Michigan Splints Are Overrated [Splintember] – PDP040

Michigan Splints AKA Stabilization Splints are the 'gold standard' occlusal splint according to many occlusal camps. https://www.youtube.com/watch?v=DIfqn2Zkjp0 Check out the Youtube channel for video versions of the podcast. At 10 minute mark there is an error - I showed a Facebow being used whilst talking about Leaf Gauges. Need to Read it? Check out the Full Episode Transcript below! Dental School told me that this Splint is the only one I will need to know and it will cure all. If this does not work...maybe the patient has 'atypical facial pain' ;-) Now before you all attack me.... I have to confess. It is actually a great all-rounder splint - but there are some key reasons why Michigan appliances (or Tanner for the lower) is massively overrated! Listen to this episode as I cover: What is a Michigan splint?How does this splint work?What records do you need for a Michigan splint?Do you need a Facebow?What are the limitations of Michigan occlusal splints? Why might other splints be better for many scenarios?Why you should be careful prescribing Michigan splints to primary clenchers Protrusive Dental Pearls were sent in by fellow listeners regarding patient care and rubber dam hole spacing. Have you checked out the rest of the episodes from Splintember? Here is a rough transcript: Lets face it - Dental school barely scratched the surface in a lot of areas, including Occlusion and splints - so it should come as no surprise to you that Michigans splints are not as great as you were taught they were. Michigan splints are actually a really good all rounder splint for all the main diagnoses within 'TMD' - quite often when I find a tricky case and I am unsure if the issue is more muscle or joint, I will recommend a Michigan - but still, it is a massively overrated appliance and is totally overkill for most of our patients. Lets start the basics - what is a Michigan splint? It is classically a hard upper splint.The lower is called a Tanner. Aka Stabilisation splint. It's a centric relation appliance. What does this mean? I explain in the podcast (so listen up!). I go in to this appliance in a lot more detail and all the shortcomings. Fellow geeks, to conclude: It's a great all rounders splint. And if ever you're unsure of joint vs muscle diagnosis and you can convince your patient to spend hours in the chair, spend that money and you think they'll comply, then go for it. It's a great splint. But if you're more concerned that your diagnosis is muscular, or the asymptomatic patient, and perhaps as an appliance to deprogram your patient....there are definitely more efficient ways to deprogram your patient. And that's exactly what we'll talk about at the next episode....stay tuned for the rest of Splintember! Click here for Full Episode Transcription: Opening Snippet:Dental school scratched the surface in so many different areas including occlusion and splints so it should come as no surprise to you that the grand michigan splint that they taught you is the best ever may not be as great as you were taught... Jaz's Introduction: Hello fellow dental geeks and welcome to episode 40 of the Protrusive Dental Podcast, now this is the third one of Splintember and it's gonna totally upset so many dentists. Gonna make you guys some of you very angry, very hurt, very upset and I make no apologies for it. You know this needs to be out there and let's try and keep an open mind and learn and maybe I’ll learn something from you guys as well from the backlash but really I've done my homework now and I’ve come to a conclusion that Michigan splints are overrated but before we go there I’m going to share with you two Protrusive Dental pearls, two brand new ones and these were sent to me by the Protrusive Dental Community. Thanks so much, guys for listening and i want to put your stuff out there as well.  So the first one is from my buddy Sim Singh,