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Peer-reviewedCC BYFrontiers in psychology

Case Report: Digital fabrication of a music splint oral appliance for lip irritation in a brass player.

  • Mana Ando1
  • Mariko Hattori1
  • Yuichi Yamatani2
  • Satoshi Obata3
  • Takashi Mori3
  • Hiroshi Churei4
  • Akira Nishiyama5
  • Gen Tanabe4,6
  • Yuka Sumita1,7
  • Noriyuki Wakabayashi1
7 affiliations
  1. 1Department of Advanced Prosthodontics, Institute of Science Tokyo, Tokyo, Japan.
  2. 2Dental Laboratory, Institute of Science Tokyo Hospital, Tokyo, Japan.
  3. 3Yamaha Corporation, Hamamatsu, Japan.
  4. 4Department of Masticatory Function and Health Science, Institute of Science Tokyo, Tokyo, Japan.
  5. 5Department of General Dentistry, Institute of Science Tokyo, Tokyo, Japan.
  6. 6Department of Sports Dentistry, Meikai University School of Dentistry, Sakado, Japan.
  7. 7Department of Partial and Complete Denture, The Nippon Dental University, Tokyo, Japan.
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Abstract

Playing a wind instrument requires coordinated orofacial function, and oral conditions may influence both comfort and musical performance. Among brass musicians, dental crowding or irregular incisal morphology may cause mechanical irritation of the lip while playing. This case report describes the fabrication and evaluation of a music splint for a professional trombonist with recurrent lower-lip pain while playing. A conventionally fabricated provisional splint was first provided, followed by a definitive splint designed using a digital workflow based on intraoral scanning and computer-aided design. Subjective outcomes were evaluated using a visual analog scale, and objective outcomes were assessed by psychoacoustic and rhythm analyses under multiple performance conditions. Both the provisional and the definitive splints reduced lip pain and improved playing comfort. After adjustment of the definitive splint, the expected dynamic patterns of loudness and sharpness were maintained, while rhythm stability was similar to that observed without a splint, suggesting no marked deterioration in the measured performance characteristics. This case suggests that digitally fabricated music splints may be a useful clinical option for managing lip irritation in brass musicians while preserving musical performance.

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Cite

BibTeXRIS
BibTeX
@article{ando2026case,
  title = {{Case Report: Digital fabrication of a music splint oral appliance for lip irritation in a brass player.}},
  author = {Mana Ando and Mariko Hattori and Yuichi Yamatani and Satoshi Obata and Takashi Mori and Hiroshi Churei and Akira Nishiyama and Gen Tanabe and Yuka Sumita and Noriyuki Wakabayashi},
  journal = {Frontiers in psychology},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyg.2026.1854538},
  url = {https://europepmc.org/article/MED/42898135},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Case Report: Digital fabrication of a music splint oral appliance for lip irritation in a brass player.
AU  - Mana Ando
AU  - Mariko Hattori
AU  - Yuichi Yamatani
AU  - Satoshi Obata
AU  - Takashi Mori
AU  - Hiroshi Churei
AU  - Akira Nishiyama
AU  - Gen Tanabe
AU  - Yuka Sumita
AU  - Noriyuki Wakabayashi
PY  - 2026
DA  - 2026/10/05
JO  - Frontiers in psychology
DO  - 10.3389/fpsyg.2026.1854538
UR  - https://europepmc.org/article/MED/42898135
AB  - Playing a wind instrument requires coordinated orofacial function, and oral conditions may influence both comfort and musical performance. Among brass musicians, dental crowding or irregular incisal morphology may cause mechanical irritation of the lip while playing. This case report describes the fabrication and evaluation of a music splint for a professional trombonist with recurrent lower-lip pain while playing. A conventionally fabricated provisional splint was first provided, followed by a definitive splint designed using a digital workflow based on intraoral scanning and computer-aided design. Subjective outcomes were evaluated using a visual analog scale, and objective outcomes were assessed by psychoacoustic and rhythm analyses under multiple performance conditions. Both the provisional and the definitive splints reduced lip pain and improved playing comfort. After adjustment of the definitive splint, the expected dynamic patterns of loudness and sharpness were maintained, while rhythm stability was similar to that observed without a splint, suggesting no marked deterioration in the measured performance characteristics. This case suggests that digitally fabricated music splints may be a useful clinical option for managing lip irritation in brass musicians while preserving musical performance.
SN  - 1664-1078
ER  -