Updating the Mandibular Orthopedic Repositioning Appliance (MORA)

Pertes, Richard A.

doi:10.1080/08869634.1987.11678210

Cited by 3 publications

(1 citation statement)

References 1 publication

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“…Two types of splints in a complementary way were used for the splint therapy in the test group: a Mandibular Anterior Repositioning Splint (MORA) [25] during the daytime and a Sagittal Vertical Extrusion Device (SVED) [26] during the night. Splints were designed as described by Tecco et al [17] and using the wax registration that showed the best improvement of the postural arrangement after jaw repositioning as a reference.…”

Section: Treatment Proceduresmentioning

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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Section: Treatment Proceduresmentioning

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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A procedure for making a bruxism device in the office

Austin¹,

Attanasio²

1991

The Journal of Prosthetic Dentistry

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Guardians of the temporomandibular joint: The occlusal splints- an overview

Eshwar¹,

MU²,

Rao³

et al. 2023

ADR

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Management of temporomandibular joint disorders requires a multifaceted approach. Splint therapy is one among the preferred treatment modalities. There are various schools of thought pertaining to splint therapy which is often challenging to both dentists and patients. Hence a thorough knowledge regarding splints and its application proves to be of great importance in proper treatment planning. Occlusal splint therapy is a non- invasive, reversible and conservative type of treatment recommended for parafunctional habit, unstable occlusion, stress related pain symptoms, occlusal interferences, in extensive restorative treatment and also other masticatory muscle disorders. Its function has been proved to reduce appropriate symptoms by altering the occlusal equilibrium, distributing forces associated with parafunctional activities and normalizing periodontal ligament proprioception. This article enumerates various aspects of splint therapy such as types of splints, their uses, functions, design, fabrication and its modification with a clear insight on the physiologic and therapeutic effects of various splints. This knowledge gives way to the selection, designing and application of a specific occlusal splint which would help in achieving appropriate and successful treatment planning for the patient.

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Updating the Mandibular Orthopedic Repositioning Appliance (MORA)

Cited by 3 publications

References 1 publication

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

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

A procedure for making a bruxism device in the office

Guardians of the temporomandibular joint: The occlusal splints- an overview

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