Thickness of the occlusal splint?
Hello, I recently had an occlusal splint made due to issues with my temporomandibular joint (TMJ).
The splint is placed on my lower teeth, and I feel that it is too thick and protruding.
I have to "struggle" to close my lips, and when I relax, my mouth stays open (about one finger's width).
However, the doctor said there is no problem.
Is it normal for an occlusal splint to affect my ability to close my mouth? Could it be that the splint is too thick, or is it normal to have my mouth slightly open while wearing it?
Miss Ye, 10~19 year old female. Ask Date: 2024/01/12
Dr. Zeng Guanghui reply Dentistry
Dear Ms.
Yeh,
Due to the certain thickness of the occlusal splint on the occlusal surface, wearing the splint can increase the vertical dimension of occlusion, which helps alleviate the pressure on the temporomandibular joint and allows the masticatory muscles to relax and rest.
As for whether the thickness of the occlusal splint is excessive, it is recommended to return for a follow-up appointment for a detailed evaluation by your dentist.
Sincerely,
Director Tseng Guang-Hui
Department of Dentistry, Nantou Hospital
Reply Date: 2024/01/12
More Info
When it comes to occlusal splints, understanding their thickness and how they affect jaw closure is crucial for both comfort and effectiveness in treating conditions like temporomandibular joint (TMJ) disorders. An occlusal splint is designed to help alleviate symptoms associated with jaw problems, including pain, discomfort, and misalignment. However, if the splint is too thick, it can lead to difficulties in closing the mouth properly, which seems to be your concern.
Firstly, it is important to note that occlusal splints are typically custom-made to fit the individual’s dental anatomy. The thickness of the splint can vary based on the specific needs of the patient and the condition being treated. A splint that feels excessively thick or protruding may indeed affect your ability to close your mouth comfortably. If you find that you have to exert effort to keep your lips together, this could indicate that the splint is not fitting correctly or that it is indeed too thick for your mouth.
In a normal situation, wearing an occlusal splint should not prevent you from closing your mouth. While some initial discomfort or adjustment period is expected, a well-fitted splint should allow for a natural resting position of the jaw. If you are experiencing a gap of about one finger width when your mouth is relaxed, this is not typical and suggests that the splint may need to be adjusted.
The purpose of the splint is to provide a stable occlusal surface that can help in redistributing forces during biting and chewing, as well as preventing teeth grinding (bruxism). If the splint is too thick, it can lead to an altered bite, which may exacerbate TMJ symptoms rather than alleviate them.
It is also worth considering that if the splint is causing significant discomfort or if you are unable to close your mouth properly, it may lead to other issues, such as muscle strain or further jaw misalignment. This could potentially create a cycle of discomfort that is counterproductive to the treatment goals of the splint.
In your case, it would be advisable to return to your dentist or the specialist who provided the splint for a follow-up appointment. They can assess the fit and thickness of the splint and make necessary adjustments. Sometimes, slight modifications can significantly improve comfort and function.
Additionally, if you are experiencing persistent issues, it may be beneficial to explore other treatment options or therapies that can complement the use of the splint, such as physical therapy for the jaw, relaxation techniques, or even adjustments to your dental occlusion.
In summary, while some thickness is expected in an occlusal splint, it should not hinder your ability to close your mouth comfortably. If you are struggling with this, it is essential to consult with your dentist for an evaluation and potential adjustments to ensure that the splint serves its intended purpose effectively.
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