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At least 163 records · Page 9Linked to original sources
PubMed1982

A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders.

Thirty-three patients were treated for a 4-week period with splint therapy. Fourteen muscle and joint regions were palpated before and after treatment, and observable pain scores were recorded. Maximal comfortable interincisal distance and maximal interincisal distance were recorded before and after treatment. The following results were observed. 1. Of the 33 patients, 28 showed improvement in observable pain scores. The mean decrease was 4.4 (p less than .01). 2. Of the 33 patients, 27 showed increase in maximal comfortable interincisal distance. The mean increase in interincisal distance was 5.3 mm (p less than .01). 3. Of the 33 patients, 21 showed an increase in maximal mandibular opening; however, the increase of 1.7 mm was not statistically significant. 4. When the patients were divided into two groups according to the duration of symptoms, there was no significant difference between the groups' symptoms or their responses to treatment.

Acute Disease↗
PubMed2002

[Manipulation aided by joint cavity extension followed by occlusal splint for treatment of acute anterior disk displacement without reduction].

OBJECTIVE: To evaluate a new treatment method for temporomandibular joint acute disk displacement without reduction. METHODS: Twenty-one patients diagnosed as acute anterior disk displacement without reduction were treated by manipulation with the aid of joint cavity extension followed by anterior repositioning splint. All and eleven of twenty-one patients were re-examined two weeks after insertion of splint and at the end of treatment (3 approximately 6 months later). RESULTS: (1) Degree of maximum mouth opening was increased from 25.8 mm before treatment to 46.6 mm 2 weeks after, 48.1 mm at the end of treatment; (2) Mean pain level (VAS) dropped from 2.62 before treatment to 0.43 2 weeks after, 0.18 at the end of treatment; (3) Fricton's TMJ dysfunction index and craniomandibular index decreased from 0.337 and 0.185 respectively before treatment to 0.021 and 0.011 respectively 2 weeks after, 0.031 and 0.018 respectively at the end of treatment. CONCLUSIONS: The treatment method should be considered for acute anterior disk displacement without reduction if medication and physical therapy failed to have disk successfully reduced.

Acute Disease↗
PubMed1990

Effect of occlusal splint therapy on blink reflex time in TMJ dysfunction patients.

This study compares the changes that occur in latency before and after use of splint therapy in patients with TMJ dysfunction. The sensory fibers of the upper branch of the trigeminal nerve were stimulated and the time required for the sensory and motor responses to occur were measured. A reduction in latency occurred in the late component. Also a reduction of the delay occurred between ipsi and contralateral late responses. This finding can be attributed to the lateral reticular formation in the blink reflex arc. This study demonstrates a method for evaluating TMJ dysfunction and a way to monitor clinical response.

Blinking↗
PubMed1990

[Treatment of dysfunction of the temporomandibular joint by an occlusion splint].

At present we include under the term arthropathy of the temporomandibular joint a large group of affections of this joint. In recent years the term myofacial painful dysfunction syndrome was defined in mode detail. It is a condition characterized by its polyaetiological nature and is linked to the area of the temporo-mandibular joint and its surroundings. It is associated with pain without apparent destructive changes on the X-ray picture. In the submitted paper attention is paid to conservative treatment of painful dysfunctional muscular syndrome by means of an occulsion splint. In a group of 32 patient the advantages of the method are demonstrated.

Humans↗
PubMed1989

Effects of canine versus molar occlusal splint guidance on nocturnal bruxism and craniomandibular symptomatology.

The use of interocclusal orthopedic appliances is the most common method for managing nocturnal bruxism and associated craniomandibular symptoms. Yet there is no consensus on the mechanism of action or best design for optimal clinical results. Posterior disocclusion through canine or anterior guidance is believed to be a key feature. The purpose of this study was to compare a canine versus molar guidance appliance in eight chronic bruxist patients. The appliances were used for 10 to 14 nights. The two appliances provided nearly equivalent effects on nocturnal bruxism in seven of eight subjects. Clinical examination and subjective pain ratings did not differ with the two guidance patterns. These results question the common assumption that canine guidance is a critical design feature for the management of nocturnal bruxism and associated craniomandibular symptoms.

Adult↗