scholarly journals Effects of occlusal splint therapy on opposing tooth tissues, filling materials and restorations

2021 ◽  
Author(s):  
Magdalena A. Osiewicz ◽  
Arie Werner ◽  
Franciscus J. M. Roeters ◽  
Cornelis J. Kleverlaan
Keyword(s):  
Occlusal Splint ◽  
Splint Therapy ◽  
Filling Materials

scholarly journals Internet-Based Multimodal Pain Program With Telephone Support for Adults With Chronic Temporomandibular Disorder Pain: Randomized Controlled Pilot Trial

10.2196/22326 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e22326
Author(s):  
Julia Lam ◽  
Peter Svensson ◽  
Per Alstergren
Keyword(s):  
Pain Intensity ◽  
Temporomandibular Disorder ◽  
Functional Limitation ◽  
Pilot Trial ◽  
The Internet ◽  
Occlusal Splint ◽  
Splint Therapy ◽  
Randomized Controlled ◽  
Temporomandibular Pain

Background Chronic pain from temporomandibular disorders remains an undertreated condition with debate regarding the most effective treatment modalities. Objective The aim of the study was to investigate the treatment effect of an internet-based multimodal pain program on chronic temporomandibular disorder pain and evaluate the feasibility of a larger randomized controlled trial. Methods An unblinded randomized controlled pilot trial was conducted with 43 participants (34 females, 9 males; median age 27, IQR 23-37 years) with chronic temporomandibular pain. Participants were recruited within the Public Dental Health Service and randomized to intervention (n=20) or active control (n=23). The intervention comprised a dentist-assisted internet-based multimodal pain program with 7 modules based on cognitive behavior therapy and self-management principles. The control group received conventional occlusal splint therapy. Primary outcomes included characteristic pain intensity, pain-related disability, and jaw functional limitation. Secondary outcomes were depression, anxiety, catastrophizing, and stress. Outcomes were self-assessed through questionnaires sent by mail at 3 and 6 months after treatment start. Feasibility evaluation included testing the study protocol and estimation of recruitment and attrition rates in the current research setting. Results Only 49% of participants (21/43) provided data at the 6-month follow-up (internet-based multimodal pain program: n=7; control: n=14). Of the 20 participants randomized to the internet-based multimodal pain program, 14 started treatment and 8 completed all 7 modules of the program. Between-group analysis showed no significant difference for any outcome measure at 3- or 6-month follow-up—characteristic pain intensity (3 months: P=.58; 6 months: P=.41), pain-related disability (3 months: P=.51; 6 months: P=.12), jaw functional limitation (3 months: P=.45; 6 months: P=.90), degree of depression (3 months: P=.64; 6 months: P=.65), anxiety (3 months: P=.93; 6 months: P=.31), stress (3 months: P=.66; 6 months: P=.74), or catastrophizing (3 months: P=.86; 6 months: P=.85). Within-group analysis in the internet-based multimodal pain program group showed a significant reduction in jaw functional limitation score at the 6-month follow-up compared to baseline (Friedman: χ2=10.2, P=.04; Wilcoxon: z=–2.3, P=.02). In the occlusal splint group, jaw function limitation was also reduced at the 6-month follow-up (Friedman: χ2=20.0, P=.045; Wilcoxon: z=–2.3, P=.02), and there was a reduction in characteristic pain intensity at the 3- and 6-month follow-up (Friedman: χ2=25.1, P=.01; Wilcoxon 3 months: z=–3.0, P=.003; Wilcoxon 6 months: z=-3.3, P=.001). Conclusions This study was not able to demonstrate a difference in treatment outcome between an internet-based multimodal pain program and occlusal splint therapy in patients with chronic temporomandibular pain. However, the findings suggested that the internet-based multimodal pain program improves jaw function. The results also confirmed the treatment effect of occlusal splint therapy for chronic temporomandibular pain. Furthermore, because of the high attrition rate, this pilot study showed that a randomized controlled trial with this design is not feasible. Trial Registration ClinicalTrials.gov NCT04363762; https://clinicaltrials.gov/show/NCT04363762

The Effect of Occlusal Splint Therapy on Different Curve Parameters of Axiographic TMJ Tracings

CRANIO® ◽  
1995 ◽  
Vol 13 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Eva Piehslinger ◽  
Wolfgang Bigenzahn ◽  
Ales Celar ◽  
Rudolf Slavicek
Keyword(s):  
Occlusal Splint ◽  
Splint Therapy

Soft occlusal splint therapy in the treatment of migraine and other headaches

1990 ◽  
Vol 18 (3) ◽  
pp. 123-129 ◽  
Author(s):  
A.A. Quayle ◽  
R.J.M. Gray ◽  
R.J. Metcalfe ◽  
E. Guthriet ◽  
D. Wastell
Keyword(s):  
Occlusal Splint ◽  
Splint Therapy

Effect of occlusal splint therapy on maximum bite force in individuals with moderate to severe attrition of teeth

2012 ◽  
Vol 56 (4) ◽  
pp. 287-292 ◽  
Author(s):  
Veena Jain ◽  
Vijay Prakash Mathur ◽  
Kumar Abhishek ◽  
Mohit Kothari
Keyword(s):  
Bite Force ◽  
Occlusal Splint ◽  
Splint Therapy

Body Position Effects on Sternocleidomastoid and Masseter EMG Pattern Activity in Patients Undergoing Occlusal Splint Therapy

CRANIO® ◽  
1997 ◽  
Vol 15 (4) ◽  
pp. 300-309 ◽  
Author(s):  
Guillermo Ormeño ◽  
Rodolfo Miralles ◽  
Hugo Santander ◽  
Rodrigo Casassus ◽  
Pablo Ferrer ◽  
...  
Keyword(s):  
Body Position ◽  
Occlusal Splint ◽  
Position Effects ◽  
Splint Therapy

A Case Series of Temporomandibular Disorders Treated with Acupuncture, Occlusal Splint and Point Injection Therapy

2003 ◽  
Vol 21 (4) ◽  
pp. 138-149 ◽  
Author(s):  
Yiu-kai Wong ◽  
Jason Cheng
Keyword(s):  
Temporomandibular Disorders ◽  
Acupuncture Treatment ◽  
Case Series ◽  
Injection Therapy ◽  
Treatment Modalities ◽  
Occlusal Splint ◽  
Treatment Results ◽  
Splint Therapy ◽  
Point Injection ◽  
Randomised Controlled

A treatment regime combining acupuncture, occlusal splint and point injection therapy for temporomandibular disorders (TMD) is presented. There were 89 consecutive patients treated by the regime in this case series but four patients dropped out after two to three visits. Data and treatment results of the remaining 85 patients who had treatment completed were analysed. It was found that 73 (85%) of patients with TMD had symptoms relieved within six visits under this regime. Complications were rare and minor. Acupuncture treatment, in combination with splint therapy and point injection therapy, appears to be effective for managing TMD. However, further research, using randomised controlled trials should be conducted to ascertain its effectiveness over other treatment modalities.

scholarly journals Case Report: Digital analysis of occlusion with T-Scan Novus in occlusal splint treatment for a patient with bruxism

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 915
Author(s):  
Dobromira Shopova ◽  
Tanya Bozhkova ◽  
Svetlana Yordanova ◽  
Miroslava Yordanova
Keyword(s):  
Digital Technology ◽  
Clinical Manifestations ◽  
Digital Design ◽  
3D Printer ◽  
Digital Analysis ◽  
Occlusal Splint ◽  
Main Method ◽  
Splint Therapy ◽  
Stabilization Splint ◽  
Tooth Surfaces

Bruxism is a disease with a multifactorial etiology. Its clinical manifestations are most often an unaesthetic smile with abraded tooth surfaces, temporomandibular disorders and muscle hyperactivity. Here we present a case of bruxism where proper articulation of the occlusal splint was performed using the T-scan Novus system. A patient with bruxism underwent treatment with stabilization splint made by 3D printer technology. Intraoral scanning was performed using Trios Color (3Shape), and the digital design was achieved using the 3Shape Dental system design - splint studio. Formlabs Form 2 printer with biocompatible resin Dental LT Clear Resin was used for printing. The T-Scan Novus system with software attached to it, version 9.1, was used for digital examination of the occlusion. A 2.7 mm thick occlusal splint was developed, and the software adapted the occlusion with antagonists. After adjustment with T-Scan Novus, a reduction in disocclusion time of the patient was achieved, which is a desired result in the treatment of bruxism. The position of the joint components was proven radiologically. The treatment of bruxism with splint therapy continues to be the main method of treatment. Using digital technology allows for more accurate constructions and precise balancing of occlusal relationships.

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