grinding and jaw clenching while also being comfortable to wear. However, they may be more expensive than other options.
Dental implants are not impressions, but they can lead to bruxism. According to a meta-analysis published in the Implant Dentistry journal, dental implants may cause bruxism due to occlusal discrepancies or other factors such as implant length or location [1]. Bruxism is a common issue among patients with dental implants, and it can result in implant failure or other complications.
How Are Dental Impressions Made?
Dental impressions are a critical aspect of creating a custom-made dental device, such as a dental splint impression. These impressions are created by taking an accurate mold of a patient's teeth and surrounding tissues traditionally using a special dental putty. The dental putty is placed in a tray that is then inserted into the patient's mouth, where it sets to create an impression of the teeth and gums. This is different than a digital impression, which involves using a digital scanner to create a 3D image of the patient's teeth and gums.
Once the dental impression is made, it is sent to a dental lab, where a custom-made dental device, such as a dental splint impression, is created based on the specific needs of the patient. The dental lab uses the impression as a guide to create a precise replica of the patient's teeth and gums.
In the case of a dental splint impression, the device is made from a hard acrylic material or a combination of hard and soft materials. The dentist will then adjust and fit the dental splint impression to ensure a comfortable and secure fit for the patient.
What is the Purpose of Taking Dental Impressions?
Dental impressions are a crucial aspect of creating a custom-made dental device, such as a dental splint impression. The primary purpose of taking dental impressions is to create an accurate mold of a patient's teeth and surrounding tissues. This mold is then used to create a custom-made dental device that fits perfectly in the patient's mouth.
Dental splint impressions are particularly useful in treating bruxism, a condition characterized by grinding or clenching of teeth during sleep. It can also be used to treat the Temporomandibular Joint Disorder (TMJ) by alleviating the stress on the joint caused by grinding and clenching. And, they are often used in a variety of physical contact sports.
In addition to dental splint impressions, dental impressions are also used to create a variety of other custom-made dental devices, including crowns, bridges, and dentures. Dental splint impressions ensure a comfortable fit and help to maximize the effectiveness of the device.
Overall, the purpose of taking dental impressions is to create custom-made dental devices that fit accurately and comfortably in the patient's mouth, leading to acceptance, improved oral health and function.
Benefits of Digital Impressions
● Are faster and more comfortable for patients than traditional dental impressions, which require the use of dental putty.
● Provide greater accuracy and precision than traditional impressions, resulting in better-fitting custom-made dental devices such as dental splint impressions.
● Can be stored digitally and easily shared with dental labs, reducing the risk of physical damage or loss of the impression.
● Can be used to create a wide range of custom-made dental devices, including crowns, bridges, and dentures, in addition to dental splint impressions.
● Reduce the need for multiple appointments and adjustments, leading to more efficient and convenient dental care for patients.
● Allow for real-time feedback and adjustments, leading to improved communication and collaboration between the dentist and dental lab.
Types of Dental Impressions
Dental impressions are a crucial aspect of creating custom-made dental devices, such as crowns, bridges, dentures, and dental splint impressions. There are three different types of dental impressions that dentists use to create these devices: preliminary impressions, final impressions, and bite registrations.
1. Preliminary Impressions
Preliminary impressions are the first impressions taken by the dentist to get a rough idea of the patient's teeth and surrounding tissues. They are typically used to create study models or initial treatment plans.
2. Final Impressions
Final impressions are more accurate and precise than preliminary impressions and are used to create custom-made dental devices, such as crowns, bridges, and dentures. These impressions are taken after the teeth have been prepared and are used to create a precise replica of the patient's teeth and surrounding tissues.
3. Bite Registrations
Bite registrations are impressions taken to capture the relationship between the upper and lower teeth when the patient bites down. These impressions are used to create custom-made dental devices, such as dental splint impressions, that fit accurately and comfortably in the patient's mouth.
Difference Between Physical Dental Putty vs Digital Dental Impression
The main difference between physical dental putty and digital dental impressions is the method used to capture the mold of a patient's teeth and surrounding tissues. Physical dental putty involves placing a putty-like material in a tray and inserting it into the patient's mouth to create an impression. In contrast, digital dental impressions use specialized technology to create a 3D digital model of the patient's teeth and gums.
Digital dental impressions offer several advantages over physical dental putty, including greater accuracy and precision, faster turnaround times, and increased patient comfort. Digital impressions also eliminate the need for physical storage and transport of physical impressions, as they can be stored digitally and easily shared with dental labs.
However, physical dental putty is still commonly used in certain cases where a digital impression may not be suitable or available. Physical dental putty is commonly used in cases where a patient has a strong gag reflex or has difficulty keeping their mouth open for an extended period of time.
Additionally, in some situations, the area to be scanned may be difficult to access with a digital scanner, such as in the case of a deep restoration or a subgingival margin. In these cases, physical dental putty remains a reliable and effective method for creating dental impressions. Ultimately, the choice between physical dental putty and digital dental impressions depends on the specific needs and preferences of the patient and dental professional.
How Long Does it Take to Take Dental Impressions?
The time it takes to take dental impressions can vary depending on the type of impression being taken and the individual patient. Generally, preliminary impressions take less time than final impressions since they only capture a rough idea of the patient's teeth and surrounding tissues.
Physical dental putty impressions can take anywhere from two to five minutes per tray, with multiple trays often used to capture different parts of the mouth. Digital dental impressions typically take less time, with the entire process often taking around five to ten minutes.
It's important to note that taking dental impressions requires a high degree of precision and accuracy to ensure that the final custom-made dental device fits accurately and comfortably in the patient's mouth. For this reason, dental professionals may take their time to ensure that the impression is of the highest quality.
In summary, the time it takes to take dental impressions can vary depending on the type of impression being taken and the individual patient. A dental putty impression typically takes around 5 to 7 minutes to set in the patient's mouth. However, the total time required for the entire process, including preparation and cleanup, can take up to 30 minutes. Physical dental putty impressions can take longer than digital impressions, but both methods require a high degree of precision and accuracy to ensure optimal results.
Should You Consider Dental Impressions?
Dental impressions are recommended for a wide range of patients who may need custom-made dental devices or restorative treatments. Here are some examples of who should consider dental impressions:
Patients in need of crowns or bridges: Dental impressions are used to create custom-made crowns or bridges that fit accurately and comfortably in the patient's mouth.
Patients in need of dentures: Dental impressions are used to create custom-made dentures that fit precisely over the patient's gums.
Patients with bruxism: Dental impressions are used to create dental splint impressions, which are custom-made dental devices that protect the patient's teeth from damage caused by bruxism or teeth grinding.
Patients with TMJ disorders: Dental impressions are used to create custom-made oral appliances, such as mouthguards or splints, to help alleviate TMJ-related pain and discomfort.
Patients undergoing orthodontic treatment: Dental impressions are used to create custom-made orthodontic appliances, such as retainers or clear aligners, that help straighten teeth and improve the patient's bite.
In summary, dental impressions are recommended for patients in need of custom-made dental devices or restorative treatments, including those with bruxism, TMJ disorders, or undergoing orthodontic treatment. If you think you may benefit from dental impressions, speak with your dental professional to learn more.
Are There Risks Associated with Dental Impressions?
Dental impressions are generally considered safe, but like any dental procedure, there are some risks and potential side effects to be aware of. Here are a few things to keep in mind:
Discomfort: Some patients may experience discomfort or gagging during the impression-taking process. However, dental professionals can take steps to minimize discomfort, such as using smaller trays or taking breaks during the procedure.
Allergic reactions: Patients may experience an allergic reaction to the materials used in dental impressions, such as silicones or alginates in physical dental putty. However, allergic reactions are rare and dental professionals can take steps to identify and prevent them.
Inaccurate impressions: Inaccurate impressions can occur if the patient moves or if the impression material doesn't set properly. This can result in poorly fitting dental devices or restorations. However, dental professionals can take steps to minimize the risk of inaccurate impressions, such as using digital impressions or taking multiple impressions.
Cross-contamination: There is a risk of cross-contamination if the impression material or equipment is not properly cleaned or sterilized. However, dental professionals are trained to follow strict infection control protocols to minimize the risk of cross-contamination.
Overall, dental impressions are considered a safe and effective way to create custom-made dental devices or restorations. However, it's important to discuss any concerns or potential risks with your dental professional before undergoing any dental procedure.
Applications of Impressions in Dentistry
Applications of dental impressions are varied and critical in various areas of dentistry. Here are some common applications of dental impressions:
Restorative Dentistry: Dental impressions are used in restorative dentistry to create custom-made crowns, inlays, onlays, and other restorations that fit accurately and comfortably in the patient's mouth. Impressions are used to create a replica of the patient's tooth or teeth that need restoration. This process ensures the restorative work fits seamlessly with the existing dentition and restores functionality [2].
Prosthodontics: Dental impressions are used in prosthodontics to create custom-made dentures, bridges, and dental implants. Impressions ensure the prosthetic device is custom-fit for the patient's mouth. These prostheses aim to restore the patient's oral function and aesthetics, thereby improving their quality of life.
Orthodontics: Dental impressions are used in orthodontics to create custom-made retainers, aligners, and braces. The impressions help orthodontists design a treatment plan and manufacture orthodontic devices that straighten teeth, correct bites, and improve overall oral health.
Implantology: Dental impressions are used in implantology to create a surgical guide and to design custom-made dental implants that fit accurately in the patient's mouth. This process helps to ensure proper implant placement and improves the long-term success of dental implants.
Periodontics: Dental impressions are used in periodontics to create custom-made gum guards, splints, and other oral appliances. These appliances are designed to protect the patient's teeth and gums from damage caused by grinding or clenching and to treat periodontal disease.
Bruxism: Dental impressions are used to create dental splint impressions that protect the patient's teeth from damage caused by bruxism or teeth grinding. These splints are custom-made dental devices that are placed in the patient's mouth to prevent teeth from touching and grinding against each other, thereby reducing the risk of damage to teeth.
Dental impressions have a wide range of applications in dentistry, from restorative dentistry to implantology, periodontics, orthodontics, and treating bruxism. Dental impressions are an essential tool for dental professionals to design and create custom-made dental devices that fit accurately and comfortably in the patient's mouth.
Custom Dentist Impression Brands
1. Custom Night Guard: Pros and Cons of Protecting Your Bite
There are several custom dentist impression brands available, but one of the most popular options is the Custom Night Guard. This dental device is designed to fit perfectly in your mouth and provide protection to your teeth from grinding and other forms of damage. While the cost of a Custom Night Guard can range from $150-$175, there are several pros and cons to consider before investing in this dental device. One of the major benefits of a Custom Night Guard is its personalized fit, which ensures maximum protection and comfort. However, some patients may find the cost to be a drawback, and it's important to note that a Custom Night Guard may not be covered by insurance. Ultimately, the decision to invest in a Custom Night Guard should be made in consultation with your dentist, who can recommend the best option for your individual needs.
2. Night Guard Impressions - Pro Teeth Guard
Night Guard Impressions by Pro Teeth Guard is a popular custom dentist impression brand that offers a cost-effective solution for protecting your teeth from the effects of bruxism. The dental device is designed to fit perfectly in your mouth, providing maximum protection and comfort. The cost of Night Guard Impressions can range from $90-$105, making it an affordable option for those who may not be able to invest in more expensive custom night guards. The process of taking impressions for this dental device is simple and straightforward and can be done in the comfort of your own home with a kit provided by Pro Teeth Guard.
3. Bite Splints, Mouthguards, Retainers, Erkodent and PlaySafe
When it comes to protecting your teeth, custom dental devices such as bite splints, mouthguards, and retainers can be highly effective solutions. Erkodent and PlaySafe are popular custom dentist impression brands that offer a range of dental devices for various dental needs. Erkodent specializes in bite splints, which are designed to alleviate the effects of bruxism and other dental issues. On the other hand, PlaySafe offers a variety of mouthguards and retainers for patients of all ages. The cost of these custom dental devices can range from $200 upwards, depending on the specific type and customization required.
Dental Impressions in Children
Dental impressions are not just for adults. Children can also benefit from dental impressions, especially when it comes to bruxism. Bruxism, or teeth grinding, is a common problem in children that can lead to tooth damage and other oral health issues. A custom-made dental device, such as a split impression, can help protect the child's teeth and reduce the risk of damage caused by bruxism. Split impressions are custom-made dental devices that fit comfortably in the child's mouth and prevent the teeth from grinding against each other. It's important for parents to discuss any concerns about their child's oral health with their dentist and consider dental impressions as a possible solution. Dental impressions in children can be a proactive step in protecting their oral health for years to come.
The Best Materials for Impression Taking in Children
Choosing the right material for taking dental impressions in children is crucial to ensure the accuracy and comfort of the impression. Children require materials that are safe and comfortable to use, while also being durable enough to withstand use and the impression process [3].
Some of the best materials for impression-taking in children include silicone, vinyl polysiloxane, and hydrocolloid. Silicone is a popular choice because it is safe, easy to use, and provides accurate impressions.
Vinyl polysiloxane is another great option, as it has a fast-setting time and is very accurate. Hydrocolloid is also commonly used, especially in pediatric dentistry, because it is non-toxic and has a pleasant taste. It's important to work with a qualified dentist who can determine the best material to use for your child's individual needs. Choosing the right material can make all the difference in ensuring a successful and comfortable impression taking experience for your child.
Conclusion
Taking dental impressions is a relatively simple and straightforward process, and there are a variety of materials available to ensure a successful impression experience.
With advancements in digital technology, dental impressions have become even more accurate and efficient, making it easier than ever for dentists to diagnose and treat dental problems. Overall, dental split impressions are an important tool in ensuring good oral health, and those suffering from bruxism or other dental ailments should consider discussing the benefits of custom-made dental devices with their dentist.
References:
[1] Chrcanovic, Bruno Ramos DDS, MSc*; Albrektsson, Tomas MD, PhD†; Wennerberg, Ann DDS, PhD‡. Bruxism and Dental Implants: A Meta-Analysis. Implant Dentistry 24(5):p 505-516, October 2015. | DOI: 10.1097/ID.0000000000000298
[2] Cervino G, Fiorillo L, Herford AS, Laino L, Troiano G, Amoroso G, Crimi S, Matarese M, D’Amico C, Nastro Siniscalchi E, Cicciù M. Alginate Materials and Dental Impression Technique: A Current State of the Art and Application to Dental Practice. Marine Drugs. 2019; 17(1):18. https://doi.org/10.3390/md17010018
[3] Ender, A., Zimmermann, M., Attin, T. et al. In vivo precision of conventional and digital methods for obtaining quadrant dental impressions. Clin Oral Invest 20, 1495–1504 (2016). https://doi.org/10.1007/s00784-015-1641-y
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