Clinical Performance of CAD/CAM Occlusal Splints Fabricated With or Without a Wax Bite Registration in Healthy Adults
NCT07720453 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-07-27
Summary
Occlusal splints are commonly used to manage sleep bruxism, temporomandibular disorders, and tooth wear. Traditionally, a wax bite registration is used during the fabrication of CAD/CAM occlusal splints to determine the vertical dimension and occlusal relationship. New digital techniques allow the splint to be designed without a wax bite registration by virtually increasing the vertical dimension based on maximal intercuspation.
This randomized crossover study compares these two fabrication workflows in healthy volunteers. Participants will wear both splints in random order. The study will evaluate patient-reported comfort and clinical performance, including occlusal contacts, force distribution, splint stability, and the occlusal adjustments required during insertion
Conditions
- Occlusion
- Occlusal Splints
- Occlusal Analysis
- Comfort
Interventions
- DEVICE
-
Occlusal splint fabricated using a virtual increase of the vertical dimension
Intervention 1: CAD/CAM occlusal splint fabricated using a virtual increase of the vertical dimension CAD/CAM-milled occlusal splint fabricated from PMMA using a fully digital workflow. The splint is designed by virtually increasing the vertical dimension based on the participant's maximal intercuspation, without the use of a conventional wax bite registration. Participants will wear the splint overnight for 3 weeks (minimum 6 hours per night).
- DEVICE
-
Occlusal splint fabricated using a conventional wax bite registration
Intervention 2: CAD/CAM occlusal splint fabricated using a conventional wax bite registration CAD/CAM-milled occlusal splint fabricated from the same PMMA material using a conventional wax bite registration to determine the vertical dimension and occlusal relationship during the digital design process. Participants will wear the splint overnight for 3 weeks (minimum 6 hours per night).
Sponsors & Collaborators
-
Radboud University Medical Center
lead OTHER
Principal Investigators
-
Sabine Mechelse, MSc · Radboud University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-09-01
- Primary Completion
- 2027-01-31
- Completion
- 2027-01-31
Countries
- Netherlands
Study Locations
More Related Trials
-
Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) - Based Planning and Creation of Orthodontic Appliances
NCT00871026 ·Status: UNKNOWN ·Phase: NA
-
Impact of 3D-Printed Anatomical Model on Patient Understanding in Orthognathic Surgery
NCT07068412 ·Status: RECRUITING ·Phase: NA
-
Patient-Specific Occlusal Splints Using MODJAW Kinematics
NCT07364552 ·Status: COMPLETED ·Phase: NA
-
Shape Memory Orthodontic Aligners
NCT07431333 ·Status: COMPLETED ·Phase: NA
-
Comparative Assessment of Thickness Changes in 3D-Printed vs. Custom-Made Mouth Guards for Children in Contact Sports
NCT07000435 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Analysis of Occlusal Force Distribution in Digital and Conventional Occlusal Splint
NCT06652217 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Orthodontic and Articular Effects of the One-Step No-Prep Protocol
NCT07533240 ·Status: RECRUITING ·Phase: NA
-
3D Printed Models in 3D Virtual Treatment Planning of Orthognathic Surgery
NCT03986723 ·Status: COMPLETED
-
3D Printed Reverse Twin Block for Class III Malocclusion
NCT07710391 ·Status: RECRUITING ·Phase: NA
-
Dynamic Effect of Occlusal Vertical Dimension on Lower Facial Form and Lip Positions
NCT07491640 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Personalized Titanium Plates vs CAD/CAM Surgical Splints in Maxillary Repositioning of Orthognathic Surgery
NCT02914431 ·Status: COMPLETED ·Phase: NA
-
Comparing Jaw Tracking and Traditional Methods for Measuring Bite Accuracy in Patients With Teeth
NCT07203703 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Anterior Open Bite Closure by Clear Aligners Versus Fixed Appliances in Adult Patients With Skeletal Open Bite: A Randomized Clinical Trial.
NCT07117006 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Biomarkers of Orthodontic Tooth Movement With Fixed Appliances and Vibration Appliance Therapy
NCT02119455 ·Status: COMPLETED ·Phase: NA
-
Early Treatment of Skeletal Anterior Open Bite by Two Appliances
NCT04338217 ·Status: COMPLETED ·Phase: NA
-
The Use of 2D and 3D Imaging Modalities and Its Influence on Diagnosis and Treatment Planning in Orthodontics
NCT01246830 ·Status: COMPLETED
-
Study Investigating Tooth Movements With Conventional and Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) Supported Fixed Appliances
NCT00871091 ·Status: UNKNOWN ·Phase: NA
-
Occlusal Splints in the Treatment of Sleep Bruxism
NCT04934449 ·Status: COMPLETED ·Phase: NA
-
Treatment Outcome of Clear Aligner and Traditional Fixed Appliances in Four Premolar Extraction Cases
NCT07236775 ·Status: COMPLETED ·Phase: NA
-
Interceptive Maxillary Expansion to Relief Anterior Crowding in the Mixed Dentition
NCT06187337 ·Status: RECRUITING ·Phase: NA
-
Pain Control During Braces Removal Using Transcutaneous Electrical Nerve Stimulation and High-Frequency Vibration
NCT07293975 ·Status: RECRUITING ·Phase: NA
-
Comparative 3D Assessment of Class III Malocclusion Treatments
NCT07179354 ·Status: COMPLETED ·Phase: NA
-
Assessment of Dentoskeletal Changes After Treatment of Skeletal classII by Twinblock Versus Monoblock Appliances
NCT07277543 ·Status: COMPLETED ·Phase: NA
-
Interest of the BRUXENSE Occlusal Splints for Bruxism Diagnosis: a Feasibility Study
NCT03363204 ·Status: COMPLETED ·Phase: NA
-
Analysis of Orthodontic Tooth Movement Using 3D Imaging
NCT03398798 ·Status: COMPLETED ·Phase: NA