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.pub2

Cited by 135 publications

(51 citation statements)

References 20 publications

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“…17,19,33 The studies on evidence-based medicine for splint therapy, however, have shown equivocal results. 2,28,29,57,60,101 The long-term effectiveness of this therapy has been widely debated and remains controversial. 17,19,85,117 Surgery Surgery can play an important role in the management of TMDs.…”

Section: Splintsmentioning

confidence: 99%

Temporomandibular Joint: Disorders, Treatments, and Biomechanics

2009

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Temporomandibular joint (TMJ) is a complex, sensitive, and highly mobile joint. Millions of people suffer from temporomandibular disorders (TMD) in USA alone. The TMD treatment options need to be looked at more fully to assess possible improvement of the available options and introduction of novel techniques. As reconstruction with either partial or total joint prosthesis is the potential treatment option in certain TMD conditions, it is essential to study outcomes of the FDA approved TMJ implants in a controlled comparative manner. Evaluating the kinetics and kinematics of the TMJ enables the understanding of structure and function of normal and diseased TMJ to predict changes due to alterations, and to propose more efficient methods of treatment. Although many researchers have conducted biomechanical analysis of the TMJ, many of the methods have certain limitations. Therefore, a more comprehensive analysis is necessary for better understanding of different movements and resulting forces and stresses in the joint components. This article provides the results of a state-of-the-art investigation of the TMJ anatomy, TMD, treatment options, a review of the FDA approved TMJ prosthetic devices, and the TMJ biomechanics.

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Section: Splintsmentioning

confidence: 99%

Temporomandibular Joint: Disorders, Treatments, and Biomechanics

2009

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“…1B). Although the onegroup pretest-posttest design limits the results of this study, the effectiveness of CBT is not inferior to any other reported treatment modalities such as splint therapy [3].…”

mentioning

confidence: 79%

Significance of biopsychosocial interface in the management of temporomandibular disorders

Ishigaki

Morishige

Egusa

et al. 2005

International Congress Series

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“…We chose RIST because it is a commonly used conservative treatment approach for TMD in dental practice. 28 We included the self-care group because it is the most conservative form of treatment and has been shown to result in at least some benefit. 17 We included the sham AMCT group to determine whether the clinician's interaction with the participant was a major factor in the study results.…”

Section: Discussionmentioning

confidence: 99%

A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder

DeVocht¹,

Goertz²,

Hondras³

et al. 2013

The Journal of the American Dental Association

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Background Temporomandibular pain has multiple etiologies and a range of therapeutic options. In this pilot study, the authors assessed the feasibility of conducting a larger trial to evaluate chiropractic treatment of temporomandibular disorders (TMDs). Methods The authors assigned 80 participants randomly into one of the following four groups, all of which included a comprehensive self-care program: reversible interocclusal splint therapy (RIST), Activator Method Chiropractic Technique (AMCT) (Activator Methods International, Phoenix), sham AMCT and self-care only. They made assessments at baseline and at month 2 and month 6, including use of the Research Diagnostic Criteria for Temporomandibular Disorders. Results The authors screened 721 potential participants and enrolled 80 people; 52 participants completed the six-month assessment. The adjusted mean change in current pain over six months, as assessed on the 11-point numerical rating scale, was 2.0 (95 percent confidence interval, 1.1-3.0) for RIST, 1.7 (0.9-2.5) for self-care only, 1.5 (0.7-2.4) for AMCT and 1.6 (0.7-2.5) for sham AMCT. The authors also assessed bothersomeness and functionality. Conclusions The authors found the study design and methodology to be manageable. They gained substantial knowledge to aid in conducting a larger study. AMCT, RIST and self-care should be evaluated in a future comparative effectiveness study. Practical Implications. This pilot study was a necessary step to prepare for a larger study that will provide clinicians with information that should be helpful when discussing treatment options for patients with TMD.

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Stabilisation splint therapy for temporomandibular pain dysfunction syndrome

Cited by 135 publications

References 20 publications

Temporomandibular Joint: Disorders, Treatments, and Biomechanics

Temporomandibular Joint: Disorders, Treatments, and Biomechanics

Significance of biopsychosocial interface in the management of temporomandibular disorders

A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder

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