Occlusal splints are generally considered it part of ‘the  reversible or conservative treatment phase in the management of ‘lMl) patients. Splint designs vary; however.most splints can be classified into two distinct groups: (1) autorepositioning splints and (2) anterior repositioning
splints. splints. The autorepositioning splints, also called anterior guidance splints, superior rcpositioning splints, or muscle splints, are most frequently used to treat muscle problems or eliminate TM] pain when no
specific internal derangement or other obvious pathology can be identified. However, these splints may be used  insome cases, such as anterior disk displacement or DJD,in an attempt to unload or reduce the force placed directly on the TM] area. Nitzan has shown that properly designed splints can be effective in reducing intraarticular pressure.V The splint is usually designed to provide full-arch contact without working or balancing interfereflces and without ramps or deep interdigitation, which
would force the mandible to function in one specific cclusal position (Fig. 30-24). This splint allows the patient to seek a comfortable muscle and joint position without excessive influence of the occlusion. An example
of this type of splint would be in a patient with a class II malocclusion and significant overjet who continually postures forward to obtain incisor contact during mastication. Many of these patients complain of muscular
symptoms and describe a feeling that they do’ not have a consistent, repeatable bite relationship. Wearing

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