Mechanical and chemical characterization of contemporary occlusal splint materials fabricated with different methods: a systematic review.

Benli, Merve; Al-Haj Husain, Nadin; Ozcan, Mutlu (2023). Mechanical and chemical characterization of contemporary occlusal splint materials fabricated with different methods: a systematic review. Clinical oral investigations, 27(12), pp. 7115-7141. Springer 10.1007/s00784-023-05360-0

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OBJECTIVE

To systematically review studies on various occlusal splint materials and describe their mechanical and chemical properties.

METHODS

MEDLINE (PubMed), Scopus, and Web of Science searches were conducted for in vitro studies focusing on occlusal splint materials. Two reviewers performed an assessment of the identified studies and data abstraction independently, and this was complimented by an additional hand search. The articles were limited to those in the English language that were published between January 1st, 2012, and December 1st, 2022.

RESULTS

The initial search yielded 405 search results of which 274 were selected for full-text review following abstract evaluation. 250 articles that did not meet the inclusion criteria were excluded, and the remaining 25 articles (with 1 article identified from the reference lists of included articles) providing mechanical and chemical values were used in this review. Poly methyl methacrylate (PMMA) -based occlusal splint materials showed the highest values in terms of hardness, wear resistance, flexural strength, flexural modulus, e-modulus, and fracture toughness. The material group with the highest water sorption and water solubility was 3D printed (PR) splint materials. In addition, the lowest degree of double bond conversion was also observed in this group of materials.

CONCLUSIONS

The outcome of this review suggests that mechanically and chemically acceptable properties can be attained with PMMA-based occlusal splint materials using both conventional and digital production methods. PR splint materials should not be considered as the primary choice for long-term treatments due to their low mechanical and chemical properties.

CLINICAL RELEVANCE

This review provides clinical recommendations for selecting the appropriate material and fabrication method for occlusal splints while taking the patients' needs and the materials´ mechanical and chemical properties into account.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Al-Haj Husain, Nadin

ISSN:

1436-3771

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

02 Nov 2023 09:13

Last Modified:

13 Dec 2023 00:15

Publisher DOI:

10.1007/s00784-023-05360-0

PubMed ID:

37910242

Uncontrolled Keywords:

3D printing Bruxism Digital splints Occlusal devices Oral appliances

BORIS DOI:

10.48350/188505

URI:

https://boris.unibe.ch/id/eprint/188505

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