Using of occlusal stabilization splint in a patient with emotional problem and missing of anterior guidance

Abstract

Occlusal trauma is likely in patients with missing of anterior guidance due to the absence of posterior disclusion in mandibular eccentric movement. In these cases, the rehabilitation of anterior guidance is needed by prosthetic or orthodontic treatments. However, these treatments are often limited because of financial, time or physical problems of a patient. Furthermore, TMD and masticatory muscle pain can occur in patients with emotional problems, due to associated non-physiologic habits such as bruxism or clenching. In this case report, we used a Michigan type occlusal stabilization splint with canine eminences accompanied by a lack of anterior guidance, in a patient with emotional problems. The patient underwent a 3 year follow-up. After the follow-up, the clinical result was satisfactory without any recurrence of additional occlusal trauma and with a masticatory muscle pain relief.