Occlusal splints-types and effectiveness in temporomandibular disorder management

Albagieh, Hamad; Alomran, Ibrahim; Binakresh, Abdulrahman; Alhatarisha, Nawaf; Almeteb, Meteb; Khalaf, Yousef; Alqublan, Abdulrahman; Alqahatany, Mohammad

doi:10.1016/j.sdentj.2022.12.013

Cited by 26 publications

(28 citation statements)

References 50 publications

(99 reference statements)

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“…Several therapies, including occlusal splints, have been used to manage sleep bruxism and temporomandibular disorders, including occlusal splints [11]. Occlusal splints, often night guards, are dental appliances that function as protective barriers.…”

Section: Introductionmentioning

confidence: 99%

“…Occlusal splints, often night guards, are dental appliances that function as protective barriers. Their primary purpose was to minimize the detrimental consequences of bruxism by obstructing tooth-to-tooth contact during sleep [11]. Various occlusal splints are available to accommodate individuals' specific requirements and preferences [12].…”

Section: Introductionmentioning

confidence: 99%

“…Occlusal or bite splints, used for the management of TMD, are typically made from materials like acrylic [11]. The splints provide a barrier between dental arches to minimize the impact of temporomandibular disorders.…”

Section: Introductionmentioning

confidence: 99%

“…The splints provide a barrier between dental arches to minimize the impact of temporomandibular disorders. Since these disorders have adverse symptoms like pain, the cushioning effect of the splints helps improve comfort and minimizes accompanying symptoms [11,13]. Splints are customized to suit the different needs of patients by taking impressions of patients' teeth, which are used to fabricate customized splints for specific bite patterns.…”

Section: Introductionmentioning

confidence: 99%

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Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review

Ainoosah,

Farghal,

Alzemei

et al. 2024

BMC Oral Health

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Background Sleep bruxism is a prevalent condition in dentistry practice, characterized by involuntary grinding or clenching of the teeth during sleep. Several therapies, including occlusal splints, have been used to manage sleep bruxism and temporomandibular disorders, including occlusal splints. This study aimed to compare the effectiveness of different occlusal splints in managing sleep bruxism. Methods The PICO framework encompasses the characterization of the population, intervention, comparison, and pertinent outcomes. A comprehensive and systematic literature review was conducted on PubMed, Scopus, and Google Scholar to identify grey literature. The search specifically targeted scientific studies published before September 20, 2023. The Cochrane Collaboration Risk of Bias Tool assessed the accuracy of the included Randomized Control Trials (RCTs). The modified Newcastle–Ottawa Scale assessed non-randomized studies. Data were systematically extracted, synthesized, and reported thematically. Results Out of the total of 808 articles that were evaluated, only 15 articles were found to meet the specified inclusion criteria. Adjustable splints, such as full-occlusion biofeedback splints, were more effective in reducing sleep bruxism episodes, improving patient-reported symptoms, and enhancing overall well-being. The impact of different occlusal sprints on electromyographic activity varies, and potential adverse effects should be considered individually. Conclusions This review provides valuable insights into the effectiveness of occlusal splints in managing sleep bruxism. The results of this study indicate that occlusal splint therapy is a viable treatment approach for sleep bruxism.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review

Ainoosah,

Farghal,

Alzemei

et al. 2024

BMC Oral Health

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“…Treatment options for patients with TMDs, bruxism, and frequent headaches associated with stomatognathic system disorders include pharmacotherapy [ 3 ], physiotherapy [ 4 ], patient education [ 5 ], behavior therapy [ 6 ], and removable appliances called occlusal or stabilization splints [ 7 ]. There are many types of splints varying in design, e.g., the material from which they are made (hard and soft splints), the position of the splint (maxillar and mandibular), and the extent of coverage (full-arch-covering type and partial type covering only the central incisors) [ 8 , 9 ]. The effectiveness of the use of stabilization splints, both soft and hard, has been demonstrated in various scientific reports.…”

Section: Introductionmentioning

confidence: 99%

Influence of Soft Stabilization Splint on Electromyographic Patterns in Masticatory and Neck Muscles in Healthy Women

Zieliński

Wójcicki

Baszczowski

et al. 2023

JCM

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This study investigates the influence of soft stabilization splints on electromyographic patterns in masticatory and neck muscles in healthy women. A total of 70 healthy women were qualified for the research. The resting and clenching electromyographic patterns of the temporalis (TA), masseter (MM), digastric (DA), and sternocleidomastoid (SCM) muscles were measured using the BioEMG III™ apparatus. The interaction between splint application and resting muscle activity affected the results in all examined muscles except the temporalis muscle. A large effect size was observed in masseter (2.19 µV vs. 5.18 µV; p = 0.00; ES = 1.00) and digastric (1.89 µV vs. 3.17 µV; p = 0.00; ES = 1.00) both-sided RMS activity. Significant differences between the two conditions were observed in all Functional Clenching Indices (FCI) for MM, SDM, and DA muscles. All FCI values for the MM and DA muscles were significantly lower with than without the splint. We observed an increase in all activity indices due to splint application, which suggests a masseter muscle advantage during measurement. The soft stabilization splint influenced resting and functional activity in the MM, SDM, and DA muscles. During tooth clenching, a soft stabilization splint changed the involvement proportions of the temporalis and masseter muscles, transferring the main activity to the masseter muscles. Using a soft stabilization splint did not affect the symmetry of the electromyographic activity of the masticatory and neck muscles.

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Occlusal interventions for managing temporomandibular disorders

Singh,

Jayaraman

et al. 2024

Cochrane Database of Systematic Reviews

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Occlusal splints-types and effectiveness in temporomandibular disorder management

Cited by 26 publications

References 50 publications

Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review

Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review

Influence of Soft Stabilization Splint on Electromyographic Patterns in Masticatory and Neck Muscles in Healthy Women

Occlusal interventions for managing temporomandibular disorders

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