Occlusal Splint Advice

[cactus]

I would appreciate if someone can share their experience regarding the oclussal splint. Please note any price listed is in Australian Dollars.

My periodontist has advised me that I could consider an occlusal splint if I feel it is necessary. She has advised me that I have issues with a clicking jaw and bruxism and referred me to a general dentist. The general dentist gave me his price, which was $800 however, since I felt he was pushy, I opted not to proceed at the time. I have called around and I also got another price of $500. With all this being said, since I am quite confused by the entire process, should I consider seeing a prosthodontist at a cost of $250 + $ 90 for an occlusal analysis? Since I believe they make these occlusal splints as well or a maxillofacial surgeon to get another opinion? Thank you.

 

[Dr M]

A prosthodontist might do a better analysis on your bite and recommend a specific type of occlusal splint, that might suit your needs better. The price to do an occlusal splint by a specialist, might be more expensive compared to a general dentist.

 

[cactus]

Thank you, Dr M. This information is appreciated. I will also enquire with my insurance as to how much they will cover. Also, I wanted to ask your opinion if possible as the periodontist said that tooth 13 could be restored via a filling restoration as there was restoration done over a decade ago. This was recommended due to sensitivity.

However, the dentist who quoted $800 for the splint said that the filling appeared fine and could be filled down if necessary. Though in his opinion, a crown would be recommended if a restoration was required.

Whose advice sounds correct here? As I am confused.

I am able to attach x-rays if necessary.

 

[Dr M]

Please attach the x-rays.

 

[cactus]

Attached

 

[Dr M]

The filling looks fine. I would not replace any filling, if there is no real indication to do so. Adjust the filling if it interferes with the splint.

 

[cactus]

The filling looks fine. I would not replace any filling, if there is no real indication to do so. Adjust the filling if it interferes with the splint.

Thanks for that. Its much appreciated.

 

[cactus]

Hi Dr M, If your able to, Can you comment on glass ionomer cement (GIC) filling's being able to adequately replace composite fillings?

I ask as my periodontist has arranged for me to see a different general dentist and he has advised me that i don't need a crown and my sensitivity on tooth 13 is attributed to a leaking filling.

Since I have never heard of GIC hoping you can comment.

Thanks

 

[Dr M]

GlC fillings are more prone to staining compared to composite fillings. They are also weaker fillings compared to composite fillings, when undergoing high occlusal or biting forces.

 

[cactus]

Thanks for the information Dr M. I will keep this in mind when deciding how to approach the sensitivity with tooth 13.

 

[Tuan]

I would appreciate if someone can share their experience regarding the oclussal splint. Please note any price listed is in Australian Dollars.

My periodontist has advised me that I could consider an occlusal splint if I feel it is necessary. She has advised me that I have issues with a clicking jaw and bruxism and referred me to a general dentist. The general dentist gave me his price, which was $800 however, since I felt he was pushy, I opted not to proceed at the time. I have called around and I also got another price of $500. With all this being said, since I am quite confused by the entire process, should I consider seeing a prosthodontist at a cost of $250 + $ 90 for an occlusal analysis? Since I believe they make these occlusal splints as well or a maxillofacial surgeon to get another opinion? Thank you.

Thanks for the information Dr M

GlC fillings are more prone to staining compared to composite fillings. They are also weaker fillings compared to composite fillings, when undergoing high occlusal or biting forces.