Geuke Louisa, Carisch Joelle, Türp Jens C, Rohr Nadja
Quintessence Int. 2024 Dec 11;55(10):846-852. doi: 10.3290/j.qi.b5751226.
Stabilization appliances (Michigan splints) are well studied and widely adopted for managing bruxism and temporomandibular disorders (TMDs). Traditionally, these appliances have been fabricated by wax modeling and pressing resin onto casts made from irreversible hydrocolloid or silicone impressions. This article provides a detailed description of an all-digital workflow that uses intraoral scanning and computer-aided design (CAD) software to design a stabilization splint on a digital cast that can be manufactured autonomously by a computer-aided manufacturing (CAM) grinding machine in a subtractive procedure. The workflow is applicable to both dental practitioners and technicians. Special attention is given to aspects and procedures that are important for the successful fabrication of the splint. Working without a cast can save time and money, and the use of CAD/CAM technology provides a homogenous splint material quality.
稳定矫治器（密歇根矫治器）在治疗磨牙症和颞下颌关节紊乱病（TMDs）方面已得到充分研究并被广泛采用。传统上，这些矫治器是通过蜡型制作，并将树脂压注到由不可逆水胶体或硅橡胶印模制成的模型上。本文详细描述了一种全数字化工作流程，该流程使用口内扫描和计算机辅助设计（CAD）软件在数字模型上设计稳定矫治器，然后通过计算机辅助制造（CAM）磨床以减法加工工艺自动制造。该工作流程适用于牙科医生和技术人员。特别关注了对成功制作矫治器至关重要的方面和步骤。无需制作模型可节省时间和金钱，并且使用CAD/CAM技术可提供均匀的矫治器材料质量。
