Title: Editing Openai/69357ba5-899c-8006-b1f7-01afc4acae67 - freem URL Source: https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit Published Time: Fri, 03 Jul 2026 01:48:25 GMT Markdown Content: [Jump to content](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#bodyContent) - [x] Main menu Main menu move to sidebar hide Navigation * [Main page](https://freemwiki.com/wiki/Main_Page "Visit the main page [alt-shift-z]") * [Recent changes](https://freemwiki.com/wiki/Special:RecentChanges "A list of recent changes in the wiki [alt-shift-r]") * [Random page](https://freemwiki.com/wiki/Special:Random "Load a random page [alt-shift-x]") * [Help about MediaWiki](https://www.mediawiki.org/wiki/Special:MyLanguage/Help:Contents) Legal * [Terms](https://freemwiki.com/wiki/Terms_of_Service) * [Privacy Policy](https://freemwiki.com/wiki/Privacy_Policy) * [About](https://freemwiki.com/wiki/About) * [Contact](https://freemwiki.com/wiki/Contact) [![Image 1](https://freemwiki.com/images/freem.svg)**freem**](https://freemwiki.com/wiki/Main_Page) [Search](https://freemwiki.com/wiki/Special:Search "Search freem [alt-shift-f]") Search - [x] Appearance * [Create account](https://freemwiki.com/index.php?title=Special:CreateAccount&returnto=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&returntoquery=mobileaction%3Dtoggle_view_desktop%26veaction%3Dedit%26redirect%3Dno "You are encouraged to create an account and log in; however, it is not mandatory") * [Log in](https://freemwiki.com/index.php?title=Special:UserLogin&returnto=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&returntoquery=mobileaction%3Dtoggle_view_desktop%26veaction%3Dedit%26redirect%3Dno "You are encouraged to log in; however, it is not mandatory [alt-shift-o]") - [x] Personal tools * [Create account](https://freemwiki.com/index.php?title=Special:CreateAccount&returnto=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&returntoquery=mobileaction%3Dtoggle_view_desktop%26veaction%3Dedit%26redirect%3Dno "You are encouraged to create an account and log in; however, it is not mandatory") * [Log in](https://freemwiki.com/index.php?title=Special:UserLogin&returnto=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&returntoquery=mobileaction%3Dtoggle_view_desktop%26veaction%3Dedit%26redirect%3Dno "You are encouraged to log in; however, it is not mandatory [alt-shift-o]") Pages for logged out editors [learn more](https://freemwiki.com/wiki/Help:Introduction) * [Contributions](https://freemwiki.com/wiki/Special:MyContributions "A list of edits made from this IP address [alt-shift-y]") * [Talk](https://freemwiki.com/wiki/Special:MyTalk "Discussion about edits from this IP address [alt-shift-n]") ## Contents move to sidebar hide * [Beginning](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#) * [1 gpt-5-1](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#gpt-5-1)Toggle gpt-5-1 subsection * [1.1 User: Are oral splints which can be bought in the supermarket advisable?](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#User:_Are_oral_splints_which_can_be_bought_in_the_supermarket_advisable_?) * [1.2 Assistant: Short answer: Supermarket/night-market boil-and-bite splints are generally not advisable for long-term use — especially…](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Assistant:_Short_answer:_Supermarket/night-market_boil-and-bite_splints_are_generally_not_advisable_for_long-term_use_%E2%80%94_especially%E2%80%A6) * [1.2.1 Supermarket or “boil & bite” night guards are not custom-fitted and therefore:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Supermarket_or_%E2%80%9Cboil_&_bite%E2%80%9D_night_guards_are_not_custom-fitted_and_therefore:) * [1.2.1.1 Because they are thick and uneven:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Because_they_are_thick_and_uneven:) * [1.2.1.2 Soft EVA guards (most OTC types):](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Soft_EVA_guards_(most_OTC_types):) * [1.2.1.3 A therapeutic splint must have:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#A_therapeutic_splint_must_have:) * [1.2.2 Yes, especially with prolonged nightly use.](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Yes,_especially_with_prolonged_nightly_use.) * [1.2.3 Only temporarily, for:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Only_temporarily,_for:) * [1.2.4 As you know from your prosthodontic/implantology background:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#As_you_know_from_your_prosthodontic/implantology_background:) * [1.2.4.1 A hard, custom-fitted, full-arch maxillary stabilization splint (Michigan splint / Minnesota splint).](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#A_hard,_custom-fitted,_full-arch_maxillary_stabilization_splint_(Michigan_splint_/_Minnesota_splint).) * [1.2.5| | | | |](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#|_|_|_|_|) * [1.2.6- Compare Michigan, Tanner, Fox, or Kois deprogrammer](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#-_Compare_Michigan,_Tanner,_Fox,_or_Kois_deprogrammer) * [1.3 User: Are they boil& bite splints advisable for patients with severe erosions?](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#User:_Are_they_boil&_bite_splints_advisable_for_patients_with_severe_erosions_?) * [1.4 Assistant: Generally, no — boil-and-bite splints are not advisable for patients with severe erosions.](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#Assistant:_Generally,_no_%E2%80%94_boil-and-bite_splints_are_not_advisable_for_patients_with_severe_erosions.) * [1.5✅ Why boil & bite splints are not suitable for patients with severe erosions](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#%E2%9C%85_Why_boil_&_bite_splints_are_not_suitable_for_patients_with_severe_erosions) * [1.5.1 1. Severely eroded dentition is already unstable](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#1._Severely_eroded_dentition_is_already_unstable) * [1.5.2 2. These patients often need controlled mandibular repositioning](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#2._These_patients_often_need_controlled_mandibular_repositioning) * [1.5.3 3. Soft splints increase clenching](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#3._Soft_splints_increase_clenching) * [1.5.4 4. They can change the occlusion even faster](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#4._They_can_change_the_occlusion_even_faster) * [1.6🛑 In summary: For severe erosion patients, OTC boil-and-bite splints are contraindicated.](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#%F0%9F%9B%91_In_summary:_For_severe_erosion_patients,_OTC_boil-and-bite_splints_are_contraindicated.) * [1.7✅ What IS advisable for severe erosions](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#%E2%9C%85_What_IS_advisable_for_severe_erosions) * [1.7.1 1. Hard, custom-made stabilization splint (Michigan-type)](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#1._Hard,_custom-made_stabilization_splint_(Michigan-type)) * [1.7.2 2. Consider splint-supported OVD increase](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#2._Consider_splint-supported_OVD_increase) * [1.7.3 3. Possible second splint for daytime (thin, hard)](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#3._Possible_second_splint_for_daytime_(thin,_hard)) * [1.8🦷 Clinical Guideline (practical)](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#%F0%9F%A6%B7_Clinical_Guideline_(practical)) * [1.9 If you want, I can also help you with:](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#If_you_want,_I_can_also_help_you_with:) * [2 References](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#References) - [x] Toggle the table of contents # Openai/69357ba5-899c-8006-b1f7-01afc4acae67 - [x] Add languages * [Page](https://freemwiki.com/wiki/Openai/69357ba5-899c-8006-b1f7-01afc4acae67 "View the content page [alt-shift-c]") * [Discussion](https://freemwiki.com/index.php?title=Talk:Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit&redlink=1 "Discussion about the content page (page does not exist) [alt-shift-t]") - [x] English * [Read](https://freemwiki.com/wiki/Openai/69357ba5-899c-8006-b1f7-01afc4acae67) * [Edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit "Edit this page [alt-shift-v]") * [Edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit "Edit the source code of this page [alt-shift-e]") * [View history](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=history "Past revisions of this page [alt-shift-h]") - [x] Tools Tools move to sidebar hide Actions * [Read](https://freemwiki.com/wiki/Openai/69357ba5-899c-8006-b1f7-01afc4acae67) * [Edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit "Edit this page [alt-shift-v]") * [Edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit "Edit the source code of this page [alt-shift-e]") * [View history](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=history) General * [What links here](https://freemwiki.com/wiki/Special:WhatLinksHere/Openai/69357ba5-899c-8006-b1f7-01afc4acae67 "A list of all wiki pages that link here [alt-shift-j]") * [Related changes](https://freemwiki.com/wiki/Special:RecentChangesLinked/Openai/69357ba5-899c-8006-b1f7-01afc4acae67 "Recent changes in pages linked from this page [alt-shift-k]") * [Special pages](https://freemwiki.com/wiki/Special:SpecialPages "A list of all special pages [alt-shift-q]") * [Printable version](javascript:print(); "Printable version of this page [alt-shift-p]") * [Permanent link](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&oldid=594182 "Permanent link to this revision of this page") * [Page information](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=info "More information about this page") * [Cite this page](https://freemwiki.com/index.php?title=Special:CiteThisPage&page=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&id=594182&wpFormIdentifier=titleform "Information on how to cite this page") Appearance move to sidebar hide Text * Small Standard Large This page always uses small font size Width * Standard Wide The content is as wide as possible for your browser window. 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Dont they change the occlusion to a position which might be unwanted? ### Assistant: Short answer: Supermarket/night-market boil-and-bite splints are generally not advisable for long-term use — especially…[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=3 "Edit section: Assistant: Short answer: Supermarket/night-market boil-and-bite splints are generally not advisable for long-term use — especially…") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=3 "Edit section's source code: Assistant: Short answer: Supermarket/night-market boil-and-bite splints are generally not advisable for long-term use — especially…")] Short answer: Supermarket/night-market boil-and-bite splints are generally _not_ advisable for long-term use — especially for someone with your dental background and occlusal awareness — because yes, they can change the occlusion in an undesirable way and even worsen joint/muscle problems. Here is the detailed explanation: #### Supermarket or “boil & bite” night guards are not custom-fitted and therefore:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=4 "Edit section: Supermarket or “boil & bite” night guards are not custom-fitted and therefore:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=4 "Edit section's source code: Supermarket or “boil & bite” night guards are not custom-fitted and therefore:")] ##### Because they are thick and uneven:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=5 "Edit section: Because they are thick and uneven:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=5 "Edit section's source code: Because they are thick and uneven:")] * They force the mandible into a random, non-physiologic position * This can alter habitual occlusion * In some people, this creates or worsens TMJ symptoms (clicking, deviation, muscle tension) ##### Soft EVA guards (most OTC types):[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=6 "Edit section: Soft EVA guards (most OTC types):") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=6 "Edit section's source code: Soft EVA guards (most OTC types):")] * Encourage more clenching, not less * The material “gives way”, stimulating the chewing reflex * Can lead to more masseter hypertrophy and morning tension ##### A therapeutic splint must have:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=7 "Edit section: A therapeutic splint must have:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=7 "Edit section's source code: A therapeutic splint must have:")] * Stable, even contacts * Proper anterior guidance * Disclusion of posterior teeth during movement OTC splints cannot provide this — they introduce random contacts. #### Yes, especially with prolonged nightly use.[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=8 "Edit section: Yes, especially with prolonged nightly use.") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=8 "Edit section's source code: Yes, especially with prolonged nightly use.")] Possible consequences: * Posterior open bite after prolonged anterior contact * Shift of the mandible due to uneven thickness * Extrusion of unopposed teeth (long-term) * Changes in muscle memory (myocentric shift) Even dentists avoid soft splints for themselves because of this. #### Only temporarily, for:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=9 "Edit section: Only temporarily, for:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=9 "Edit section's source code: Only temporarily, for:")] * Short-term bruxism protection during stressful episodes * Emergencies when waiting for a custom guard * Patients with intact occlusion who need very short term protection But still not ideal. #### As you know from your prosthodontic/implantology background:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=10 "Edit section: As you know from your prosthodontic/implantology background:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=10 "Edit section's source code: As you know from your prosthodontic/implantology background:")] ##### A hard, custom-fitted, full-arch maxillary stabilization splint (Michigan splint / Minnesota splint).[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=11 "Edit section: A hard, custom-fitted, full-arch maxillary stabilization splint (Michigan splint / Minnesota splint).") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=11 "Edit section's source code: A hard, custom-fitted, full-arch maxillary stabilization splint (Michigan splint / Minnesota splint).")] It: * Creates an even occlusal table * Positions the mandible neuromuscularly * Protects restorations and implants * Does not randomly alter occlusion Given your clinic setup with in-house lab and CAD/CAM, you can easily produce a splint that: * Has perfectly even contacts * Is adjusted chairside * Can be milled in PMMA or printed in rigid resin #### | | | | |[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=12 "Edit section: | | | | |") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=12 "Edit section's source code: | | | | |")] | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | #### - Compare Michigan, Tanner, Fox, or Kois deprogrammer[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=13 "Edit section: - Compare Michigan, Tanner, Fox, or Kois deprogrammer") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=13 "Edit section's source code: - Compare Michigan, Tanner, Fox, or Kois deprogrammer")] * Provide a clinical guideline for which splint type is ideal based on symptoms (e.g., bruxism, disc displacement, muscle pain) * Draft a patient information sheet for your clinic * Show CAD/CAM milling recommendations for splints Would you like that? ### User: Are they boil& bite splints advisable for patients with severe erosions?[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=14 "Edit section: User: Are they boil& bite splints advisable for patients with severe erosions ?") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=14 "Edit section's source code: User: Are they boil& bite splints advisable for patients with severe erosions ?")] Are they boil& bite splints advisable for patients with severe erosions? ### Assistant: Generally, no — boil-and-bite splints are not advisable for patients with severe erosions.[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=15 "Edit section: Assistant: Generally, no — boil-and-bite splints are not advisable for patients with severe erosions.") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=15 "Edit section's source code: Assistant: Generally, no — boil-and-bite splints are not advisable for patients with severe erosions.")] Generally, _no_ — boil-and-bite splints are _not_ advisable for patients with severe erosions. In fact, in severe erosion cases they can do more harm than good. Let me explain clearly and clinically: ### ✅ Why boil & bite splints are not suitable for patients with severe erosions[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=16 "Edit section: ✅ Why boil & bite splints are not suitable for patients with severe erosions") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=16 "Edit section's source code: ✅ Why boil & bite splints are not suitable for patients with severe erosions")] ##### 1. Severely eroded dentition is already unstable[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=17 "Edit section: 1. Severely eroded dentition is already unstable") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=17 "Edit section's source code: 1. Severely eroded dentition is already unstable")] Erosion reduces: * Occlusal vertical dimension (OVD) * Enamel support * Functional tooth height A boil-and-bite splint: * Has uneven thickness * Is soft or semi-soft * Allows the mandible to “find its own path” ➡️ This can further collapse or shift the OVD, which is the opposite of what an erosion patient needs. ##### 2. These patients often need controlled mandibular repositioning[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=18 "Edit section: 2. These patients often need controlled mandibular repositioning") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=18 "Edit section's source code: 2. These patients often need controlled mandibular repositioning")] Patients with advanced erosions frequently have: * Overclosed bites * Loss of anterior guidance * Posterior wear facets * Increased muscle load Boil-and-bite splints provide zero control of: * Vertical dimension * Even occlusal contacts * Centric relation position * Disclusion during lateral/protrusive movements ➡️ This increases muscle hyperactivity and TMJ load. ##### 3. Soft splints increase clenching[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=19 "Edit section: 3. Soft splints increase clenching") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=19 "Edit section's source code: 3. Soft splints increase clenching")] Most boil-and-bite splints are soft EVA. Soft material: * Stimulates the jaw to chew * Leads to increased bruxism * Can worsen muscle tension and wear With erosions, you already have weakened enamel/dentin → not ideal to increase forces. ##### 4. They can change the occlusion even faster[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=20 "Edit section: 4. They can change the occlusion even faster") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=20 "Edit section's source code: 4. They can change the occlusion even faster")] Because erosion patients have: * Thin enamel * Flattened cusps * Reduced vertical support Even slight changes in mandibular position from a soft OTC splint can cause: * Posterior open bite * Shifts in centric occlusion * Changes in muscle memory ➡️ Risk of permanent occlusal changes. ### 🛑 In summary: For severe erosion patients, OTC boil-and-bite splints are contraindicated.[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=21 "Edit section: 🛑 In summary: For severe erosion patients, OTC boil-and-bite splints are contraindicated.") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=21 "Edit section's source code: 🛑 In summary: For severe erosion patients, OTC boil-and-bite splints are contraindicated.")] ### ✅ What IS advisable for severe erosions[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=22 "Edit section: ✅ What IS advisable for severe erosions") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=22 "Edit section's source code: ✅ What IS advisable for severe erosions")] ##### 1. Hard, custom-made stabilization splint (Michigan-type)[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=23 "Edit section: 1. Hard, custom-made stabilization splint (Michigan-type)") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=23 "Edit section's source code: 1. Hard, custom-made stabilization splint (Michigan-type)")] Properties: * Even, flat, hard occlusal table * Controlled OVD * Proper canine/anterior guidance * Disclusion of posterior teeth ##### 2. Consider splint-supported OVD increase[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=24 "Edit section: 2. Consider splint-supported OVD increase") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=24 "Edit section's source code: 2. Consider splint-supported OVD increase")] Erosion patients often require: * Testing an increased OVD * Evaluating muscle comfort * Preparing for full-mouth rehab A proper splint can act as: * A diagnostic tool * A protective night guard * A trial increase of vertical dimension ##### 3. Possible second splint for daytime (thin, hard)[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=25 "Edit section: 3. Possible second splint for daytime (thin, hard)") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=25 "Edit section's source code: 3. Possible second splint for daytime (thin, hard)")] If the patient heavily parafunctions. ### 🦷 Clinical Guideline (practical)[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=26 "Edit section: 🦷 Clinical Guideline (practical)") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=26 "Edit section's source code: 🦷 Clinical Guideline (practical)")] | Condition | Boil & Bite OTC | Custom Hard Splint | | ------------------- | ------------------ | ------------------ | | Mild wear | ⚠️ Short term only | Yes | | Severe erosions | ❌ Never | Gold standard | | Loss of OVD | ❌ Contraindicated | Indicated | | Muscle pain/bruxism | ❌ Often worsens | Yes | | TMJ symptoms | ❌ Wrong choice | Yes | ### If you want, I can also help you with:[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=27 "Edit section: If you want, I can also help you with:") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=27 "Edit section's source code: If you want, I can also help you with:")] ✓ When to use a Kois deprogrammer versus Michigan splint in erosion cases ✓ How to set the OVD for splint therapy ✓ Protocol for full-mouth rehabs after erosive wear Would you like deeper clinical guidelines? ## References[[edit](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit§ion=28 "Edit section: References") | [edit source](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&action=edit§ion=28 "Edit section's source code: References")] 1. [↑](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#cite_ref-1 "Jump up")["Boil-and-bite splints advice"](https://chatgpt.com/share/69357ba5-899c-8006-b1f7-01afc4acae67). ChatGPT. Retrieved 2025-12-07. Retrieved from "[https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&oldid=594182](https://freemwiki.com/index.php?title=Openai/69357ba5-899c-8006-b1f7-01afc4acae67&oldid=594182)" ![Image 2](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit)[DISPLAYTITLE:Boil-and-bite splints advice](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit)![Image 3](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit) _This conversation was exported from ChatGPT_[[1]](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit#)![Image 4](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit) ## gpt-5-1 ### User: Are oral splints which can be bought in the supermarket advisable? Are oral splints which can be bought in the supermarket advisable? Dont they change the occlusion to a position which might be unwanted? ### Assistant: Short answer: Supermarket/night-market boil-and-bite splints are generally not advisable for long-term use — especially… Short answer: Supermarket/night-market boil-and-bite splints are generally _not_ advisable for long-term use — especially for someone with your dental background and occlusal awareness — because yes, they can change the occlusion in an undesirable way and even worsen joint/muscle problems. Here is the detailed explanation: #### Supermarket or “boil & bite” night guards are not custom-fitted and therefore: ##### Because they are thick and uneven: * They force the mandible into a random, non-physiologic position * This can alter habitual occlusion * In some people, this creates or worsens TMJ symptoms (clicking, deviation, muscle tension) ##### Soft EVA guards (most OTC types): * Encourage more clenching, not less * The material “gives way”, stimulating the chewing reflex * Can lead to more masseter hypertrophy and morning tension ##### A therapeutic splint must have: * Stable, even contacts * Proper anterior guidance * Disclusion of posterior teeth during movement OTC splints cannot provide this — they introduce random contacts. #### Yes, especially with prolonged nightly use. Possible consequences: * Posterior open bite after prolonged anterior contact * Shift of the mandible due to uneven thickness * Extrusion of unopposed teeth (long-term) * Changes in muscle memory (myocentric shift) Even dentists avoid soft splints for themselves because of this. #### Only temporarily, for: * Short-term bruxism protection during stressful episodes * Emergencies when waiting for a custom guard * Patients with intact occlusion who need very short term protection But still not ideal. #### As you know from your prosthodontic/implantology background: ##### A hard, custom-fitted, full-arch maxillary stabilization splint (Michigan splint / Minnesota splint). It: * Creates an even occlusal table * Positions the mandible neuromuscularly * Protects restorations and implants * Does not randomly alter occlusion Given your clinic setup with in-house lab and CAD/CAM, you can easily produce a splint that: * Has perfectly even contacts * Is adjusted chairside * Can be milled in PMMA or printed in rigid resin #### | | | | | | --- | --- | --- | --- |↵| | | | |↵| | | | |↵| | | | |↵| | | | | #### - Compare Michigan, Tanner, Fox, or Kois deprogrammer * Provide a clinical guideline for which splint type is ideal based on symptoms (e.g., bruxism, disc displacement, muscle pain) * Draft a patient information sheet for your clinic * Show CAD/CAM milling recommendations for splints Would you like that? ### User: Are they boil& bite splints advisable for patients with severe erosions? Are they boil& bite splints advisable for patients with severe erosions? ### Assistant: Generally, no — boil-and-bite splints are not advisable for patients with severe erosions. Generally, _no_ — boil-and-bite splints are _not_ advisable for patients with severe erosions.↵In fact, in severe erosion cases they can do more harm than good. Let me explain clearly and clinically: ### ✅ Why boil & bite splints are not suitable for patients with severe erosions ##### 1. Severely eroded dentition is already unstable Erosion reduces: * Occlusal vertical dimension (OVD) * Enamel support * Functional tooth height A boil-and-bite splint: * Has uneven thickness * Is soft or semi-soft * Allows the mandible to “find its own path” ➡️ This can further collapse or shift the OVD, which is the opposite of what an erosion patient needs. ##### 2. These patients often need controlled mandibular repositioning Patients with advanced erosions frequently have: * Overclosed bites * Loss of anterior guidance * Posterior wear facets * Increased muscle load Boil-and-bite splints provide zero control of: * Vertical dimension * Even occlusal contacts * Centric relation position * Disclusion during lateral/protrusive movements ➡️ This increases muscle hyperactivity and TMJ load. ##### 3. Soft splints increase clenching Most boil-and-bite splints are soft EVA. Soft material: * Stimulates the jaw to chew * Leads to increased bruxism * Can worsen muscle tension and wear With erosions, you already have weakened enamel/dentin → not ideal to increase forces. ##### 4. They can change the occlusion even faster Because erosion patients have: * Thin enamel * Flattened cusps * Reduced vertical support Even slight changes in mandibular position from a soft OTC splint can cause: * Posterior open bite * Shifts in centric occlusion * Changes in muscle memory ➡️ Risk of permanent occlusal changes. ### 🛑 In summary: For severe erosion patients, OTC boil-and-bite splints are contraindicated. ### ✅ What IS advisable for severe erosions ##### 1. Hard, custom-made stabilization splint (Michigan-type) Properties: * Even, flat, hard occlusal table * Controlled OVD * Proper canine/anterior guidance * Disclusion of posterior teeth ##### 2. Consider splint-supported OVD increase Erosion patients often require: * Testing an increased OVD * Evaluating muscle comfort * Preparing for full-mouth rehab A proper splint can act as: * A diagnostic tool * A protective night guard * A trial increase of vertical dimension ##### 3. Possible second splint for daytime (thin, hard) If the patient heavily parafunctions. ### 🦷 Clinical Guideline (practical) | Condition | Boil & Bite OTC | Custom Hard Splint |↵| ------------------- | ------------------ | ------------------ |↵| Mild wear | ⚠️ Short term only | Yes |↵| Severe erosions | ❌ Never | Gold standard |↵| Loss of OVD | ❌ Contraindicated | Indicated |↵| Muscle pain/bruxism | ❌ Often worsens | Yes |↵| TMJ symptoms | ❌ Wrong choice | Yes | ### If you want, I can also help you with: ✓ When to use a Kois deprogrammer versus Michigan splint in erosion cases↵✓ How to set the OVD for splint therapy↵✓ Protocol for full-mouth rehabs after erosive wear Would you like deeper clinical guidelines? ## References 1. [↑](https://freemwiki.com/index.php?mobileaction=toggle_view_desktop&title=Openai%2F69357ba5-899c-8006-b1f7-01afc4acae67&veaction=edit)["Boil-and-bite splints advice"](https://chatgpt.com/share/69357ba5-899c-8006-b1f7-01afc4acae67). ChatGPT. Retrieved 2025-12-07. 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