INFLUENCE OF DIFFERENT TYPES OF INTEROCLUSAL REGISTRATION AND ARTICULATOR ASSEMBLY TECHNIQUES ON THE TIME TO MANUFACTURE STABILIZING OCCLUSAL PLATES USING DIGITAL WORKFLOW: a randomized controlled clinical trial
Dental Occlusion, Occlusal Splint, Coputer Aided Design, 3D print
Introduction: Digital methods (CAD/CAM) for the manufacture of stabilizing occlusal splints, by subtractive or additive techniques, reduce the time of clinical sessions, in addition to shortening the laboratory steps and allowing greater predictability of the same. Objective: To evaluate the influence of different types of interocclusal registrations and articulator mounting techniques on the clinical and laboratory manufacturing time of stabilizing occlusal splints made by digital workflow (CAD/CAM). Methodology: This is a randomized and blind controlled clinical trial, where the sample consisted of 30 patients diagnosed with probable sleep bruxism, who were randomly randomized into two groups according to the type of assembly of the model in the articulator virtual: GP (flat horizontal group) and GM (camper table group). Three different types of interocclusal records were also evaluated for making printed occlusal plates, namely: “maximum habitual intercuspation” (MIH), “anterior recording device” (DAR) and “occlusal reeds”; and the “horizontal plane” and “camper table” assembly techniques on the articulator, these steps being subdivided into smoothing, assembly of the upper model, plate design and previous occlusal adjustments. From this, the time (in seconds) required to carry out the clinical and laboratory steps was analyzed. Data were statistically evaluated by T, ANOVA, Kruskal-Wallis and Tukey tests using the Statistical Package for Social Sciences software (IBM-SPSS, v.22, IBM, Chicago, IL). Results: There was a statistically significant difference in the time of interocclusal registration, where MIH (69 ±64) and Pallet (68 ±27) were performed in a shorter time when compared to DAR (192 ±54) (<0.001). Assembly time on the articulator was statistically longer when the registration was performed in MIH and the plates were designed by lifting the pin on the articulator (836 ±194) compared with the DAR (710±160) and the reed (670±130) (0.028 ), the latter being similar groups.