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          the damage of the parafunction is the
        
        
          least invasive. And, it can be a potential
        
        
          minimally invasive and minimal cost
        
        
          first step in lessening damage to teeth
        
        
          or restorative work from the effects of
        
        
          bruxism.
        
        
          For years, the most-used method to
        
        
          create some form of protective appli-
        
        
          ance for a patient was to take a phys-
        
        
          ical impression and send it off to the
        
        
          laboratory. While this can work well, a
        
        
          traditional impression has the poten-
        
        
          tial to be wrought with inaccuracies
        
        
          due to expansion and contraction of the
        
        
          impression and eventual stone model.
        
        
          CEREC users know that there are
        
        
          significant advantages to a digital
        
        
          impression. Digital impressions have
        
        
          been successfully used for close to
        
        
          30 years — since the first generation
        
        
          of CEREC was used to fabricate all
        
        
          types of indirect restorations — inlays,
        
        
          onlays, eventually crowns, veneers and
        
        
          abutments.
        
        
          Today, additional options are available
        
        
          for CEREC users to prescribe an oral
        
        
          appliance for the treatment of bruxism
        
        
          with a digital scan. The company Dream-
        
        
          gard is the first to introduce an FDA-
        
        
          cleared digital solution for the treatment
        
        
          of bruxism using the CEREC system.
        
        
          CEREC users can take a digital
        
        
          scan using their CEREC Omnicam or
        
        
          Bluecam, and then have an FDA-cleared
        
        
          bruxism splint fabricated for their
        
        
          patients. Some potential advantages to
        
        
          the Dreamgard solution using a digital
        
        
          impression are the following:
        
        
          • According to the manufacturer,
        
        
          Dreamgard appliances require only an
        
        
          upper impression because the night
        
        
          guard is delivered via a self-equili-
        
        
          brating process that ensures a balanced
        
        
          bite without fitting or adjustment.
        
        
          • Dreamgardsplints aremade inanFDA-
        
        
          regulated production facility, which
        
        
          ensures safety, quality and consistency.
        
        
          • Digital splints have the potential to fit
        
        
          
            Fig. 1:
          
        
        
          
            Scanning
          
        
        
          
            Fig. 2:
          
        
        
          
            Delivery of
          
        
        
          
            appliance
          
        
        
          
            Fig. 3:
          
        
        
          
            Equilibrating
          
        
        
          
            the appliance
          
        
        
          
            1
          
        
        
          
            2
          
        
        
          
            3