Comparative evaluation of the volume of occlusal adjustment of repositioning occlusal devices designed using an average value digital articulator and the jaw movement analyzer

• Published in: The Journal of prosthetic dentistry 2023-08
• Main Authors: Peng, Tiwu, Yang, Zhikang, Ma, Teng, Zhang, Mindi, Ren, Guanghui
• Format: Article
• Language: English
• Subjects: Computer-Aided Design; computer-aided manufacturing; digital articulator; Jaw Movement Analysis System; occlusal splint
• ISSN: 0022-3913; 1097-6841
• DOI: 10.1016/j.prosdent.2023.06.018

The volume of occlusal adjustment of digital occlusal devices designed with different digital occlusal articulators is unknown. The purpose of this clinical study was to evaluate and compare the clinical efficacy and the volume of occlusal adjustment of digital occlusal devices designed using an average value digital articulator and the jaw movement analyzer (JMA). Thirty participants were randomly divided into 2 groups, an average value group and a JMA group, with 15 participants in each group. The centric relation position of the participants was determined by an experienced investigator with the aid of a leaf gauge. An intraoral scanner (TRIOS 3) was used to obtain digital scans of the maxillary and mandibular dentition and the maxillomandibular relationship record in the centric relation position. Personalized articulator parameters of participants in the JMA group were obtained by using a JMA (JMAnalyser). Different articulator parameters were used to fabricate an occlusal device in a denture design software program (exocad DentalCAD). The surface of the occlusal device was coated with a dental optical spray and then scanned using a laboratory scanner (Kavo LS3). The process was repeated after the occlusal device was adjusted. The files of the 2 scans were imported into a reverse engineering software program, and the root mean square (RMS) values were obtained by best fit alignment and 3-dimensional comparison. The Shapiro-Wilk normality test and homogeneity of variance test were performed, and t tests were used to evaluate differences in the RMS values between the groups (α=.05). The experimental data were generally normal distributed (P>.05). No statistically significant difference was found between the RMS values of the Average and the JMA groups (P>.05). No significant difference in the volume of occlusal adjustment was found when using occlusal devices made using the digital average articulator or the JMA, suggesting that either method can be used to program articulators for the fabrication of occlusal devices.