Document Detail


Is there a benefit of using an arbitrary facebow for the fabrication of a stabilization appliance?
MedLine Citation:
PMID:  12066697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this clinical study was to evaluate if an arbitrary facebow registration and transfer provides significant advantages for the fabrication of an occlusal appliance in comparison with the omission of such a procedure. MATERIALS AND METHODS: For 20 fully dentate adult patients diagnosed with bruxism, two Michigan occlusal splints were constructed. One of the two upper dental casts was transferred to the articulator with an arbitrary earpiece facebow; the other maxillary cast was mounted arbitrarily using a flat occlusal plane indicator. Upon splint delivery, the number of intraoral occlusal contacts and the time needed for chairside occlusal adjustment were recorded. RESULTS: The number of occlusal contacts on the appliance fabricated with or without facebow was similar in most cases both in the articulator and in the mouth. The one-sided Wilcoxon rank sum test showed with high probability that the use of an arbitrary facebow does not yield a clinically relevant improvement with regard to the number of occlusal contacts or the chairside adjustment time. CONCLUSION: From this pilot study, it appears that for the fabrication of an occlusal appliance, registration and transfer with an arbitrary earpiece facebow does not yield clinically relevant benefits. Of course, this conclusion cannot be transferred to other facebows and is restricted to the levels of clinical relevance defined in the study.
Authors:
S P Shodadai; J C Türp; T Gerds; J R Strub
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The International journal of prosthodontics     Volume:  14     ISSN:  0893-2174     ISO Abbreviation:  Int J Prosthodont     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2002-06-17     Completed Date:  2002-07-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8900938     Medline TA:  Int J Prosthodont     Country:  United States    
Other Details:
Languages:  eng     Pagination:  517-22     Citation Subset:  D    
Affiliation:
Department of Prosthodontics, Dental School, Albert Ludwigs University, Freiburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bruxism / therapy
Centric Relation
Dental Articulators*
Dental Models
Dental Occlusion*
Dental Occlusion, Centric
Equipment Design
Female
Humans
Jaw Relation Record / instrumentation*
Male
Mandibular Condyle / anatomy & histology
Occlusal Adjustment
Occlusal Splints*
Orthodontic Appliance Design*
Pilot Projects
Probability
Statistics, Nonparametric
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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