Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials

Zhang, Sihui; He, Kai-Xun; Lin, Chen-Jing; Liu, Xiangdong; Wu, Ling; Chen, Jiang; Rausch‐Fan, Xiaohui

doi:10.1080/00016357.2020.1759818

Cited by 54 publications

(50 citation statements)

References 35 publications

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“…The patient's 12-weeks self-evaluations significantly improved. These findings agreed with other studies that used the ARS for 2-3 months, considering it a highly recommended non-invasive approach (85)(86)(87) . Patientreported pain frequency and degree significantly decreased.…”

Section: Patient Self-evaluation Outcomesupporting

confidence: 91%

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

Elsaih

Mowafey

Ata

et al. 2022

Egyptian Dental Journal

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Section: Patient Self-evaluation Outcomesupporting

confidence: 91%

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

Elsaih

Mowafey

Ata

et al. 2022

Egyptian Dental Journal

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“…Patients with restricted mouth opening (72.0%) reported an improvement of their complaints mostly rated as a 60% reduction. Pain reduction, relaxation of the associated muscles, influence on neuromuscular activity and subsequent joint relief could have led to the improvement [ 46 , 47 ]. In contrast to other subjective symptoms like pain and headache, the assessment of the mouth opening can be objectified by determining the distance between incisal edges.…”

Section: Discussionmentioning

confidence: 99%

“…There is no universally applicable treatment concept for TMDs [ 47 ]. The spectrum of symptoms, etiological and individual factors make it difficult to standardize treatment to a high degree.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perceptions on temporomandibular disorder treatment with hydrostatic oral splints - a pilot study

Sabbagh

Heppner³

et al. 2022

BDJ Open

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Objective To evaluate temporomandibular disorder (TMD) treatment with a prefabricated, hydrostatic oral splint (HOS) based on self-reported patient’s symptoms using a standardized questionnaire. Methods Two hundred fifty-eight questionnaires from patients diagnosed with TMD and subsequently treated with HOS were collected from two independent private practices. Based on patient’s comfort the questionnaire recorded TMD symptoms and symptom regression. Descriptive and comparative statistics was carried out using SPSS. Results A total of 221 questionnaires were analyzed. Patients reported TMD symptoms such as pain (93.2%), TMJ clicking (66.1%), headache (25.8%), cervical spine disorders (23.5%), restricted mouth opening (22.6%) and tinnitus (11.8%). For most symptoms, improvement was reported mostly after two weeks, except for tinnitus, where positive effects were usually reported after four weeks. Conclusion HOS seem to be effective for immediate treatment of pain and other TMD symptoms. Based on the available data, a treatment period of four weeks can be recommended.

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“…Several therapies and appliances have been developed to try to diagnose it and relieve the associated symptoms [34,35]. Reversible treatments should be preferred to invasive procedures (i.e., occlusal adjustment, through selective grinding of the tooth surfaces) for the rehabilitation of patients with myofascial disease, and generally for TMD [14,36]. Among the successful conservative therapies, occlusal splint therapy has been demonstrated to be effective in the management of pain in patients with TMD [17].…”

Section: Discussionmentioning

confidence: 99%

Pain Assessment during Gnathological Treatment of Temporomandibular Myofascial Pain through Mandibular Repositioning Splints Designed after a Posture-Stabilometric Evaluation

et al. 2021

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The aim of the study is to evaluate the effectiveness of two complementary mandibular repositioning splints (SVED and MORA) designed after a preliminary patients’ posture-stabilometric evaluation in treatment for temporomandibular myofascial pain (TMP) using the Pain-Intensity Numeric Rating Scale (PI-NRS) assessment. Eighty-six consecutive sportive non-agonistic subjects with TMP were randomly divided in two groups. Forty-two wear mandibular repositioning splints designed by a posture-stabilometric evaluation, thus constituting the test group. The other 44 subjects were not subjected to any treatment, thus represented the control group. To record pain intensity, subjects in both groups were asked to fill in a PI-NRS which ranged from 0 (no pain) to 10 (worst imaginable pain). In the test group, PI-NRS was assessed three times: before starting therapy (t0), after 4 months (t1) and after 8 months (t2) of treatment. Instead, in the control group PI-NRS was recorded during the first visit (t0) and after 8 months (t2). The Friedman test showed a statistically significant decrease in PI-NRS mean scores after 4 (t1) and 8 (t2) months from the start of the gnathological therapy with mandibular repositioning splints, (p < 0.001) in test group. There is enough evidence to assess that occlusal splint therapy for mandibular repositioning (MORA and SVED) designed through a posture-stabilometric evaluation could be considered in the treatment of temporomandibular myofascial pain.

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Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials

Cited by 54 publications

References 35 publications

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

Treatment protocol for temporomandibular joint derangement using an anterior repositioning splint with modification (one year prospective study).

Patients’ perceptions on temporomandibular disorder treatment with hydrostatic oral splints - a pilot study

Pain Assessment during Gnathological Treatment of Temporomandibular Myofascial Pain through Mandibular Repositioning Splints Designed after a Posture-Stabilometric Evaluation

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