Occlusal splints for bruxism: indications and follow-up strategy

Occlusal splints can reduce overload symptoms in patients with sleep bruxism, especially when muscle pain, tooth wear, or restoration fractures are present. Appliance selection should be based on diagnosis, vertical dimension considerations, and patient comfort. Accurate impressions or digital scans, balanced contacts, and clear wear instructions improve compliance. Follow-up visits are important for adjusting high spots, evaluating symptom trends, and monitoring ongoing parafunctional risk. Splints are most effective as part of a broader plan that addresses behavioral and restorative factors.