Evaluation of Occlusal Splint Therapy and Relaxation Procedures in Patients with Temporomandibular Disorders

Okeson, Jeffrey P.; Moody, Philip M.; Kemper, John T.; Haley, John V.

doi:10.14219/jada.archive.1983.0275

Cited by 82 publications

(45 citation statements)

References 9 publications

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“…The four most widely used approaches to bio-behavioral assessment of chronic pain patients are: Observational, self-report, selfmonitoring, and multiaxial [ Figure 3]. [31] [21] Between groups, randomized, comparative SOA (n=12), SRT (n=12) [28] Randomized controlled study (n=63); Group 1 -Conservative therapy=21, Group 2 -Conservative+ occlusally adjusted=21, Group 3 -Conservative+ non-occlusally adjusted=21 2 weeks, with a follow-up after 2.5 months…”

Section: Bio-behavioral Therapymentioning

confidence: 99%

The management of temporomandibular disorder using occlusal splint therapy and bio-behavioral therapy

Nayak¹

2016

JCRI

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Temporomandibular disorder (TMD) is a collective term that includes a number of clinical complaints involving the muscles of mastication, the temporomandibular joint, and associated orofacial structures. Diagnosing orofacial pain can be quite difficult as patients may have multiple pain complaints and often present with a confusing constellation of signs and symptoms. Management of TMD is based on certain basic principles that include the formulation of an accurate diagnosis, gradual escalation of therapy, restraining from irreversible forms of treatment and the psychophysiological aspects of the disease. A multidisciplinary model that includes patient awareness and self-care, cognitive behavioral intervention, occlusal splint therapy (OST) is endorsed for the management of most patients. The current article reviews the management of TMD by the OST and bio-behavioral therapies. KeywordsBio-behavioral therapy, occlusal splint therapy, temporomandibular disorder, temporomandibular joint Correspondence Dr.

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Section: Bio-behavioral Therapymentioning

confidence: 99%

The management of temporomandibular disorder using occlusal splint therapy and bio-behavioral therapy

Nayak¹

2016

JCRI

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“…rheumatoid arthritis and fibromyalgia) reported significant pain reductions at post-treatment 10,11 . Three of these studies conducted follow-ups 11,12,13 at time intervals ranging from 4 weeks to 4 months but none found that significant improvements were maintained. Within oncology, 2 studies were identified and 1 reported significant differences in pain outcomes when relaxation was compared to controls 14 .…”

Section: Evidence For Relaxation and Painmentioning

confidence: 99%

Relaxation and Mindfulness in Pain: A Review

Dunford¹,

Thompson²

2010

Reviews in Pain

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• This article reviews the existing, peer-reviewed evidence for the use of relaxation and mindfulness in both acute and chronic pain. • There is some evidence that relaxation can reduce pain outcomes in both acute and chronic pain, however there is evidence that these improvements are not maintained over time. • More limited research suggests that mindfulness can lead to improvements in psychological measures and physical functioning and these improvements appear to be maintained at follow-up. • Further research is needed. Both researchers and practitioners need to be clearer on the outcomes that their techniques best facilitate and the processes which are active within them.

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“…In 3 studies, 21,32,46 a reference source was provided, but criteria were not otherwise defined. In the other 4 studies, 9,26,43,48 inclusion criteria were unclear.…”

Section: Randomizationmentioning

confidence: 99%

A Systematic Review of the Effectiveness of Exercise, Manual Therapy, Electrotherapy, Relaxation Training, and Biofeedback in the Management of Temporomandibular Disorder

2006

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Background and Purpose. This systematic review analyzed studies examining the effectiveness of various physical therapy interventions for temporomandibular disorder. Methods. Studies met 4 criteria: (1) subjects were from 1 of 3 groups identified in the first axis of the Research Diagnostic Criteria for Temporomandibular Disorders, (2) the intervention was within the realm of physical therapist practice, (3) an experimental design was used, and (4) outcome measures assessed one or more primary presenting symptoms. Thirty studies were evaluated using Sackett's rules of evidence and 10 scientific rigor criteria. Four randomly selected articles were classified independently by 2 raters (interrater agreement of 100% for levels of evidence and 73.5% for methodological rigor). Results. The following recommendations arose from the 30 studies: (1) active exercises and manual mobilizations may be effective; (2) postural training may be used in combination with other interventions, as independent effects of postural training are unknown; (3) mid-laser therapy may be more effective than other electrotherapy modalities; (4) programs involving relaxation techniques and biofeedback, electromyography training, and proprioceptive re-education may be more effective than placebo treatment or occlusal splints; and (5) combinations of active exercises, manual therapy, postural correction, and relaxation techniques may be effective. Discussion and Conclusion. These recommendations should be viewed cautiously. Consensus on defining temporomandibular joint disorder, inclusion and exclusion criteria, and use of reliable and valid outcome measures would yield more rigorous research. [Medlicott MS, Harris SR. A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Phys Ther. 2006;86:955-973.]

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Evaluation of Occlusal Splint Therapy and Relaxation Procedures in Patients with Temporomandibular Disorders

Cited by 82 publications

References 9 publications

The management of temporomandibular disorder using occlusal splint therapy and bio-behavioral therapy

The management of temporomandibular disorder using occlusal splint therapy and bio-behavioral therapy

Relaxation and Mindfulness in Pain: A Review

A Systematic Review of the Effectiveness of Exercise, Manual Therapy, Electrotherapy, Relaxation Training, and Biofeedback in the Management of Temporomandibular Disorder

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