Effect of Hard Versus Soft Occlusal Splint on the Management of Myofascial Pain: Systematic Review and Meta-Analysis

Algabri, Radwan; Alqutaibi, Ahmed Yaseen; Keshk, Ahmed M.; AlSourori, Ali Abdulghani; Swedan, Mustafa; Elkhadem, Amr; Kaddah, Amal

doi:10.17485/ijst/2017/v10i16/109598

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…Occlusal splints are clinical tools applied on all or most of the teeth in one dental arch and are available in a wide range of designs and materials [4]. These appliances are conventionally fabricated with polyethylene (PVAc-PE), acrylic resin and polymethylmethacrylate (PMMA) by an analog workflow including refractory cast [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Surface roughness and wear behavior of occlusal splint materials made of contemporary and high-performance polymers

et al. 2019

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With the development of a digital technology of computer-assisted manufacturing (CAD/CAM) and new age materials, the use of new types of occlusal splint is to consider. The aim of the present study was to evaluate the surface roughness (Ra) and wear behavior of different CAD/CAM materials against enamel antagonist through a simulated chewing test. A total of 75 specimens made from ethylene vinyl acetate (EVA), polymethyl methacrylate (PMMA), polycarbonate (PC), polyetheretherketone (PEEK), and polyethyleneterephthalate (PETG) as a control were polished to evaluate the Ra before loading by optical profilometry and further analyzed by scanning electron microscopy (SEM). Specimens of each group were subjected to thermomechanical fatigue loading in a chewing simulator (60000 cycles at 49 N with 5-55 °C thermocycling). The wear volume loss and change in Ra of each specimen after the simulated chewing were analyzed. One-way ANOVA, paired samples t test, and Pearson correlation analysis were performed for statistical analyzes. The result showed that the volume loss and Ra varied among the materials tested. EVA exhibited the greatest amount of Ra and volume loss (p < 0.001), while PEEK had the lowest values for both (p < 0.001). In terms of volume loss, there was no significant difference between PC and PMMA (p > 0.05). SEM investigations revealed different wear behaviors, especially in EVA. As PEEK showed significantly more favorable results, PEEK splints should be considered as a new therapeutic option for occlusal splint.

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Section: Introductionmentioning

confidence: 99%

Surface roughness and wear behavior of occlusal splint materials made of contemporary and high-performance polymers

et al. 2019

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“…[15,16] The occlusal splints could be fabricated from hard or soft materials; the hard and soft occlusal splints have similar eff ects with no signifi cant diff erences regarding the pain intensity and muscle tenderness reductions. [17] Conventional methods of splint fabrication are highly technique sensitive and often lead to poor splint fi t and require extensive chairside time for adjustments to achieve passive fi t and an appropriate occlusal scheme. [18] Moreover, these appliances are more prone to fracture and failure during use.…”

Section: Introductionmentioning

confidence: 99%

Effect of computer-aided design/computer-assisted manufacture versus conventional occlusal splints on the management of temporomandibular disorders: A systematic review and meta-analysis

Algabri¹,

Alqutaibi²,

Alrejal³

et al. 2017

IDJAR

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Background:With continuous debate and lack of consensus regarding which are more eff ective in management of the temporomandibular disorders (TMDs), computer-aided design/computer-assisted manufacture (CAD/CAM) or conventional occlusal splint. Aim: The aim of this systematic review and meta-analysis was to perform a qualitative and quantitative analysis of the scientifi c literature regarding the use of CAD/CAM versus conventional occlusal splint in the management of patient with TMDs. Methodology: Manual and electronic database (PubMed and Cochrane) searches were performed to identify randomized controlled trials (RCTs), without language restriction, comparing CAD/CAM versus conventional occlusal splints. Data were extracted independently by two reviewers. The Cochrane tool was used for assessing the quality of included studies. Meta-analyses were performed for the two included RCTs of similar comparisons reported the same outcome measures. Results: Eight trials were identifi ed. Out of them two RCTs were included and six trials were excluded. The two included RCTs were considered to be at a low risk of bias. The pooled result revealed that the CAD/CAM occlusal splint has statistically signifi cant less pain in jaw joint, face tension, and time needed for adjustment when compared to conventional occlusal splints. Conclusion:The meta-analysis revealed that the CAD/CAM occlusal splint has statistically potential in reduction of pain in jaw joint, face tension, and time needed for adjustment when compared to conventional occlusal splints. Clinical Signifi cance: CAD/CAM occlusal splint may be suggested as an alternative manufacturing modality for TMDs patients who can off er the cost of this treatment modality. This review should be interpreted with caution because of limited number of included studies. Well-designed RCTs should be conducted and the outcome measures evaluation should be standardized between studies to reach potent conclusion.

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Investigating the mechanical and optical properties of novel Urethandimethacrylate (UDMA) and Urethanmethacrylate (UMA) based rapid prototyping materials

et al. 2021

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Effect of Hard Versus Soft Occlusal Splint on the Management of Myofascial Pain: Systematic Review and Meta-Analysis

Cited by 4 publications

References 32 publications

Surface roughness and wear behavior of occlusal splint materials made of contemporary and high-performance polymers

Surface roughness and wear behavior of occlusal splint materials made of contemporary and high-performance polymers

Effect of computer-aided design/computer-assisted manufacture versus conventional occlusal splints on the management of temporomandibular disorders: A systematic review and meta-analysis

Investigating the mechanical and optical properties of novel Urethandimethacrylate (UDMA) and Urethanmethacrylate (UMA) based rapid prototyping materials

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