White Paper

Digital Protocol for Occlusal Splint Therapy for Patient with Dementia

In this clinical case, an elderly patient with dementia suffering from sleep bruxism and parafunctional activities was successfully treated with an occlusal splint.

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Contents

  • Introduction
  • Diagnosis
  • Treatment Planning and Execution
  • Follow-Up
  • Conclusion 

Introduction

Digital technologies are helping clinicians around the world define the industry standard of dental care and patient treatment. These technologies unlock new treatment possibilities that were not achievable before via the traditional analog workflow.
Performing dental treatments on patients with neurocognitive disorders presents particular challenges. It can be difficult to secure patient collaboration and deliver effective treatment. Moreover, appointments must be effectively planned to deliver the treatment in a short time frame to avoid patient agitation and anxiety.
In this clinical case, an elderly patient with dementia suffering from sleep bruxism and parafunctional activities was successfully treated with an occlusal splint. The splint was delivered to the patient in three days due to the use of intraoral scanning, 3D printing technologies, and team collaboration.

Diagnosis

A 74 year old female patient with dementia was brought to the dental practice by her husband, who expressed concern about a teeth grinding disorder and damage to her oral health. 
The patient presented good oral care, assisted by her husband, but presented extensive wear in all her tooth structures with a loss of vertical dimension of occlusion.

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