Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis

Zhang, Chao; Wu, Junyi; Deng, Donglai; He, Bing-Yang; Yuan, Tao; Niu, Yu‐Ming; Deng, Mohong

doi:10.18632/oncotarget.13059

Cited by 79 publications

(65 citation statements)

References 41 publications

(56 reference statements)

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“…The majority of patients reported they had worn the splint "every night" or "almost every night" (76%, n = 31/41), and most patients reported that the splint "helped a lot" or "helped a little" (83%, n = 34/41). This efficacy is in agreement with a recent meta-analysis of intra-oral appliances for TMD which showed improvements in painful symptoms and maximal mouth opening in patients using splints 12 , although the aim of our study was not to assess this. Our heterogeneous study population will likely result in some bias however, as a proportion of patients may be asymptomatic; it would not be possible to disentangle these patients from the analysis due to the anonymous nature of the questionnaire.…”

Section: Discussionsupporting

confidence: 92%

Patient satisfaction with a postal service for occlusal splints

et al. 2019

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Aim Occlusal splints are an effective intervention for temporomandibular disorders, and are often used in tooth wear, for protection of extensive adhesive restorations, and as a means of applying medications to gingival conditions. Patients may be required to attend a second appointment to fit the device after impressions are taken, however, some units may send the device in the post once constructed. These appliances rarely require modification to fit and are not occlusally adjusted. The aim of the present study was to assess patients’ satisfaction with a postal system for soft splints. Methods 100 consecutive patients who had been issued with a soft occlusal splint by post immediately prior to August 2015 were sent a questionnaire assessing their satisfaction with receiving the splint in this manner. Results The response rate was 42%. 93% of respondents reported that their splint fitted correctly and 98% reported that they had used it, with the mean length of wear being 8.7 weeks (SD: 5.7). 81% of patients reported that the splint helped “a lot” or “a little”. 83% of patients reported being “very happy” or “happy”, and 15% were “not bothered” about not seeing a clinician. Conclusions Our results would suggest that patients are generally pleased with receiving a splint in the post. This system may allow reduced demand on services and may reduce out of pocket and time costs incurred to patients. The low response rate however may affect generalisability.

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Section: Discussionsupporting

confidence: 92%

Patient satisfaction with a postal service for occlusal splints

et al. 2019

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“…[30][31][32][33][34][35][36] Bununla birlikte; splintin eklemdeki yükü azaltmayacağı, bruksizmi önlemeyeceği, hastaları iyileştirmeyeceği bazı araştırmacılar tarafından ifade edilmiş; bunun yerine zayıf doku desteği olan dişleri stabilize etmede, oklüzal yük dağılımının uniform hâle getirilmesinde, diş aşınmalarının azaltıl-masında ve karşıtı olmayan dişlerin stabilizas yonunda kullanılabileceği bildirilmiştir. 21,27 Hasegawa ve ark., bir klinik çalışmada, splintlerin ağrıyı gidermede herhangi bir etkilerinin olmadığını göz-lemlemiş, kemik iliği anomalileri ve bikonveks disk anomalilerinde splint tedavisinin başarı sağlama-yacağını bildirmişlerdir.…”

Section: Posteri̇or Isirma Plağiunclassified

Splint Therapy in Temporomandibular Joint Disorders: Review

Türker¹,

Büyükkaplan²

2017

Turkiye Klinikleri J Dental Sci

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Ö ÖZ ZE ET T Toplumda yüksek oranda gözlemlenen temporomandibuler eklem (TME) rahatsızlıkları çene, boyun ve baş ağrıları, eklem sesleri gibi pek çok semptomla bireylerin yaşam kalitesini düşürmek-tedir. Bu rahatsızlıklar tedavi edilmediği takdirde ilerlemekte ve TME'de kalıcı hasara sebep olabilmektedir. TME rahatsızlıkları için pek çok tedavi yöntemi bildirilmiştir. Bu tedavi yöntemleri geri dönüşümlü (noninvaziv) ve geri dönüşümsüz (invaziv) tedaviler olmak üzere ikiye ayrılmıştır. Geri dönüşümlü tedaviler arasında bilgilendirme yöntemi, fizik tedavi yöntemleri, farmakolojik tedavi, psikiyatrik destek tedavisi ve oklüzal splint tedavileri yer alır iken; geri dönüşümsüz tedaviler oklüzal uyumlama ve cerrahi girişimleri içermektedir. TME rahatsızlıklarında geri dönüşümsüz tedavilerden önce daha konservatif yöntemler olan geri dönüşümlü tedaviler denenmesi temel prensiptir. Tavsiye edilen tedavi yöntemlerinin etkinliklerini araştırmak amacıyla pek çok çalışma yapılmıştır. Bununla birlikte, tedavi etmede ya da semptomları azaltmada hangi tedavi yönteminin ya da hangi splint tipinin daha etkin olduğuna dair kesin bir kanıt mevcut değildir. Etki mekanizmaları ve tedavi başarıları tartışmalı olmasına rağmen, TME rahatsızlıkları tedavisinde en çok kullanılan yöntem oklüzal splint tedavisidir. Diş hekimliğinde her biri farklı özel durumlar için olmak üzere birçok oklüzal splint kullanılmaktadır. Splint endikasyonları TME inflamasyonu, eklem içi dü-zensizlik, cerrahi sonrası tedavi, hipertonik yüz kasları, diş sıkma ve gıcırdatma olarak belirtilmektedir. Bu çalışmada, oklüzal splint çeşitleri ele alınmış ve güncel literatür bilgisine dayanılarak TME rahatsızlıklarının tedavisinde kullanılan geri dönüşümlü yöntemlerin etkinliklerinin değer-lendirilmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Temporomandibuler eklem bozuklukları; oklüzal splintler A AB BS ST TR RA AC CT T Temporomandibular joint (TMJ) disorders are highly prevalent in the community and reduces the quality of life with many symptoms such as jaw and neck pain, headache and joint sounds. These disorders progress when they are not treated and may cause permanent damage to the TMJ. Many treatment modalities have been reported for TMJ disorders. These treatment methods are divided into two as non-invasive treatments and invasive treatments. Non-invasive treatments include informative methods, physical therapy, pharmacological treatment, psychiatric support therapy and occlusal splint therapies and invasive treatments include occlusal adjustment and surgical interventions. Non-invasive treatments, which are more conservative methods should be employed before invasive treatments for TMJ disorders. Many studies have been conducted to investigate the effectiveness of recommended treatment modalities. However, there is no definitive evidence of which treatment method or splint type is more effective in treating or reducing symptoms. Although the mechanisms of influence and treatment success are controversial, the most common method of tre...

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“…The medications that are most commonly used in the management of TMDs include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, anti-depressants and antianxiety drugs and muscle relaxants, Also, oral appliances have gained more popularity in the management of TMDs, with various types of occlusal splints. [7][8][9][10][11] surgical treatment is usually the last resort in the management of TMD, so it is common to look for other alternative treatments. 1 One of treatments is the Low Level Laser Therapy (LLLT) which is one of the recently used treatment modalities in the physiotherapy field.…”

Section: Introductionmentioning

confidence: 99%

Dextrose Prolotherapy versus Low Level Laser Therapy (LLLT) for Management of Temporomandibular Joint Disorders (TMD): Clinical Randomized controlled Study

Hassanien

Kamel

Rashed

2020

Egyptian Dental Journal

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Objective: To compare the effects of dextrose prolotherapy and low level laser therapy in terms of the pain (VAS) and maximum interincisal opening (MIO) in treatment of temporomandibular disorders. Patients and Methods:Twenty patients (10 males & 10 females) with temporomandibular disorders TMD participated in this clinical trial. All patients were randomly divided into two equal groups. In dextrose group; 12.5% Dextrose was injected into 3 targeted areas, the posterior joint space, the anterior disc attachment and superior attachment of masseter muscle. Dextrose prolotherapy was performed at 2 weeks, and 4 weeks intervals. In laser group; semi conductive (diode) gallium arsenide (Ga As) laser was utilized in this study. The therapeutic LLLT application was performed 3 times per week for four consecutive weeks. The primary outcome measure was the severity of the pain at rest assessed with visual analogue scale (0-10 cm). The secondary outcome measure was Maximum interincisal opening (MIO). All the evaluations in both groups were done at baseline, 2 weeks, and 4 weeks subsequent to the treatment.Results :The results demonstrated insignificant difference between the means of dextrose prolotherapy and laser groups in terms of VAS (at rest), MIO degree values before treatment (base line) (p>0.05). When the changes in the groups after treatment were compared, there was no significant difference between the means of dextrose and laser groups regarding VAS (at rest) after 2 weeks and 4 weeks (p-value>0.05). However, there was a statistical significant difference (P-value = 0.001) between the means of both groups regarding MIO after 2 weeks and 4 weeks (P-value <0.001). The improvement in maximum interincisal opening was greater in the group that submit to dextrose prolotherapy in comparison to the laser group (p<0.05). Conclusions:In temporomandibular disorders dextrose prolotherapy is more efficient in improving maximum interincisal opening in comparison to low level laser therapy. However, both treatments have the same effect in reducing pain at rest. KEY WORDS:Temporomandibular disorders, Low level laser therapy, Dextrose prolotherapy (96) Nermeen Hassanien, et al.

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Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis

Cited by 79 publications

References 41 publications

Patient satisfaction with a postal service for occlusal splints

Patient satisfaction with a postal service for occlusal splints

Splint Therapy in Temporomandibular Joint Disorders: Review

Dextrose Prolotherapy versus Low Level Laser Therapy (LLLT) for Management of Temporomandibular Joint Disorders (TMD): Clinical Randomized controlled Study

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