Temporomandibular Joint Pain Syndrome; Effect of Occlusal Splint Therapy

Abstract

… Introduction: The temporomandibular joint disorders TMD and their management is a problem in dentistry and complaints associated to this problem are pain in the area of joint and associated muscles along with limitations and clicking sounds during mandibular opening and closing. One of the popular method of treatment is splint therapy. Study design: It was longitudinal intervention study. Objectives: The purpose of this study is to assess about oral splint as an effective treatment for TMD patients. Period: Total study time for this study was about two years. Setting: Study was carried out in prosthodontics department of Sharif medical and dental college Lahore. Methodology: In the present study 40 patients were included the study. All patients were suffering from some psycho-social issue. Their maximum mouth opening MMO was measured and all of them were treated with occlusal splints. Results: There was significant improvement in MMO and reduction in pain.75% patients responded to treatment very well, however, 22.5% responded moderately and 2.5% patients did not respond to treatment. Conclusion: Splint therapy is an effective way to treat TMD. Splint therapy along with some psychological rehabilitation of patients which may produce better results.Article Citation: Awan U, Tariq N. Temporomandibular joint pain syndrome; effect of occlusal splint therapy. Professional Med J 2016;23(1):081-084.

Splint Therapy in Temporomandibular Joint Disorders: Review

“…[30][31][32][33][34][35][36] Bununla birlikte; splintin eklemdeki yükü azaltmayacağı, bruksizmi önlemeyeceği, hastaları iyileştirmeyeceği bazı araştırmacılar tarafından ifade edilmiş; bunun yerine zayıf doku desteği olan dişleri stabilize etmede, oklüzal yük dağılımının uniform hâle getirilmesinde, diş aşınmalarının azaltıl-masında ve karşıtı olmayan dişlerin stabilizas yonunda kullanılabileceği bildirilmiştir. 21,27 Hasegawa ve ark., bir klinik çalışmada, splintlerin ağrıyı gidermede herhangi bir etkilerinin olmadığını göz-lemlemiş, kemik iliği anomalileri ve bikonveks disk anomalilerinde splint tedavisinin başarı sağlama-yacağını bildirmişlerdir.…”