Stabilisation splint therapy for temporomandibular pain dysfunction syndrome

Al‐Ani, M. Ziad; Davies, Stephen; Gray, Robin J.M.; Sloan, Philip; Glenny, Anne‐Marie

doi:10.1002/14651858.cd002778.pub3

Cited by 42 publications

(59 citation statements)

References 20 publications

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“…One reasons for the difference between the two conclusions is that RCTs supporting the effectiveness of splint therapy have typically employed a non‐contact control splint for the control group, whereas we used a combination of other treatments as a control. Our findings are in accord with those of many RCTs and systematic reviews reporting no superiority of splint therapy over other treatments. Indeed, such studies used jaw self‐exercise and patient education as a control.…”

Section: Discussionsupporting

confidence: 92%

“…In comparison with other TMD treatments, the effect of the splint was shown to be equal to or weaker than the outcomes of other treatments. Three systematic reviews also arrived at similar conclusions, showing that splint therapy has a weak effect compared to no treatment and that splint therapy and other treatments, including non‐occluding splints, acupuncture, bite plates, exercises and relaxation, are not significantly different with regard to outcome . However, two other systematic reviews supported the efficacy of stabilisation splints compared to no treatment .…”

Section: Introductionmentioning

confidence: 75%

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Efficacy of stabilisation splint therapy combined with non‐splint multimodal therapy for treating RDC/TMD axis I patients: a randomised controlled trial

Nagata

Maruyama

Mizuhashi

et al. 2015

J of Oral Rehabilitation

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JapanSUMMARY Stabilisation splint therapy has long been thought to be effective for the management of temporomandibular disorders (TMD). However, the superiority of stabilisation splint therapy compared to other TMD treatments remains controversial. The aim of this study was to determine the efficacy of stabilisation splint therapy combined with non-splint multimodal therapy for TMD. A total of 181 TMD participants were randomly allocated to a non-splint multimodal therapy (NS) group (n = 85) or a nonsplint multimodal therapy plus stabilisation splint (NS+S) group (n = 96). Non-splint multimodal therapy included self-exercise of the jaw, cognitive-behavioural therapy, self-management education and additional jaw manipulation. Three outcome measurements were used to assess treatment efficacy: mouth-opening limitation, orofacial pain and temporomandibular joint sounds. A two-factor repeated-measures analysis of variance (ANOVA) was used to evaluate the efficacy of the two treatment modalities (NS vs. NS+S), and

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 75%

Efficacy of stabilisation splint therapy combined with non‐splint multimodal therapy for treating RDC/TMD axis I patients: a randomised controlled trial

Nagata

Maruyama

Mizuhashi

et al. 2015

J of Oral Rehabilitation

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“…Generally, splints are worn only while sleeping to protect the teeth, decrease nighttime bruxism, and/or reduce TMD symptoms. 75 While it is not specifically the responsibility of clinicians such as physical therapists to participate in this process, it can be beneficial to both the patient and therapist if they are at least minimally aware of the relevant evidence.…”

Section: Oral Splintsmentioning

confidence: 99%

Temporomandibular disorders. Part 2: conservative management

Shaffer

Brismée

Sizer

et al. 2014

Journal of Manual & Manipulative Therapy

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Appropriate management of temporomandibular disorders (TMD) requires an understanding of the underlying dysfunction associated with the temporomandibular joint (TMJ) and surrounding structures. A comprehensive examination process, as described in part 1 of this series, can reveal underlying clinical findings that assist in the delivery of comprehensive physical therapy services for patients with TMD. Part 2 of this series focuses on management strategies for TMD. Physical therapy is the preferred conservative management approach for TMD. Physical therapists are professionally well-positioned to step into the void and provide clinical services for patients with TMD. Clinicians should utilize examination findings to design rehabilitation programs that focus on addressing patient-specific impairments. Potentially appropriate plan of care components include joint and soft tissue mobilization, trigger point dry needling, friction massage, therapeutic exercise, patient education, modalities, and outside referral. Management options should address both symptom reduction and oral function. Satisfactory results can often be achieved when management focuses on patient-specific clinical variables.

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“…Patient's pain severity and commitment to the treatment affected the plan. TMD patients with simple, mainly somatic, symptoms received usual treatments : (i) education concerning oral/muscle habit behaviour modifications, stress, relaxation, nature of TMD pain conditions and rationales for TMD treatment , (ii) medications including analgesics (NSAID), muscle relaxants , (iii) physiotherapy including muscle exercises, application of heat or cold packs and referrals to physiotherapy, (iv) occlusal adjustment and intra‐oral appliance treatment . The intermediate patient group with TMD , which suffered from varying symptoms, and the complex patient group with TMD, which had chronic and complicated TMD, received referrals to a physiotherapist and for psychological evaluation .…”

Section: Methodsmentioning

confidence: 99%

Primary care‐based facial pain unit inVantaa: the first experiences 2003–2009

Kotiranta

Suni²,

Kauppila

2014

J of Oral Rehabilitation

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As an attempt to tackle the challenge in serving facial pain patients, the first primary care-based facial pain unit was founded in 2003 as part of public dental primary care of Vantaa, Finland. Data were collected, consisting of sex, age, sources of referrals, reasons for seeking care, diagnoses made, therapeutic procedures, and numbers of visits to dentists and phone consultations. To describe the development of the present pain management system, we divided the observation periods into two parts: 2003-2006 and 2007-2009 and compared frequencies of the studied parameters between the two follow-up periods. During 2003-2006, 370 patients were examined and the number of visits was 659, corresponding patients' number was 437 and visits' number 960 during 2007-2009. Referrals to the primary care facial pain unit came from primary care dentists (80%), respective primary care pain unit GPs (6%), oral hygienists (3%) and ordinary GPs (2%). Four percentage of the patients' referrals came from secondary and tertiary care clinics of various types and 5% from private sector dentists and specialists. The average number of telephone consultations per year increased from 51 to 300 between study periods. During the follow-up period, the main reason for seeking care from our unit was temporomandibular disorders. Education in self-care, oral appliance therapy and physiotherapy were mostly used as management for these pain problems. The facial pain management unit in primary health care could be a useful model to serve increasing numbers of chronic facial pain patients.

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Stabilisation splint therapy for temporomandibular pain dysfunction syndrome

Cited by 42 publications

References 20 publications

Efficacy of stabilisation splint therapy combined with non‐splint multimodal therapy for treating RDC/TMD axis I patients: a randomised controlled trial

Efficacy of stabilisation splint therapy combined with non‐splint multimodal therapy for treating RDC/TMD axis I patients: a randomised controlled trial

Temporomandibular disorders. Part 2: conservative management

Primary care‐based facial pain unit inVantaa: the first experiences 2003–2009

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