Fully digital two-stage workflow for occlusal devices: A technique for jaw registration, stability, and design predictability

Journal of Prosthetic Dentistry 2026 Open access

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Authors: Juliana Gabriela Alves de Oliveira, Simone Saldanha Ignácio de Oliveira, Camila Sales Jreige, Marvin Luis Mendoza Morales, Danilo Bianchi, Gustavo Mendonça, Dalva Cruz Laganá, Newton Sesma
DOI: 10.1016/j.prosdent.2026.04.008
Cited by: 1
References: 58

Abstract

The technique describes a fully digital, 2-step protocol designed to address common challenges in the fabrication of occlusal devices. These concerns include the clinical difficulty of achieving effective mandibular deprogramming and the technical complexity of designing occlusal appliances using a computer-aided design (CAD) software program. The proposed approach involves an initial anterior deprogramming phase using a leaf gauge, followed by the fabrication of a 3-dimensionally (3D) printed anterior guide to assist in capturing a consistent mandibular position. This staged process may support greater design reproducibility and facilitate the clinical installation of the definitive 3D printed device, potentially reducing the time required for occlusal adjustments and follow-up appointments.

Fields of Study & Subjects

Temporomandibular Joint Disorders Dental materials and restorations Orthodontics and Dentofacial Orthopedics

Publication details

Journal / source
Journal of Prosthetic Dentistry
Publisher
Elsevier BV
Volume
136
Issue
2
Pages
349–354
Publication date
22 April 2026
Language
EN