Appointment 1: Diagnostic model and splint type selection
- Splint Material Selected:
- Hard Acrylic Resin
- Soft / Silicone
- Dual Laminated / Talon
- Reasoning:
- Hard Acrylic
- Permissive splint for :
- Relaxing elevator muscles and decreasing the effects of bruxism
- Redistributing occlusal forces
- Joint stabilization and tooth protection
- Permissive splint for :
- Hard Acrylic
- Arch Selection:
- Maxillary (Michigan)
- Mandibular (Tanner)
- Thickness:
- Muscle relaxation
- 4.4 mm to 8.2 mm
- Tooth wear prevention
- Minimal (based on material)
- Disk displacement
- 4mm thickness for disk displacement with reduction
- 6mm thickness for disk displacement without reduction
- Muscle relaxation
Copy-pastable checklist
MICHIGAN SPLINT — [arch: maxillary (Michigan) / mandibular (Tanner)]
APPOINTMENT 1 — DIAGNOSTIC MODEL AND SPLINT TYPE SELECTION
- Select the splint material. Circle or delete so that only the chosen material is left.
Hard acrylic resin.
Soft or silicone.
Dual-laminated, such as Talon.
- Record the reasoning for the material chosen.
Hard acrylic is a permissive splint. It is used to relax the elevator muscles and to decrease the effects of bruxism, to redistribute the occlusal forces, and for joint stabilisation and tooth protection.
- Select the arch. Circle or delete so that only the chosen arch is left.
Maxillary, which is the Michigan splint.
Mandibular, which is the Tanner splint.
- Select the thickness according to the indication. Circle or delete so that only the chosen indication is left.
For muscle relaxation, make the splint 4.4 mm to 8.2 mm thick.
For tooth wear prevention, keep the thickness minimal, and base it on the material used.
For disc displacement, make the splint 4 mm thick if the displacement is with reduction, and 6 mm thick if the displacement is without reduction.