Bicuspid buildup (convertible) splint.

All clinicians using removable repositioning orthotics are faced with the dilemma of lack of patient compliance. The author has solved this problem by using a maxillary appliance with an anterior inclined plane with intraocclusal acrylic in the bicuspid area. After mandibular reposturing is accomplished, the inclined plane can be removed, thus converting the appliance to a bicuspid buildup splint. This conversion creates an appliance that is esthetic and allows for normal phonation and a new bicuspid-only centric occlusion.