Effects of stabilization splints on the signs and symptoms of temporomandibular disorders of muscular origin: A systematic review

Honnef, Lia Rosana; Pauletto, Patrícia; Réus, Jéssica Conti; Massignan, Carla; Souza, Beatriz Dulcinéia Mendes de; Michelotti, Ambrosina; Flores-Mir, Carlos; Canto, Graziela De Luca

doi:10.1080/08869634.2022.2047510

Cited by 10 publications

(7 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The countries with the highest number of reviews were China (n = 14) [ 47 , 57 , 59 , 63 , 70 , 76 , 77 , 79 , 104 , 105 , 112 , 114 , 122 , 124 ], followed by Brazil (n = 13) [ 33 , 44 , 64 , 90 , 93 , 106 , 107 , 111 , 115 , 123 , 127 , 129 , 131 ], and Spain (n = 9) [ 36 , 38 , 41 , 43 , 45 , 52 , 68 , 103 , 110 ]. The number of studies encompassed in these reviews ranged from 52 [ 34 , 52 , 125 ] to 3 [ 102 ], with RCTs predominating the dataset.…”

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

show abstract

“…However, evidence also suggests an improvement in PPT following treatment with stabilization splints and manual therapy when compared to oral splints alone, with stable results at 1-month follow-up [30]. However, a recent systematic review highlighted that positive effects on the signs and symptoms of M-TMDs can be observed following different treatment approaches, despite insufficient evidence allowing for the determination of which treatment is more beneficial [31]. Overall, it seems that occlusal splint therapy and exercise therapy both contribute to pain relief and improvement in mandibular movement for painful TMD patients, with the lack of a superiority of exercises over occlusal splints [32].…”

Section: Discussionmentioning

confidence: 99%

Treatment Outcomes in Patients with Muscular Temporomandibular Joint Disorders: A Prospective Case-Control Study

Izzetti,

Carli,

Gennai

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

Muscular temporomandibular joint disorders (M-TMDs) encompass a wide range of painful muscular conditions, which can provoke functional limitation and severely affect quality of life. The aim of the present study was to assess the treatment outcomes in patients affected by M-TMDs in terms of pain scores assessed with pressure pain threshold (PPT). The levels of depression, anxiety, and the Oral Health Impact Profile were also assessed and compared to healthy controls. Patients with a clinical diagnosis of M-TMDs and a control group of healthy subjects were enrolled. At baseline, OHIP-14, PHQ-9, and GAD-7 were administered. PPT was registered at the level of masseter and temporalis muscles. The patients affected by M-TMDs were then treated with oral splints and physio-kinesiotherapy following a standardized treatment protocol. At the 6-month follow-up of M-TMD-affected patients, PPT was registered, and the questionnaires were re-administered to evaluate treatment outcomes. In total, sixty patients and sixty controls were enrolled. The treatment of M-TMDs produced a significant improvement in PPT at the level of the masseter muscle. OHIP-14 at baseline in the M-TMD group was significantly higher compared to the control group (p < 0.05). At the 6-month follow-up, a significant reduction in OHIP-14 scores was registered, although with higher scores compared to the control group (p < 0.05). PHQ-9 was significantly higher at baseline in the M-TMD group (p < 0.05) and decreased to values comparable to the control group after treatment. GAD-7 presented statistically significant differences between the control group and M-TMD patients at baseline (p < 0.05) and between pre- and post-treatment in the M-TMD group. Following treatment, the GAD-7 scores were comparable to the control group. The symptom burden associated with M-TMDs negatively affects quality of life, with higher oral health impairment and a tendency towards depression and anxiety compared to healthy subjects. Following treatment, an improvement in both PPT and quality of life was observed.

show abstract

“…Noguchi et al ( 10 ) also demonstrated efficient results for patients with myofascial pain and local myalgia using SSs. Honnef et al ( 58 ), in a systematic review investigating the effects of SSs on the signs and symptoms of TMDs, reported that the effect of the SS on the signs and symptoms of TMDs of muscle origin could not be determined. In spite of its extended benefits, the use of occlusal devices regarding their type, wearing time and splint type (full coverage splint or partial coverage splint), still need to be taught.…”

Section: Discussionmentioning

confidence: 99%

Oral splints in the management of nociceptive pain and migraines: A scoping review

et al. 2022

View full text Add to dashboard Cite

Temporomandibular disorders (TMDs) are characterized by numerous pain manifestations. Their treatment often involves the use of an oral splint. Recent research has found a relationship between migraines, nociceptive pain and TMDs. The aim of the present study was to perform a scoping review of studies in order to evaluate the effectiveness of the various types of oral splint in the treatment of migraine or nociceptive pain. Publications were retrieved from seven databases (PubMed, Web of Science, EMBASE, Scopus, ProQuest, SpringerLink and Ovid). Out of the 15 included publications, three studies were before and after studies, with no control group, whereas the other twelve studies were clinical trials, among which two publications were crossover studies. A clear, single distinction of pain was difficult to describe. Therefore, numerous publications focused on a combination of various types of pains, including myofascial, temporomandibular joint, headaches and migraine-like symptoms, all of which mimicked TMD pain. Overall, six studies used the stabilization splint (SS), three explored the comparison between the SS and the nociceptive trigeminal inhibition splint (NTIS) and two the NTIS. The majority of publications reported a positive outcome of splint therapy. Regarding the type of oral splint usage, the most commonly used one was the SS, followed by the NTIS. The definition and assessment of pain were heterogenous in the identified articles. The findings of the current study showed that occlusal splints may help with pain management, and that effective treatment of TMD-related pain at an early stage can enhance the quality of life of patients.

show abstract

Effects of stabilization splints on the signs and symptoms of temporomandibular disorders of muscular origin: A systematic review

Cited by 10 publications

References 39 publications

Temporomandibular Disorders Management—What’s New? A Scoping Review

Temporomandibular Disorders Management—What’s New? A Scoping Review

Treatment Outcomes in Patients with Muscular Temporomandibular Joint Disorders: A Prospective Case-Control Study

Oral splints in the management of nociceptive pain and migraines: A scoping review

Contact Info

Product

Resources

About