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Publication
Goteira de estabilização oclusal pela técnica de fluxo digital em consultório: caso clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_42089 | 6.65 MB | Adobe PDF |
Advisor(s)
Abstract(s)
As goteiras de estabilização oclusal são dispositivos removíveis utilizados no controlo dos efeitos do bruxismo do sono e no controlo da dor orofacial em pacientes com disfunção temporomandibular. As goteiras oclusais podem ser confecionadas de forma convencional, de forma direta na boca do paciente em placa de acetato ou encaminhadas para confeção no laboratório de prótese, ou pela técnica digital, com digitalização das arcadas dentárias, registo intermaxilar digital e desenho digital da goteira oclusal em software, usando modelos virtuais. Estas últimas podem ser fabricadas por técnica subtrativa ou aditiva. Na técnica aditiva é realizada a impressão da goteira oclusal numa impressora em resina fotopolimerizável, enquanto na técnica subtrativa é realizada a fresagem da goteira através de um monobloco.
O objetivo deste trabalho foi apresentar todo o processo de confeção de uma goteira de estabilização oclusal pelo fluxo digital, usada no tratamento para disfunção da articulação temporomandibular e controlo de bruxismo do sono de uma paciente, abordada de forma multidisciplinar na estabilização destas condições. O caso clínico foi tratado, na Clínica de Medicina Dentária da Universidade Fernando Pessoa, tendo as seguintes etapas de confeção da goteira oclusal: 1-Impressão intraoral digital com o Scanner intra-oral 3Shape Trios® 3; 2- Projeção da goteira de estabilização no software InLab® (Sirona); 3- Impressão na Impressora 3D LCD Anycubic® M5S com a resina Resina Prizma 3D® Biosplint; 4– Lavagem e Polimeração final na lavadora Wash e Cure 2 da Anycubic®; e 5- Polimento final com o Glase Prizma Seal®. Após a fase de confeção, foi realizada a colocação da goteira oclusal no paciente com todos os ajustes, orientações e controlos necessários, todo esse processo foi realizado no mesmo dia. A realização desta técnica mostrou-se confiável e rápida permitindo à paciente a colocação do dispositivo no mesmo dia em que foram realizados os registos, inciando-se o tratamento de imediato. A utilização da goteira oclusal mostrou-se eficaz na redução de sintomas ao fim de 7 dias de utilização, contudo, estes dispositivos devem ser avaliados no tempo e adequada à sua utilização às flutuações etiológicas do bruxismo do sono e da disfunção temporomandibular.
Occlusal stabilization splints are removable devices used to control the effects of sleep bruxism and orofacial pain in patients with temporomandibular disorders. Occlusal splints can be manufactured conventionally, directly in the patient's mouth on an acetate plate or sent for manufacture in the prosthetics laboratory, or by digital technique, with digitalization of the dental arches, digital intermaxillary registration and digital design of the occlusal splint in software and, on virtual models. The latter can be manufactured using subtractive or additive techniques. In the additive technique, the occlusal splint is printed on a light-curing resin printer, while in the subtractive technique, the splint is milled using a monobloc. The aim of this study was to present the entire process of making an occlusal stabilization splint by digital flow, used in temporomandibular disorder treatment and control of sleep bruxism in a patient who was treated in a multidisciplinary manner to stabilize these conditions. The clinical case was treated at the Dental Medicine Clinic of Fernando Pessoa University, with the following stages in the manufacture of the occlusal splint: 1- Digital intraoral printing with the 3Shape Trios® 3 intraoral scanner; 2- Projection of the stabilization drip in the InLab® software (Sirona); 3- Printing on the Anycubic® M5S LCD 3D Printer with Prizma 3D® Biosplint resin; 4- Final washing and polishing in the Anycubic® Wash and Cure 2 washer; and 5- Final polishing with Prizma Seal® Glase. After the fabrication phase, the occlusal splint was placed on the patient with all the necessary adjustments, advices and controls, all of which were carried out on the same day. This technique proved to be reliable and quick, allowing the patient to have the device fitted on the same day that the records were taken, and treatment began immediately. The use of the occlusal drip proved to be effective in reducing symptoms after 7 days of use, however, these devices should be evaluated over time and their use adapted to the etiological fluctuations of sleep bruxism and temporomandibular disorder.
Occlusal stabilization splints are removable devices used to control the effects of sleep bruxism and orofacial pain in patients with temporomandibular disorders. Occlusal splints can be manufactured conventionally, directly in the patient's mouth on an acetate plate or sent for manufacture in the prosthetics laboratory, or by digital technique, with digitalization of the dental arches, digital intermaxillary registration and digital design of the occlusal splint in software and, on virtual models. The latter can be manufactured using subtractive or additive techniques. In the additive technique, the occlusal splint is printed on a light-curing resin printer, while in the subtractive technique, the splint is milled using a monobloc. The aim of this study was to present the entire process of making an occlusal stabilization splint by digital flow, used in temporomandibular disorder treatment and control of sleep bruxism in a patient who was treated in a multidisciplinary manner to stabilize these conditions. The clinical case was treated at the Dental Medicine Clinic of Fernando Pessoa University, with the following stages in the manufacture of the occlusal splint: 1- Digital intraoral printing with the 3Shape Trios® 3 intraoral scanner; 2- Projection of the stabilization drip in the InLab® software (Sirona); 3- Printing on the Anycubic® M5S LCD 3D Printer with Prizma 3D® Biosplint resin; 4- Final washing and polishing in the Anycubic® Wash and Cure 2 washer; and 5- Final polishing with Prizma Seal® Glase. After the fabrication phase, the occlusal splint was placed on the patient with all the necessary adjustments, advices and controls, all of which were carried out on the same day. This technique proved to be reliable and quick, allowing the patient to have the device fitted on the same day that the records were taken, and treatment began immediately. The use of the occlusal drip proved to be effective in reducing symptoms after 7 days of use, however, these devices should be evaluated over time and their use adapted to the etiological fluctuations of sleep bruxism and temporomandibular disorder.
Description
Keywords
Disfunção tempromandibular Bruxismo Goteiras oclusais Fluxo digital Desenho assistido por computador Temporomandibular disorder Occlusal splint Digital flow Computer-aided design