The splint therapy is the most common and recommendable standard therapy for craniofacial pain. This type of therapy can obtain muscle relaxation and improvement of neuromuscular coordination. The aim of the article is to exemplify the clinical course of the dental diagnostics and splint therapy of patients with craniofacial pain. Summary: A patient with craniofacial pain was treated using splint therapy. The therapeutic approach consisted in eliminating centric and eccentric occlusal disturbances, rebuilding lost support zones, and changing the mandibular motion pattern in order to improve muscle tone and neuromuscular coordination. Successful implementation required that, in centric relation and therefore in the splint position, the condyle-disc unit should be still largely intact and the interarticular space not constricted. As a result of the splint treatment, the patient was free of headaches, TMJ problems, and tinnitus, despite continuing work in a very intensive and responsible occupation. Recently, the patient reported not needing the splint at all during a sailing holiday in the Mediterranean. Key learning points: This special type of splint therapy should be conducted in association with muscle massages and physiotherapy exercises, because the jaw relations must adapt to the premature contacts which arise on the splint at first.

craniofacial pain is one of the most common disorders affecting the general population. the aim of this article is to show the importance of interdisciplinary approach in solving complicated cases with headache and atypical facial pain. summary: two case reports are presented, with severe craniofacial pain, with underlying intricate causes. the case of a 23 aged female with tension headaches, bilateral tinnitus and atypical facial pain, but also with anterior open bite from premolars who was admitted to a neurological clinic, was finally resolved only after a splint therapy. the other case was a 42 year old woman with severe unilateral facial pain, caused by an endometric tissue from maxillary bone that produced multiple hollows or cavities in the adjacent teeth. the pain was alleviated after teeth extractions and appropriate hormonal therapy. Key learning points: Because headache causes are manifold, diagnostics and therapy require an interdisciplinary medical approach. from the dental and maxillofacial standpoint, diseases and disorders of the teeth, periodontium, other craniofacial hard and soft tissues, as well as craniomandibular dysfunction (cmd) must be taken into consideration in treating such patients.

Craniomandibular dysfunction is an expression of the dysfunctional masticatory system. It may have diverse risk factors, like occlusal interferences, including traumatic amalgam fillings and other fillings. The article aims to present three cases of craniomandibular dysfunction generated by occlusal interferences. Methodology: Three patients with different forms of craniomandibular dysfunction were referred to dentist for evaluation and treatment. Results: Occlusal interferences were identified as the main risk factor for uncoordinated hyperactive muscles and for craniomandibular dysfunction diagnosed in three cases presented. After occlusal correction, muscular dysfunction disappeared. Conclusions: In case of reasonable suspicion of craniomandibular dysfunction, an estimate for the detailed clinical and possibly instrumental diagnostics and optionally (grinding teeth guare/bite splint) pre-treatment must be done. Only after pre-treatment definitive treatments can be planned and carried out.