Evaluation of Different Kinds Of Occlusal Splints Therapy in the Management of Myofascial Pain

Abstract

The aim of the study was to compare patient satisfaction with different types of stents using visual analogue scale and Pain report analysis. Materials and methods:Thirty dentulous patients were selected, based on the clinical examination, the patients were suffering from pain in the temporomandibular joint region that might be worse in the morning or associated with eating,tenderness of temporomandibular joint with palpation at rest and/or at function, pain and/or tenderness of masseter and temporalis muscle.The patients were randomly divided into three equal groups, ten patients in each group. Splints were constructed for the upper arch of each patient. Soft, hard and 3 Dprinted stents were fabricated.Pain intensity questionnaire (visual analogue scale) and Pain report analysis were used before treatment, after three months and six months.Results: Kruskal-Wallis test was used to analyze the ordinal scale date of the visual analogue scale and pain report analysis. There was significance difference between the three groups. (Soft, hard and three D printed) after three month and six month of using the stent. Wicoxon test was used to test for significance between the different groups at three months and six months. The Wilcoxon test for visual analogue scale at three months showed that the hard and 3D printed stent are statistically significant to soft splint. The same was for the six months period. While Wilcoxon test for pain report analysis at 3 months didn't show any statistical significance between the three groups, while at six month there was statistical significance between the hard splint and the 3 D printed splint with the soft splint. Friedman's test was used to compare between different time intervals inside the groups. There was a statistical significance between the three groups during the three months and six months interval time of the treatment. Conclusion:All patients improved over time. The results showed that both hard and soft splints are effective but the hard splint and the three D printed splints are more effective compared to soft splint. . 64, No. 2 2. Drug therapy; which includes analgesics, muscle relaxants and nutritional supplements. (1) 3. Occlusal therapy; which involves repositioning the mandible in a centric position by orthodontic means and /or occlusal equilibration to remove occlusal interferences (irreversible occlusal therapy) or by occlusal splints. (1) 4. Physiotherapy; which is used to relax the muscles and improve the circulation .physiotherapy includes thermotherapy, coolant therapy, electro galvanic stimulation (EGS) therapy, transcutanous electrical nerve stimulation (TENS), acupuncture and LASER. (4,5) Oral appliancesOral appliances may be classified or grouped according to their material, function, occlusal coverage, dental arch coverage, or a combination of more than one characteristic.According to the materials used in the appliance construction: Polymers, as in hard acrylic or resilient vinyl splints, Metallic, as in metallic alloy or gold overlay, Combination of m...

Diferentes placas de mordida na terapia oclusal

“…O tratamento dos distúrbios temporomandibulares se relaciona com grande quantidade de elementos que provocam diversos efeitos sobre o sistema e podem ser classificados em psicoterapia e comportamentais, farmacológicos, oclusais e fisioterapia. Todas estas formas de tratamento podem ser usadas e cada uma pode ter um efeito sistêmico interferindo num mecanismo da dor e disfunção (El-Homossany & Abdallah, 2018).…”