The efficacy of occlusal splints in the treatment of bruxism: A systematic review

Hardy, Robert S; Bonsor, Stephen J

doi:10.1016/j.jdent.2021.103621

Cited by 34 publications

(20 citation statements)

References 24 publications

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“…A history of bruxism can have orthodontic implications insofar as the selection of treatment modality is concerned. Specifically, clear aligner therapy is often suggested by orthodontists as the appliance of choice in patients with bruxism since the occlusal coverage of aligners can produce a splint or “night guard” effect and prevent adverse enamel-wear [ 64 ]. However, some manufacturers of clear aligners suggest that severe bruxism may be considered a contraindication for clear aligner therapy since the extent of the occlusal forces can deform the plastic aligners and reduce treatment efficacy [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists

Khoo

Palamar

2022

IJERPH

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Cannabis use is prevalent among adolescents and young adults in the US. Virtually all modes of cannabis consumption involve the oral cavity, and previous studies have linked cannabis use with poorer oral health. We sought to identify associations between cannabis use and various oral health outcomes and behaviors among individuals 12–25 years of age, and to discuss implications for orthodontists who largely interact with this age group over an extended period of treatment time. We examined data from patient electronic health records (N = 14,657) obtained between 2015 and 2021. Associations between lifetime and current self-reported cannabis use and several oral health outcomes or related behaviors that reflect periodontal health, caries status, oral lesions, and physical integrity of tooth structure and restorations were examined in a bivariable and multivariable manner, controlling for patient age, sex, and self-reported tobacco and alcohol use. Reporting lifetime cannabis use was associated with higher risk for having oral lesions (aPR = 1.41, 95% CI: 1.07–1.85), bruxism (aPR = 1.31, 95% CI: 1.09–1.58), and frequent consumption of sugary beverages and snacks (aPR = 1.27, 95% CI: 1.12–1.41). Reporting current cannabis use was associated with higher risk for oral lesions (aPR = 1.45, 95% CI: 1.03–2.06) and frequent consumption of sugary beverages and snacks (aPR = 1.26, 95% CI: 1.07–1.48). Cannabis users aged 12–25 are at increased risk for bruxism, oral lesions, and frequent consumption of sugary beverages and snacks. Orthodontists and other dental professionals should probe for drug use and be cognizant of increased risk for oral health problems in patients that report actively using cannabis.

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Section: Discussionmentioning

confidence: 99%

Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists

Khoo

Palamar

2022

IJERPH

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“…In a recent systematic review, insufficient evidence was found to confirm the use of occlusal splints in the treatment of bruxism (16). That systematic examination showed that the data were insufficient to confirm the efficacy of occlusal splints in the treatment of bruxism compared with an untreated group, the use of other intra-oral devices, TENS, cognitive-behavioral treatment, or pharmacological treatments.…”

Section: Discussionmentioning

confidence: 99%

“…The patients in the ST group were given a static occlusal splint, and adjustments were made as necessary (15,16). All the patients in this group were instructed to use the splint when sleeping for a period of one month.…”

Section: Splint Groupmentioning

confidence: 99%

A Comparison of Manual Therapy and Splint Therapy in Patients Diagnosed With Myofascial Temporomandibular Dysfunction With Sleep Bruxism

ÖRENLER

Tuncer

Najafov

2022

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The aim of this study was to examine the effect of manual therapy on temporomandibular pain, range of motion, functionality level of the jaw, sleep quality, and patient satisfaction, and to compare the efficacy with splint therapy among female patients with myofascial temporomandibular dysfunction (M-TMD) accompanied by sleep bruxism (SB). Methods: A total of 29 female patients, aged 18-50 years, diagnosed with M-TMD were separated into two groups using a simple random sampling method as the manual therapy group (MT; n:15) and the splint therapy group (ST; n:14). All the patients were informed about bruxism and its effects and were given home exercises. The patients in the ST group were instructed to use a static splint for one month. The MT group patients received a total of 8 sessions, 45 minutes twice a week of treatment, including joint and soft tissue mobilizations to the temporomandibular joint (TMJ) and cervical region. Pain severity, symptoms, TMJ range of motion, jaw functionality, sleep quality, and patient satisfaction were evaluated. The evaluations were repeated after 4 weeks and compared with baseline values. Results: A statistically significant difference was determined in both groups in pain, TMJ range of motion, and sleep quality (p

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“…As mentioned above, bruxism, which can lead to temporomandibular disorders, is typical of two-body abrasion [ 59 ]. Occlusal splints are commonly prescribed for the treatment of bruxism [ 60 ]. One of the most important properties of the material used for occlusal splints is wear resistance.…”

Section: Characteristics Of Peek and Its Composite Materialsmentioning

confidence: 99%

Clinical Applications of Polyetheretherketone in Removable Dental Prostheses: Accuracy, Characteristics, and Performance

et al. 2022

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The high-performance thermoplastic polyetheretherketone (PEEK) has excellent mechanical properties, biocompatibility, chemical stability, and radiolucency. The present article comprehensively reviews various applications of PEEK in removable dental prostheses, including in removable partial dentures (RPDs) (frameworks and clasps), double-crown RPDs, and obturators. The clinical performance of PEEK in removable dental prostheses is shown to be satisfactory and promising based on the short-term clinical evidence and technical complications are scarce. Moreover, the accuracy of RPDs is a vital factor for their long-term success rate. PEEK in removable dental prostheses is fabricated using the conventional lost-wax technique and CAD/CAM milling, which produces a good fit. Furthermore, fused deposition modeling is considered to be one of the most practical additive techniques. PEEK in removable prostheses produced by this technique exhibits good results in terms of the framework fit. However, in light of the paucity of evidence regarding other additive techniques, these manufacturers cannot yet be endorsed. Surface roughness, bacterial retention, color stability, and wear resistance should also be considered when attempting to increase the survival rates of PEEK removable prostheses. In addition, pastes represent an effective method for PEEK polishing to obtain a reduced surface roughness, which facilitates lower bacterial retention. As compared to other composite materials, PEEK is less likely to become discolored or deteriorate due to wear abrasion.

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The efficacy of occlusal splints in the treatment of bruxism: A systematic review

Cited by 34 publications

References 24 publications

Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists

Associations between Oral Health and Cannabis Use among Adolescents and Young Adults: Implications for Orthodontists

A Comparison of Manual Therapy and Splint Therapy in Patients Diagnosed With Myofascial Temporomandibular Dysfunction With Sleep Bruxism

Clinical Applications of Polyetheretherketone in Removable Dental Prostheses: Accuracy, Characteristics, and Performance

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