A quantitative analysis of splint therapy of displaced temporomandibular joint disc

Badel, Tomislav; Marotti, Miljenko; Kern, Josipa; Laškarin, Mirko

doi:10.1016/j.aanat.2008.12.004

Cited by 28 publications

(23 citation statements)

References 23 publications

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“…However, it is worth mentioning that stabilisation splint treatment on complete dentures resulted in improvement in both clinical and MRI findings. A number of studies also assessed the effect of occlusal splints on disc position in cases of dentulous participants and many confirmed the positive effect of occlusal splints on signs and symptoms. MRI findings among these studies, however, were inconsistent.…”

Section: Discussionmentioning

confidence: 99%

“…Ohnuki et al 41 reported that the stabilisation splints do not necessarily improve the displaced disc as revealed by MRI, but are important for the improvement in signs and symptoms. On the other hand, Kurita et al 42 and Badel el al 43 reported positive results on MRIs to varying degrees. Kurita et al 42 analysed the factors influencing success of disc recapture by the insertion of a disc repositioning appliance.…”

Section: Signs and Symptomsmentioning

confidence: 98%

“…Conversely, in joints with DDw/oR, the presence of inflammatory conditions changed disc morphology and extensive DD in medial part of the joint are negative factors. Badel et al 43 treated patients with clinical DD symptoms by means of Michigan splint. The splint achieved a DD decrease, and pain was eliminated in 69.2% of DDR.…”

Section: Signs and Symptomsmentioning

confidence: 99%

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Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study

Abdelnabi

Swelem

2013

Gerodontology

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Section: Discussionmentioning

confidence: 99%

Section: Signs and Symptomsmentioning

confidence: 98%

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Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study

Abdelnabi

Swelem

2013

Gerodontology

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“…reported pain reduction in 69.2% of patients with anterior disc displacement with reduction. [9] Bergstrom et al . reported long-term follow-up (18–20 years) of reduction of pain in 50% of TMD patients.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of management of early temporomandibular joint disorders: How effective is nonsurgical therapy in the long-term?

Mortazavi

Motamedi

Navi

et al. 2010

Natl J Maxillofac Surg

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AimThe first step in the management of Temporomandibular Disorders (TMD) is usually noninvasive, especially if the disorder is in the early stages. Clinically, pain and clicking are early signs and symptoms of TMD. The management of TMD usually includes “splint therapy” and analgesics. In this study, we report our long-term outcomes in the treatment of patients suffering from early TMD.Materials and Methods:We assessed the records of 138 patients who were referred for management of TMD. Selection was based on pain and/or clicking of the Temporomandibular Joint (TMJ), no pathologic lesions of the TMJ, no anterior disc displacement without reduction (closed lock), no Degenerative Joint Disease, no history of migraine, trauma, osteoarthritis, metabolic disease, or malocclusion (deep bite, cross bite, jaw deformity, etc). The patients were treated with an acrylic maxillary Interocclusal Splint (IOS) cuspid-rise type and were told to refrain from biting, yawning and chewing hard food. The outcome of the treatment, potential etiologic factors (Bruxism), signs and symptoms and patient demographics (such as age, sex, treatment duration, etc.) were assessed. The data were analyzed using the Chi-square test to correlate significance.Results:One hundred thirty-eight patients (26 males and 112 females) with early signs and symptoms of TMD (pain and/or click of the TMJ) were treated from 2001 to 2010; 81% were females and 19% were males. All the 138 patients used the IOS at night only. The patients were followed-up for 1–9 years. Data analysis showed that 64% of the patients were completely relieved of signs and symptoms; 22% were moderately relieved (decreased severity of signs and symptoms) and 14% had no noticeable post-treatment changes in clicking or pain (P = 0.001). Patients with bruxism and those presenting with both pain and clicking showed a better response to IOS treatment (P = 0.046 and P = 0.001, respectively). The results also showed that age, sex, severity of symptoms and duration of the treatment did not influence treatment results in this group of patients with early TMD.Conclusion:In this population, TMD was significantly higher in females. Treatment of early TMD with IOS was effective and moderately effective in long-term in over 80% of the patients during the follow-up period of 1–9 years. Bruxism had a significant etiologic role in TMD; occlusal attrition of the dentition, pain of all the teeth, early morning pain of the masticatory muscles and the TMJ are signs and symptoms to suspect nocturnal bruxism. Use of an IOS is recommended to prevent potential damage to the dentition, periodontium and the TMJ in early TMD.

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“…20 and long-term follow-up (18-20 years) of reduction of pain in 50% of TMD patients. 21 Clicking results from anterior disc displacement.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Acrylic Splint in Management of Internal Derangement of Temperomandibular Joint

Ahmed

Rahman

Uddin

et al. 2017

Bangladesh Med Res Counc Bull

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Occlusal splint plays a great role in the treatment of internal derangement of temporomandibular joint. Temporomandibular disorders affect 25 % of the population of the world. The purpose of the study was to elucidate the effectiveness of occlusal splint in reduction of pain, increase mouth opening, elimination of clicking sound. This randomized controlled clinical trial was done on 26 patients in two groups. Group A received occlusal splint and Group B received medications with supportive care. Monthly follow-up was done for a period of four months. In Group A and Group B, preoperative mean of mouth opening were 36.31 mm; and 39.77 mm. pain score 4.54 cm, clicking in 76.9% and 84.6% patients respectively. After 4 months of follow-up mouth opening 50.69 mm and 43.15 mm, pain score 0.154 cm and 0.69 cm, clicking 30.8% and 76.9% patients in both groups respectively. It may be conclude that the occlusal splint is highly efficient than medication and supportive care for managing of internal derangement of temporomandibular joint.

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A quantitative analysis of splint therapy of displaced temporomandibular joint disc

Cited by 28 publications

References 23 publications

Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study

Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study

Outcomes of management of early temporomandibular joint disorders: How effective is nonsurgical therapy in the long-term?

Efficacy of Acrylic Splint in Management of Internal Derangement of Temperomandibular Joint

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