In the era of rapid digitalization, dentistry continues to demonstrate an intensive transformation related to the implementation of digital workflows and sensor technologies, forming new clinical protocols.<\/p>\n
The key factor of progress<\/strong> becomes not only the development of hardware and software solutions, but also the effective translation of clinically validated data and standards into daily practice, ensuring predictability of treatment and reproducibility of outcomes in patients with bruxism<\/strong>.<\/p>\n Digital and sensor splints are regarded not as a simple modification of an orthopedic appliance, but as a component of an integrated monitoring and feedback system \u2014 a platform for personalized therapy; the role of CAD\/CAM<\/strong>-manufacturing lies in achieving high accuracy of fit, controlled thickness and a reproducible occlusal surface, which reduces the variability of inter-study and clinical results.<\/p>\n The integration of sensors for recording occlusal forces and articulatory loads, synchronization with EMG<\/strong> signals and biofeedback algorithms allows not only monitoring of masticatory muscle activity, but also implementation of behavioral correction strategies \u2014 dynamic load control, immediate feedback during episodes of clenching; this creates prerequisites for an objective assessment of intervention effectiveness and further validation of protocols.<\/p>\n The systematic review included eight randomized controlled trials<\/strong>, which reflects the stage of early diffusion of technologies and the formation of a research paradigm; most studies demonstrated a tendency toward improvement of clinical outcomes \u2014 reduction of symptom severity, decrease of pain syndrome and episode frequency \u2014 however a substantial portion of differences did not reach statistical significance<\/strong>, underscoring the limitations of the current evidence base.<\/p>\n Of particular clinical significance is the study with intraoral vibrational biofeedback<\/strong>, which recorded a significant reduction in the frequency and duration of sleep episodes compared with a traditional splint; at the same time high heterogeneity<\/strong> was noted in splint design, inclusion criteria, assessment methods (self-recording, EMG, polysomnography) and sample sizes \u2014 factors that impede meta-analysis and international standardization of baseline measures.<\/p>\n Digital fabrication of splinting devices provides consistently high fit and, with correct selection of material and technological process, improved durability and adhesive characteristics; this increases the predictability of the clinical outcome and lowers barriers to implementation in daily practice, but requires from the clinician knowledge in digital prototyping and interdisciplinary coordination with laboratories and engineers.<\/p>\nTechnology as a tool<\/h2>\n
Functions and potential of sensorics<\/h3>\n
Validation and standardization: evidence base<\/h2>\n
Practice as a new reality<\/h2>\n
Clinical recommendations and integration<\/h3>\n