In Lab Time
2 weeks

ADA Codes
D9940 Nightguard

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Artistic Dental Laboratories offers three options for your patients. Choose from:

Hard/Soft Dual Laminate Splint is unique in design in regards to its comfort and fit.
  • Hard outer surface is durable and crystal clear
  • Soft inner surface rests comfortably against the teeth and tissue
  • Color choices (clear /blue / pink / green) and designs
Hard Processed Splint — Most Widely Used
  • Prescribe the hard acrylic night guard for your patients that require a rigid night guard with absolutely no flexibility.
  • It can easily be repaired and altered to specific design requirements
  • Extremely dense material reduces the chance of breakage
  • Made to specific tooth shades or white
Thermoplastic Splint
  • Self-adjusting when pre-softened with warm water permitting the closest fit
  • Eliminates allergy issues because there is methyl methacrylate design available
  • Transparent in fabrication
  • Breakage resistant composite resin
  • Ideal for patients that are allergic to acrylics or metals
All CRA’s
  • Custom-made to your patient’s unique bite
  • ISO-certified materials are BPA-free and non-allergenic
  • Non porous surface greatly lessens odor-causing plaque and bacteria
  • Non irritating fit and comfortable to wear
  • Protection against bruxing.
  • Better fit reduces post-op chair time and provides greater comfort
  • Dimensional stability results in fewer, if any, adjustments which are done conventionally
  • Ramps and guide plans can be added to reposition mandible
  • Custom-made Muscle Deprogramming Guide are made for that particular time when the cast of the dentition is taken.
  • Bruxism is when a patient clenches (tightly holds their top and bottom teeth together) or grinds (slides their teeth back and forth over each other) their teeth.
  • All Muscle Deprogramming Guides are constructed to your occlusal plane specifications on the upper or lower arch.
  • All bite splints and nightguards come with a storage case to help maintain original shape for superior fit.

Clinical Indications

Muscle Deprograming Devices are recommended where bruxism is present.

Bruxism is when a patient clenches (tightly holds their top and bottom teeth together) or grinds (slides their teeth back and forth over each other) their teeth.

Signs and symptoms of bruxism may include:
  • Teeth grinding or clenching, grinding during the day and night.
  • Teeth that are flattened, fractured, chipped or loose
  • Worn tooth enamel, exposing deeper layers of a tooth
  • Increased tooth sensitivity
  • TMJ pain and soreness
  • Temporary headaches
  • Damage from chewing on the inside of cheek
  • Indentations on the tongue
In most cases, bruxism doesn't cause serious complications. But severe bruxism may lead to:
  • Damage to teeth, restorations, crowns or jaw
  • Tension-type headaches
  • Facial pain
  • Disorders that occur in the temporomandibular joints (TMJs), located just in front of the ears, which may sound like clicking when the patient opens and closes their mouth.

There are many different types of splints; they may be designed to keep the jaw in a more relaxed position; to keep all of your back teeth (molars) completely separated, under the theory that most clenching is done on these back teeth; or to provide some other function If one type doesn't work, another may.

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Preparation Requirements

  • Start with an accurate, void-free impression of both arches.
  • Ensure no tears or bubbles are present in impression material for precision fit.
  • Instruct patient to close into centric relation, or intercuspation to verify midline position and bite.
  • Protrusive bites can be provided to aid in proper condylar readings
  • Mounted casts should be properly indexed for appliance accuracy
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Patient Delivery

Seat splint and evaluate fit and retention.

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Once seated in the patient's mouth, check bite with marking tape to identify premature occlusion; adjust with carbide bur or Lisko-S disc and polish as needed.

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Patient Care

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Patients need to take care of their Muscle Deprogramming Guide by doing the following:

  • Do not chew on or alter the Muscle Deprogramming Guide as this will affect the fit and possibly damage it or decrease its effectiveness.
  • Custom-made Muscle Deprogramming Guide are made for that particular time when the cast of the dentition is taken.
  • Rinse the Muscle Deprogramming Guide with cold water or with a mouth rinse before and after each use.
  • Avoid contact with hot water.
  • Since the mouth contains bacteria and plaque, it is important to clean your Muscle Deprogramming Guide after each use.
    • Clean it with toothpaste and a toothbrush or clean it in cool, soapy water and rinse thoroughly.
    • Store and transport the Muscle Deprogramming Guide in a firm, perforated container to prevent damage and permit air circulation.
    • Do not close the Muscle Deprogramming Guide container until the freshly washed Muscle Deprogramming Guide is dry.
  • Do not share your Muscle Deprogramming Guide with others.
  • Avoid high temperatures or direct sunlight to minimize distortion.
  • Check the condition of the Muscle Deprogramming Guide occasionally and replace it if it has holes or tears, becomes loose, or irritates the teeth or gums.
  • Remove retainers and other removable appliances such as orthodontic retainers, removable bridges, or dentures (complete or partial) before inserting the Muscle Deprogramming Guide.
  • If the Muscle Deprogramming Guide absorbs a strong blow, it may need to be replaced to maintain a proper fit and protection.
  • Due to pressure from the teeth, and alternate wetting and drying that occur between uses and during cleaning, Muscle Deprogramming Guide wear out over time. The material deteriorates and loses resilience, reducing effectiveness.
    • Therefore, they should be replaced every two to three years.
    • Earlier replacement is recommended if they become cracked, torn, and split, or if fit deteriorates, significant wear appears, or there is unsatisfactory retention.
  • Bring the Muscle Deprogramming Guide to each dental hygiene visit to have it evaluated by the dental hygienist.
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Manufacturer Specifications

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