Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

Fernández-González, Felipe J.; Cabero-López, Jorge; Brizuela-Velasco, Aritza; Galdames, Iván Suazo; Pérez-Pevida, Esteban; Cobo, Teresa; Montalban, Oier; Diéguez-Pereira, Markel; Chávarri-Prado, David; Pinta, Iker Bellanco de la; Jiménez-Garrudo, Antonio

doi:10.2174/1874210601711010301

Cited by 5 publications

(7 citation statements)

References 29 publications

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“…The horizontal, vertical, and transverse condylar position (CP) were evaluated using a single Measures Condyle Displacement (MCD) device and MIC wax record. The Helkimo Index was used to evaluate the patients' clinical condition [22].…”

Section: Stabilization Splint Fabrication and Therapeutic Phasementioning

confidence: 99%

“…The procedure was repeated weekly until occlusal contacts were stabilized, and the patients returned every 2 weeks. The patients were recalled 2 months later, and a follow-up visit was extended and reviewed at regular intervals as appropriate to ensure a mutually protected occlusion [22,23,26]. After months of treatment, SS was continued worn until TMD signs and symptoms were eliminated, and the patient reported to be pain-free and having both condyles completely seated in a musculoskeletally stable position.…”

Section: Stabilization Splint Fabrication and Therapeutic Phasementioning

confidence: 99%

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Three dimensional evaluation of the skeletal and temporomandibular joint changes following stabilization splint therapy in patients with temporomandibular joint disorders and mandibular deviation: a retrospective study

et al. 2023

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Background Three-dimensional (3D) detailed evaluations of the mandibular mediolateral position, mandibular condylar position, and temporomandibular joint (TMJ) spaces following stabilization splints (SS) therapy in patients with temporomandibular joint disorders (TMD) and mandibular deviation (MD) have not been reported in the available literature. Accordingly, this study aimed to three-dimensionally analyze the skeletal and bony temporomandibular joint changes following stabilization splint therapy in adult patients with temporomandibular joint disorders and mandibular deviation. Methods This study is a retrospective clinical study that enrolled 26 adult patients with TMD and MD with a mean age of 24.86 years. The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) was used to diagnose TMD. SS was adjusted weekly until occlusal contact stabilization occurred, and then adjusted monthly, patients were instructed to wear it at night for at least 10 h. The SS was removed after the elimination of TMD symptoms (TMJ/muscle pain on palpation, muscle spasm, and clicking) and having both condyles completely seated in a musculoskeletally stable position. Pre- and post-therapeutic Cone Beam Computed Tomography (CBCT) was analyzed. Mandibular mediolateral position, TMJ spaces, and mandibular condyle position were analyzed three-dimensionally using Mimics 21.0 software. Paired t-test or Wilcoxon rank-sum test was performed, and the significance level was considered at P < 0.05. Results The treatment period with SS therapy was 10.07 ± 3.1 months. The deviated chin was improved in 69.23% of the sample; the range of improvement was > 0 mm ≤ 3.9 mm. The mandibular rotation was significantly decreased from 3.58 ± 2.02° to 3.17 ± 1.60. The deviated side’s superior and posterior joint TMJ spaces were significantly increased from 2.49 ± 0.88 mm and 1.25 ± 0.79 mm to 2.98 ± 1.02 mm and 1.86 ± 0.72 mm, respectively. The value of the difference from the bilateral condyle head position to the X and Z axes significantly decreased from 2.50 ± 1.56 mm and 2.30 ± 1.57 mm to 1.64 ± 1.58 mm and 1.82 ± 1.11 mm, respectively. Conclusion The main positional effect of the stabilization splint treatment in TMD patients with MD includes considerable correction of mandibular deviation, improving facial asymmetry, and moving the condyle into a stable condylar position; these were done by promoting the mandible to rotate around the Z (roll) and Y (yaw) axes and by forward, downward, and outward condylar movement on the deviated side, respectively.

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Section: Stabilization Splint Fabrication and Therapeutic Phasementioning

confidence: 99%

Section: Stabilization Splint Fabrication and Therapeutic Phasementioning

confidence: 99%

Three dimensional evaluation of the skeletal and temporomandibular joint changes following stabilization splint therapy in patients with temporomandibular joint disorders and mandibular deviation: a retrospective study

et al. 2023

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“…Bu amaçla, oklüzal splintler, fizik tedavi, kas egzersizi, ve psikolojik destek en başta gelen konservatif tedavi yöntemleridir. 16,17 Eklem içi enjeksiyonlar özellikle ağrı, efüzyon, enflamasyon ve fibröz adezyon bulunan hastalarda tercih edilmektedir. TME içi enjeksiyonlarda hyaluranik asit ve steroidler en çok tercih edilen ajanlardır.…”

Section: Discussionunclassified

Use of blood and blood products in the management of temporomandibular joint (TMJ) disorders: A systematic review

Suzen¹,

Gürler²,

Delilbaşi³

2019

Yeditepe J Dent

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Temporomandibular eklem (TME) hastalıkları; ekstrakapsüler ve intrakapsüler orijinli olarak sınıflandırılmaktadır. Bu sınıflandırma içinde, myofasiyal ağrı, iç düzensizlikler, dejeneratif hastalıklar ve neoplaziler dahil edilebilir. Bu hastalıkların etiyolojisinde travma, enfeksiyon, osteoartrit, immünolojik ve metabolik hastalıklar ile patolojik oluşumlar rol oynamaktadır. TME hastalıklarının tedavisinde konservatif yöntemler daha sıklıkla uygulanmakta olup cerrahi tedavi daha az tercih edilmektedir. Son yıllarda rejeneratif tedavide hastadan elde edilen kan ve kan ürünlerinin kullanımı yaygınlaşmakta, hem yumuşak doku hem kemik iyileşmesinde olumlu sonuçlar bildirilmektedir. Bu sistematik derlemede; TME hastalıklarının tedavisinde kan ve kan ürünlerinin etkinliğine yönelik yapılan araştırmaların analizi amaçlanmaktadır.

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“…In addition, a future study could investigate the role of iatrogenic malocclusions in the development of TMD, compared to natural malocclusions. Some authors have highlighted the efficiency of treatments such as selective grinding in the correction of occlusal problems and TMDs [19,20]. However, the American Association of Dental Research advises first a non-invasive and reversible treatment [21].…”

Section: Citationmentioning

confidence: 99%

Relationship between Occlusal Factors, Oral Parafunctions and Temporomandibular Disorders: A Case Control Study

Mélou¹,

L²,

Meary³

et al. 2019

Int J Dent Oral Health

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Aims:The purpose of this study was to assess the multifactorial etiology of temporomandibular disorders (TMD). To this end, prevalence of occlusal factors and parafunctional habits was investigated and correlated in two groups: patients with TMD (case group) and patients without TMD (control group).Methods: Prevalence of 7 static and 4 dynamic malocclusion features, and some parafunctional activities (nail biting, teeth grinding, teeth clenching, lips and cheeks biting, pens chewing, mandibular jaw moves habit…) were recorded in the two groups. Case group consisted of 30 patients with a diagnosis of myofascial pain, with or without limited opening, and/or disk displacement with or without reduction. Control group consisted of 30 patients without TMD. Univariate and multivariate analysis were used to identify the significant associations between occlusal variables, oral parafunctions and temporomandibular disorders.Results: All patients in case group, and 93.3% in control group had at least one malocclusion, and a statistically significant association between TMD and three malocclusions (two dynamic malocclusion features: mediotrusive interferences, laterotrusive interferences, and one static malocclusion: overbite >4 mm) was shown. Regarding parafunctional activities, all patients in case group, and 93,3% in control group had at least one parafunction, and the mean number of parafunctions per patient was significantly higher in case group than in control group. Besides, an association between TMD and some parafunctions was shown. Conclusion:Given the multifactorial nature of TMD, a behavioral reeducation to reduce parafunctional activities could be the first phase of the care for TMD patients and could prevent TMD development. Besides, special attention should be given to normocclusion criteria. These criteria must be fulfilled for any dental care.

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Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

Abstract: Abstract:Background:

Cited by 5 publications

References 29 publications

Three dimensional evaluation of the skeletal and temporomandibular joint changes following stabilization splint therapy in patients with temporomandibular joint disorders and mandibular deviation: a retrospective study

Three dimensional evaluation of the skeletal and temporomandibular joint changes following stabilization splint therapy in patients with temporomandibular joint disorders and mandibular deviation: a retrospective study

Use of blood and blood products in the management of temporomandibular joint (TMJ) disorders: A systematic review

Relationship between Occlusal Factors, Oral Parafunctions and Temporomandibular Disorders: A Case Control Study

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