The Levandoski Stabilization Prosthesis is a mandibular splint that is designed to precisely position the mandible and hold the condyles in the ideal physiologic position within the fossa. This position is predetermined with the use of precise radiographic records and special equipment. The first step in making this appliance is to mount accurate casts on the Levandowski Articulator. The unique design of this articulator allows for precise adjustments of the X, Y, and Z axes and gives you control of the anterior and posterior vertical dimension. Next, transcranials or tomograms of each joint are taken to precisely determine the position of the condyles in occlusion. Using these radiographs, a vector analysis is completed to determine the ideal physiologic position of the condyles. This information is then transferred to the articulator so that an occlusal record can be generated. Once the occlusal record is generated, new radiographs should be taken of the patient’s joint with the occlusal record in place to confirm its accuracy prior to making the appliance. The appliance itself is designed with high buccal and lingual walls of acrylic and an occlusal surface that is heavily indexed to the upper dentition, including all of the incisors and cuspids. This design assures the stability of the joint even during function as it is meant to be worn 24 hours a day.