{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:10:43Z","timestamp":1772169043244,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.72961.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000}}],"reference-count":18,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Bruxism is increasingly common in today's stressful world and affects mainly young patients. It is a combined disease that involves dentition and its supporting structures, muscles, ligaments and the temporomandibular joint (TMJ). Here we present a complete combined analog and digital clinical protocol in a patient with parafunction.<\/ns4:p>\n                  <ns4:p>A young patient sought help due to impaired aesthetics, as a result of abraded tooth surfaces and severe symptoms of TMJ. We implemented a therapeutic protocol of six stages: deprogramming of the muscles and determination of treatment position and digital optimization; realization of the morphological plan for the upper dentition; non-invasive repositioning of the lower jaw by splint therapy; splint placement and follow-up; morphological planning of the lower dentition and replacement of the splint with fixed prosthesis with follow-up; and completion of the case with ceramic restorations.<\/ns4:p>\n                  <ns4:p>The digitally modeled temporary constructions for the upper jaw were made of PMMA and placed in the patient's mouth together with the splint on the lower jaw, made of Ceramill Splintec. After an adaptation period, all restorations were replaced by permanent zirconia.<\/ns4:p>\n                  <ns4:p>We achieved restoration of the defects of the dental arches and hard dental tissues and recovery to normal height of the lower third of the face (vertical dimension occlusion), fixed a stable and balanced position of the lower jaw, and repaired the normal physiological position of the TMJ for the patient. \u0410fter a multi-stage treatment we received a result satisfying the patient, the dentist and the dental technician. Aesthetics and function were restored, and clinical symptoms were removed from the TMJ.<\/ns4:p>","DOI":"10.12688\/f1000research.72961.2","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T12:30:09Z","timestamp":1662121809000},"page":"894","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Case Report: A digital workflow in the treatment of bruxism in a young patient"],"prefix":"10.12688","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1287-930X","authenticated-orcid":false,"given":"Dobromira","family":"Shopova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krasimir","family":"Mladenov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"ref1","article-title":"Management of Temporomandibular Disorders and Occlusion-E-Book.","author":"J Okeson","year":"2019"},{"key":"ref2","first-page":"012046","article-title":"Occlusal splints\u2013changes in the muscular activity.","volume":"1859","author":"I Taneva","year":"2021, March","journal-title":"J Physics: Conference Series."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"254-261","DOI":"10.1080\/08869634.1999.11746102","article-title":"Role of temporomandibular disorders (TMD) in facial pain: occlusion, muscle and TMJ pain.","volume":"17","author":"K Rauhala","year":"1999","journal-title":"CRANIO\u00ae"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"251-262","DOI":"10.2341\/09-BL","article-title":"Dental erosion.","volume":"34","author":"A Lussi","year":"2009","journal-title":"Operative dentistry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"34-44","DOI":"10.1159\/000074360","article-title":"The role of diet in the aetiology of dental erosion.","volume":"38","author":"A Lussi","year":"2004","journal-title":"Caries Res"},{"key":"ref8","article-title":"The Masticatory Organ: Functions and Dysfunctions\/Rudolf Slavicek.","author":"R Slavocek","year":"2002"},{"key":"ref9","article-title":"Occlusal Splint Therapy-A Review.","volume":"8","author":"Moin","year":"2019","journal-title":"Paripex-Indian J Res."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/14651858.CD002778.pub2","article-title":"Stabilisation splint therapy for temporomandibular pain dysfunction syndrome.","author":"M Al-Ani","year":"2004","journal-title":"Cochrane Database Systematic Rev."},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.2047\/jioh-08-05-23","article-title":"Occlusal Splint Therapy in Temporomandibular Joint Disorders: An Update Review.","volume":"8","author":"M Lakshmi","year":"2016","journal-title":"J Int Oral Health."},{"key":"ref12","article-title":"Sicat function & optimotion."},{"key":"ref13","article-title":"The Use Of Occlusal Splints Manufactured With \u00abExocad\u00bb Software In The Treatment Of Temporo-Mandibular Disfunction.","volume":"24","author":"T Kostiuk","year":"2020","journal-title":"Int J Med Dentistry"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"372","DOI":"10.3390\/app11010372","article-title":"A Full Digital Workflow to Design and Mill a Splint for a Patient with Temporomandibular Joint Disorder.","volume":"11","author":"A Nota","year":"2021","journal-title":"Appl. Sci."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"535-539","DOI":"10.23805\/JO.2019.11.03.10","article-title":"Digital manufacturing of occlusal splint: From intraoral scanning to 3D printing.","volume":"11","author":"P Venezia","year":"2019","journal-title":"J Osseointegration"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3290\/j.qi.a37641","article-title":"CAD\/CAM splints for the functional and esthetic evaluation of newly defined occlusal dimensions.","volume":"48","author":"D Edelhoff","year":"2017","journal-title":"Quintessence Int."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"236-261","DOI":"10.1016\/j.jpor.2013.09.001","article-title":"Current status of zirconia restoration.","volume":"57","author":"T Miyazaki","year":"2013","journal-title":"J Prosthodont Res"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"819-826","DOI":"10.1016\/j.jdent.2007.07.008","article-title":"An overview of zirconia ceramics: basic properties and clinical applications.","volume":"35","author":"P Manicone","year":"2007","journal-title":"J Dent"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"215-223","DOI":"10.1111\/j.1365-2842.1975.tb00915.x","article-title":"Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy.","volume":"2","author":"W Solberg","year":"1975","journal-title":"J Oral Rehabil."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"400","DOI":"10.2174\/1874210601812010400","article-title":"Bruxism-related signs and periodontal disease: a preliminary study.","volume":"12","author":"R Nakayama","year":"2018","journal-title":"Open Dent J."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/10-894\/v2\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/10-894\/v2\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/10-894\/v2\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T04:30:21Z","timestamp":1662352221000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/10-894\/v2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":18,"URL":"https:\/\/doi.org\/10.12688\/f1000research.72961.2","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.137676.r149344","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.137676.r149344","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/10-894\/v2#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.76575.r126807, Hristina Arnautska, Faculty of Dental Medicine, Department of Prosthetic Dentistry, Medical University -Varna, Varna, Bulgaria, 21 Apr 2022, version 1, 1 approved, 1 approved with reservations","URL":"https:\/\/f1000research.com\/articles\/10-894\/v1#referee-response-126807","order":0,"name":"referee-response-126807","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>dobromira shopova<\/b>; \n<i>Posted: 18 Aug 2022<\/i>; Thank you very much for your review! I will correct the article according to your notice!","URL":"https:\/\/f1000research.com\/articles\/10-894\/v2#referee-comment-8649","order":1,"name":"referee-comment-8649","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.137676.r149344, Essam Ahmed Al\u2010Moraissi, Department of Oral and Maxillofacial Surgery, Thamar University, Dhamar, Yemen, 05 Sep 2022, version 2, indexed","URL":"https:\/\/f1000research.com\/articles\/10-894\/v2#referee-response-149344","order":2,"name":"referee-response-149344","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}