TMD, bruxism, and occlusion

Greven, Markus

doi:10.1016/j.ajodo.2011.02.007

Cited by 6 publications

(9 citation statements)

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“…Also, phys ical therapy, cryotherapy, transcutaneous electrical nerve stimulation (TENS) therapy, ultrasound, laser therapy and medicamentous therapy could be used [1,2,3,5,7,8]. Some of them are reversible occlu sal therapy using splints, irreversible therapy, including fillings, fixed and mobile dental restorations.…”

Section: Therapy Of Craniomandibular Dysfunctionmentioning

confidence: 99%

“…Occlusal splint therapy is a form of reversible occlusal therapy, which temporarily alters occlusal relationships or relationships within TMJ [1,2]. Occlusal splint is an acrylic plate which covers occlusal surfaces of all teeth in maxillary on mandible arch (stabilization splint) [7,8,9].…”

Section: Occlusal Splintsmentioning

confidence: 99%

“…Naj če šći psi ho ge ni fak to ri su stres, emo ci o nal ni po re me ća ji, po re me ća ji po na ša nja, "pe dan te ri ja", ma ni ja, iz u zet na od go vor nost, de pre si ja i ank si o znost [1,2,3]. Ra ni ji sta vo vi su se za sni va li na oklu zal nom fak to ru kao pri mar nom u eti o lo gi ji dis funk ci ja, kao što su: ma lo klu zi je, otvo ren za gri žaj u fron tu, pre klop pred njih zu ba ve ći od 4 mm, raz li ka iz me đu re tru do va nog kon takt nog po lo ža ja (RKP) i in ter ku spal nog po lo ža ja (IKP) man di bu le ve ća od 2 mm, gu bi tak boč ne oklu zal ne pot po re, po sto ja nje oklu zal nih in ter fe ren ci (Sli ka 1).…”

Section: Etiologija Kraniomandibularnih Disfunkcijaunclassified

“…Ta ko đe se pri me nju ju od go va ra ju ća fi zi kal na te ra pi ja u vi du funk ci o nal nih ve žbi, kriote ra pi ja, tran sku ta na elek trič na ner vna sti mu la ci ja (TENS), ul tra zvuk, te ra pi ja la se rom i me di ka ment na te ra pi ja [1,2,3,5,7,8]. Od vi do va oklu zal ne te ra pi je ko ri ste se re ver zi bil na te ra pi ja oklu zal nim splin to vi ma i ire ver zi bil na te ra pi ja is pu ni ma, fik snim i mo bil nim zub nim na dok na da ma.…”

Section: Lečenje Kraniomandibularnih Disfunkcijaunclassified

“…Oklu zal ni te ra pij ski splin to vi su ob lik re ver zi bil ne oklu zal ne te ra pi je ko ji ma se pri vre me no me nja ju oklu zal ni od no si ili od no si unu tar TMZ [1,2]. Oklu zal ni splint ili na gri zna plo ča (be dem) je na pra va od akri la ta ko ja pot pu no (sta bi li za ci o ni splint) pre kri va gri zne po vr ši ne boč nih zu ba, od no sno se čiv ne ivi ce pred njih zu ba gor nje ili do nje vi li ce [7,8,9].…”

Section: Okluzalni Splintoviunclassified

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Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction

2011

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Craniomandibular dysfunction (CMD) is a set of structural and functional disorders of different etiology that affects temporomandibular joint (TMJ) and orofacial muscles. The most common etiologic factors are psychogenic, occlusal, trauma and congenital anomalies of craniofacial structures. About 75% of the examined population have mild symptoms of CMD while 3-4% have more severe symptoms which require medical attention. The main symptoms why people seek for medical attention are: facial pain which increases with chewing and irradiates in surrounding areas and pain in TMJ which irradiates in the ear canal, temporal area or neck. Painful restriction of mandible during mouth opening and eccentric movements is frequent as well as mandible deviation or deflection. Sound effects in TMJ such as popping or clicking during mouth opening are common. Initial and least invasive therapeutic procedure is reversible occlusal therapy using splints. There are two main types of occlusal splints: stabilization and relaxation. First type of splints works on condyle stabilization in orthopedically stable position; it is superoanterior condylar position in articular fossa with position of intercondylar discs between condyle and articular fossa when working cusps of the antagonists are in maximal contact with the splint. Another type of splint causes disocclussion of posterior teeth and eliminates negative effects of occlusal interference in the intercuspal position or during eccentric mandibular movements. During therapy, occlusal splint temporarily changes occlusal relationships as well as relations within TMJ, causing reduction of CMD symptoms. The best therapeutic effect for reduction of CMD symptoms is achieved by combination of physical therapy and medication

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Section: Therapy Of Craniomandibular Dysfunctionmentioning

confidence: 99%

Section: Occlusal Splintsmentioning

confidence: 99%

Section: Etiologija Kraniomandibularnih Disfunkcijaunclassified

Section: Lečenje Kraniomandibularnih Disfunkcijaunclassified

Section: Okluzalni Splintoviunclassified

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