{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:08:52Z","timestamp":1791216532834,"version":"4.1.0"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dent. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The orofacial region, particularly the lips, tongue, and teeth, plays a critical role in wind instrument performance. Wind instrument players may experience lip pain, trauma, or discomfort during performance. In patients rehabilitated with fixed implant-supported full-arch prostheses, reduced soft tissue support and intraoral volume may compromise embouchure stability and endurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description<\/jats:title>\n                    <jats:p>A 55-year-old male amateur saxophone player reported early fatigue and difficulty maintaining embouchure stability after receiving a fixed implant-supported full-arch prosthesis. Clinical examination revealed a space between the prosthetic superstructure, residual alveolar ridge, and buccal mucosa. To compensate for the reduced intraoral tissue volume, a plumper-type music splint worn exclusively during instrument playing was planned. The appliance was initially fabricated as a provisional music splint, digitized using a model scanner, and finalized through computer-controlled milling of acrylic resin. Subjective evaluation of playing comfort was conducted using an exploratory 10-point scale, and maximum sustained note duration was measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One month after delivery, the splint showed good fit and resulted in marked improvement in playing comfort and reduction of fatigue. Performance-related functions that had been severely compromised without the splint, including buccal stability and low-register tone production, improved to clinically meaningful levels. After one year of follow-up, further improvements were observed, and the patient reported increased ease and confidence during performance, accompanied by prolonged maximum sustained note duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The plumper-type music splint effectively compensated for insufficient intraoral tissue volume caused by the existing implant-supported prosthesis and enhanced embouchure stability and playing comfort. This removable, low-risk appliance may represent a useful adjunct for wind instrument players who experience performance-related functional impairment following fixed full-arch implant rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fdmed.2026.1767272","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:52:04Z","timestamp":1773211924000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Fabrication of a plumper-type music splint for saxophone performance in a patient with a full-arch implant-supported prosthesis"],"prefix":"10.3389","volume":"7","author":[{"given":"Mariko","family":"Hattori","sequence":"first","affiliation":[{"name":"Department of Advanced Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo","place":["Tokyo, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichi","family":"Yamatani","sequence":"additional","affiliation":[{"name":"Dental Laboratory, Institute of Science Tokyo Hospital","place":["Tokyo, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Sumita","sequence":"additional","affiliation":[{"name":"Department of Advanced Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo","place":["Tokyo, Japan"]},{"name":"Department of Partial and Complete Denture, School of Life Dentistry at Tokyo, The Nippon Dental University","place":["Tokyo, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Advanced Prosthodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo","place":["Tokyo, Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"232","DOI":"10.21091\/mppa.2016.4038","article-title":"Fundamentals of embouchure in brass players: towards a definition and clinical assessment","volume":"31","author":"Woldendorp","year":"2016","journal-title":"Med Probl Perform Art"},{"key":"B2","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1016\/j.jobcr.2019.06.010","article-title":"A new classification of wind instruments: orofacial considerations","volume":"9","author":"Clemente","year":"2019","journal-title":"J Oral Biol Craniofac Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1111\/j.1834-7819.2002.tb00296.x","article-title":"Specific orofacial problems experienced by musicians","volume":"47","author":"Yeo","year":"2002","journal-title":"Aust Dent J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"852866","DOI":"10.3389\/fpsyg.2022.852866","article-title":"Case report: psychoacoustic analysis of a clarinet performance with a custom-made soft lip shield worn to prevent mucosal erosion of lower lip","volume":"13","author":"Tanabe","year":"2022","journal-title":"Front Psychol"},{"key":"B5","first-page":"441","article-title":"Dental problems in wind instrument playing. 2. Single-reed instruments\u2013the lip shield","volume":"123","author":"Porter","year":"1967","journal-title":"Br Dent J"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.14219\/JADA.ARCHIVE.1975.0251","article-title":"An embouchure aid for clarinet and saxophone players","volume":"90","author":"Krivin","year":"1975","journal-title":"J Am Dent Assoc"},{"key":"B7","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1016\/J.PROSDENT.2021.06.044","article-title":"Evaluation of the optimal hardness and thickness of music splints for wind instrument players","volume":"129","author":"Nii","year":"2023","journal-title":"J Prosthet Dent"},{"key":"B8","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1111\/jopr.12166","article-title":"Sound analysis of a musical performance to evaluate prosthodontic treatment for a clarinet player","volume":"24","author":"Hattori","year":"2015","journal-title":"J Prosthodont"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1022205","DOI":"10.3389\/FPSYG.2022.1022205","article-title":"Case report: dental treatment for an oboist: post-trauma prosthetic rehabilitation and evaluation of musical performance","volume":"13","author":"Hattori","year":"2023","journal-title":"Front Psychol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"704","DOI":"10.1016\/j.prosdent.2023.10.008","article-title":"Articulation distortion in mandarin-speaking individuals with complete arch maxillary implant-supported fixed dental prostheses","volume":"134","author":"Zhang","year":"2025","journal-title":"J Prosthet Dent"},{"key":"B11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.prosdent.2004.04.019","article-title":"Lip plumper prosthesis for a patient with a marginal mandibulectomy: a clinical report","volume":"92","author":"Mukohyama","year":"2004","journal-title":"J Prosthet Dent"},{"key":"B12","first-page":"1","article-title":"One-day refabrication technique for a lip plumper in a patient with cleft lip and palate: a clinical report","volume":"4","author":"Awuti","year":"2018","journal-title":"Open J Clin Med Case Rep"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1522642","DOI":"10.3389\/FROH.2025.1522642\/BIBTEX","article-title":"Visualization of oral function during playing a wind instrument by a lateral dental impression: a proof-of-concept investigation","volume":"6","author":"Hattori","year":"2025","journal-title":"Front Oral Health"},{"key":"B14","doi-asserted-by":"publisher","first-page":"350","DOI":"10.11607\/ijp.9045","article-title":"Influence of playing musical instruments on geometrical face changes: 3D evaluation study","volume":"38","author":"Hattori","year":"2025","journal-title":"Int J Prosthodont"}],"container-title":["Frontiers in Dental Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdmed.2026.1767272\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:52:05Z","timestamp":1773211925000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdmed.2026.1767272\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":14,"alternative-id":["10.3389\/fdmed.2026.1767272"],"URL":"https:\/\/doi.org\/10.3389\/fdmed.2026.1767272","relation":{},"ISSN":["2673-4915"],"issn-type":[{"value":"2673-4915","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"article-number":"1767272"}}