QuickSplint for Diagnosing Parafunction

Assessing Parafunction Has Never Been Easier with QuickSplint and the Parafunction Risk Rating Protocol

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Is Your Patient at Risk for Damage or Injury due to Parafunction?

Studies have shown that up to 80% of the population that grind their teeth are not aware of their condition. Bruxism (clenching or grinding) can occur during the day or night. For some patients it is a transitory condition (during periods of stress or use of certain medications) whereas other patients will brux at nighttime without any awareness of the condition. Helping your patient understand and manage parafunction can help prevent tooth wear, tooth fracture, TMJ injury or disorder, associated tension headaches, ear aches, and neck pain.

Charting Patient copyCharting a Parafunction Risk Rating Allows You to Identify Risk & Develop a Treatment Strategy

The Parafunction Risk Ratings (PRR-1, PRR-2, PRR-3, PRR-4) and the Risk-Rating Table work together as a universal grading system that is applied to dental patients on initial diagnostic dental visits and annual recall.  Accurately assessing parafunction has never been easier. We’ve detailed the protocol for you below – and we’ve provided downloadable forms to help.

  • Provide the PRR Patient Hand-out* for the patient to read and self-assess their clenching behavior. Review together.
  • Perform a muscle and joint exam, assess the patient’s dentition for signs of bruxism.
  • Use the results from your exam with the patient’s input from their self-assessment to complete the Parafunction Risk-Rating Table* and assign a risk rating for your patient.
  • If the patient is graded as PRR-2, PRR-3, or PRR-4, recommend they wear QuickSplint for overnight wear for a 4-week diagnostic trial.
  • At the follow-up visit, if grind marks are present or the patient experienced reduced jaw and neck tension and other benefits, begin the discussion and plan for appropriate treatment.
  • Document the rating for patient records and monitor parafunction annually.

*Download the Parafunction Risk Rating Protocol for more details. The Parafunction Risk Ratings and Risk-Rating Table, PRR Patient Hand-out, and 4-Week Clinical Evaluation Forms are made available free of charge to all dental professionals courtesy of Dr. Bradley Eli and QuickSplint, LLC (see links below).

The Parafunction Risk Ratings


Parafunctional Risk Rating Index: Example Outcomes

As examples of how the Parafunction Index is applied, here are some possible patient outcomes.

  • Patients undergoing any type of restorative dentistry can integrate information about their risk rating so that they have realistic expectations about their case.
  • Patients with low risk (PRR – 1 rating) who have tried the QuickSplint may have peace of mind that veneers are suitable.
  • Patients with higher risk may understand and be motivated to protect their teeth and address issues immediately
  • Patients with a higher risk may postpone treatment, but they have been informed of the risk of cracked or worn teeth, periodontal conditions.
  • Patients with higher risk ratings can be referred to a specialist.
  • Patients may not tolerate an oral appliance, in which case you have saved the expense of a custom appliance.

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