Skip to main content
Erschienen in: Journal of Maxillofacial and Oral Surgery 3/2023

27.06.2023 | CLINICAL PAPER

Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice

verfasst von: Darpan Bhargava, Camilo Chávez Farías, Ignacio Ardizone García, Louis G. Mercuri, Suzie Bergman, M. Anthony Pogrel, Andrew J. Sidebottom, Samer Srouji, Mehmet Fatih Şentürk, P. Elavenil, Kishore Moturi, P. Anantanarayanan, Preeti G. Bhargava, Vankudoth Dal Singh

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Abstract

Background

‘Temporomandibular joint disorders (TMDs)’ denote an umbrella term that includes arthritic, musculoskeletal and neuromuscular conditions involving the temporomandibular joint, the masticatory muscles, and the associated tissues. Occlusal devices are one of the common treatment modalities utilized in the conservative management of TMDs. The indications for the available ‘oral splints’ or ‘oral orthotic occlusal devices’ remain ambiguous.

Methods

A joint international consortium was formulated involving the subject experts at TMJ Foundation, to resolve the current ambiguity regarding the use of oral orthotic occlusal appliance therapy for the temporomandibular joint disorders based on the current scientific and clinical evidence.

Results

The recommendations and the conclusion of the clinical experts of the joint international consort has been summarized for understanding the indications of the various available oral orthotic occlusal appliances and to aid in the future research on oral occlusal orthotics.

Conclusion

The use of the oral orthotic occlusal appliances should be based on the current available scientific evidence, rather than the archaic protocols.
Literatur
1.
Zurück zum Zitat de Leeuw R, Klasser GD (eds) (2018) American Academy of Orofacial. Pain Orofacial pain: guidelines for assessment, diagnosis, and management, 6th edn. Quintessence Publishing Co, Inc, Hanover Park, p 327 de Leeuw R, Klasser GD (eds) (2018) American Academy of Orofacial. Pain Orofacial pain: guidelines for assessment, diagnosis, and management, 6th edn. Quintessence Publishing Co, Inc, Hanover Park, p 327
2.
Zurück zum Zitat Schiffman E, Ohrbach R (2016) Executive summary of the diagnostic criteria for temporomandibular disorders for clinical and research applications. J Am Dent Assoc 147(6):438–445PubMedPubMedCentral Schiffman E, Ohrbach R (2016) Executive summary of the diagnostic criteria for temporomandibular disorders for clinical and research applications. J Am Dent Assoc 147(6):438–445PubMedPubMedCentral
4.
Zurück zum Zitat Greene CS, Obrez A (2015) Treating temporomandibular disorders with permanent mandibular repositioning: is it medically necessary? Oral Surg Oral Med Oral Pathol Oral Radiol 119(5):489–498PubMed Greene CS, Obrez A (2015) Treating temporomandibular disorders with permanent mandibular repositioning: is it medically necessary? Oral Surg Oral Med Oral Pathol Oral Radiol 119(5):489–498PubMed
5.
Zurück zum Zitat Greene C, Manfredini D (2020) Treating temporomandibular disorders in the 21st century: Can we finally eliminate the “Third Pathway”? J Oral Facial Pain Headache 34(3):206–216PubMed Greene C, Manfredini D (2020) Treating temporomandibular disorders in the 21st century: Can we finally eliminate the “Third Pathway”? J Oral Facial Pain Headache 34(3):206–216PubMed
6.
Zurück zum Zitat Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE et al (2016) Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 95(10):1084–1092PubMedPubMedCentral Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, Sanders AE et al (2016) Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 95(10):1084–1092PubMedPubMedCentral
7.
Zurück zum Zitat Noma N, Watanabe Y, Shimada A, Usuda S, Iida T, Shimada A et al (2021) Effects of cognitive behavioral therapy on orofacial pain conditions. J Oral Sci 63(1):4–7 Noma N, Watanabe Y, Shimada A, Usuda S, Iida T, Shimada A et al (2021) Effects of cognitive behavioral therapy on orofacial pain conditions. J Oral Sci 63(1):4–7
9.
Zurück zum Zitat Al-Moraissi EA, Alradom J, Aladashi O, Goddard G, Christidis N (2020) Needling therapies in the management of myofascial pain of the masticatory muscles: a network meta-analysis of randomised clinical trials. J Oral Rehabil 47(7):910–922PubMed Al-Moraissi EA, Alradom J, Aladashi O, Goddard G, Christidis N (2020) Needling therapies in the management of myofascial pain of the masticatory muscles: a network meta-analysis of randomised clinical trials. J Oral Rehabil 47(7):910–922PubMed
11.
Zurück zum Zitat Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM (2020) Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 49(8):1042–1056PubMed Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM (2020) Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg 49(8):1042–1056PubMed
12.
Zurück zum Zitat Al-Moraissi EA, Wolford LM, Ellis E, Neff A (2020) The hierarchy of different treatments for arthrogenous temporomandibular disorders: a network meta-analysis of randomized clinical trials. J Cranio Maxillofac Surg 48(1):9–23 Al-Moraissi EA, Wolford LM, Ellis E, Neff A (2020) The hierarchy of different treatments for arthrogenous temporomandibular disorders: a network meta-analysis of randomized clinical trials. J Cranio Maxillofac Surg 48(1):9–23
14.
Zurück zum Zitat Antonia C (2012) Quick reference dictionary for orthopedics. SLACK, Thorofare Antonia C (2012) Quick reference dictionary for orthopedics. SLACK, Thorofare
15.
Zurück zum Zitat Ramfjord SP, Ash MM (1994) Reflections on the Michigan occlusal splint. J Oral Rehabil 21(5):491–500PubMed Ramfjord SP, Ash MM (1994) Reflections on the Michigan occlusal splint. J Oral Rehabil 21(5):491–500PubMed
17.
Zurück zum Zitat Greene CS, Menchel HF (2018) The use of oral appliances in the management of temporomandibular disorders. Oral Maxillofac Surg Clin North Am 30(3):265–277PubMed Greene CS, Menchel HF (2018) The use of oral appliances in the management of temporomandibular disorders. Oral Maxillofac Surg Clin North Am 30(3):265–277PubMed
19.
Zurück zum Zitat Pita MS, Ribeiro AB, Garcia AR, Pedrazzi V, Zuim PRJ (2011) Effect of occlusal splint thickness on electrical masticatory muscle activity during rest and clenching. Braz Oral Res 25(6):506–511PubMed Pita MS, Ribeiro AB, Garcia AR, Pedrazzi V, Zuim PRJ (2011) Effect of occlusal splint thickness on electrical masticatory muscle activity during rest and clenching. Braz Oral Res 25(6):506–511PubMed
20.
Zurück zum Zitat Moreno-Hay I, Okeson JP (2015) Does altering the occlusal vertical dimension produce temporomandibular disorders? A literature review. J Oral Rehabil 42(11):875–882PubMed Moreno-Hay I, Okeson JP (2015) Does altering the occlusal vertical dimension produce temporomandibular disorders? A literature review. J Oral Rehabil 42(11):875–882PubMed
21.
Zurück zum Zitat Roth TE, Goldberg JS, Behrents RG (1984) Synovial fluid pressure determination in the temporomandibular joint. Oral Surg Oral Med Oral Pathol 57(6):583–588PubMed Roth TE, Goldberg JS, Behrents RG (1984) Synovial fluid pressure determination in the temporomandibular joint. Oral Surg Oral Med Oral Pathol 57(6):583–588PubMed
22.
Zurück zum Zitat Nitzan DW (1994) Intraarticular pressure in the functioning human temporomandibular joint and its alteration by uniform elevation of the occlusal plane. J Oral Maxillofac Surg 52(7):671–679PubMed Nitzan DW (1994) Intraarticular pressure in the functioning human temporomandibular joint and its alteration by uniform elevation of the occlusal plane. J Oral Maxillofac Surg 52(7):671–679PubMed
23.
Zurück zum Zitat Casares G, Thomas A, Carmona J, Acero J, Vila CN (2014) Influence of oral stabilization appliances in intra-articular pressure of the temporomandibular joint. CRANIO® 32(3):219–223PubMed Casares G, Thomas A, Carmona J, Acero J, Vila CN (2014) Influence of oral stabilization appliances in intra-articular pressure of the temporomandibular joint. CRANIO® 32(3):219–223PubMed
24.
Zurück zum Zitat Tanaka E, Detamore MS, Mercuri LG (2008) Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 87(4):296–307PubMed Tanaka E, Detamore MS, Mercuri LG (2008) Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 87(4):296–307PubMed
25.
Zurück zum Zitat Baş B, Aksoy A, Atmaca E, Öz AA, Kaya Ö, Kazan D et al (2019) Effect of occlusal splint on interleukin 6, malondialdehyde and 8-hydroxydeoxyguanosine levels in the synovial fluid of patients with temporomandibular disorders. Int J Oral Maxillofac Surg 48(12):1558–1563PubMed Baş B, Aksoy A, Atmaca E, Öz AA, Kaya Ö, Kazan D et al (2019) Effect of occlusal splint on interleukin 6, malondialdehyde and 8-hydroxydeoxyguanosine levels in the synovial fluid of patients with temporomandibular disorders. Int J Oral Maxillofac Surg 48(12):1558–1563PubMed
26.
Zurück zum Zitat Menchel HF, Greene CS, Huff KD (2021) Intraoral appliances for temporomandibular disorders: what we know and what we need to know. Front Oral Maxillofac Med 3:6–6 Menchel HF, Greene CS, Huff KD (2021) Intraoral appliances for temporomandibular disorders: what we know and what we need to know. Front Oral Maxillofac Med 3:6–6
27.
Zurück zum Zitat Clark GT, Beemsterboer PL, Solberg WK, Rugh JD (1979) Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy. J Am Dent Assoc 99(4):607–611PubMed Clark GT, Beemsterboer PL, Solberg WK, Rugh JD (1979) Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy. J Am Dent Assoc 99(4):607–611PubMed
28.
Zurück zum Zitat Dao TT, Lavigne G (1998) Oral splints: the crutches for temporomandibular disorders and bruxism? Crit Rev Oral Biol Med 9(3):345–361PubMed Dao TT, Lavigne G (1998) Oral splints: the crutches for temporomandibular disorders and bruxism? Crit Rev Oral Biol Med 9(3):345–361PubMed
29.
Zurück zum Zitat Whitney CW, Von Korff M (1992) Regression to the mean in treated versus untreated chronic pain. Pain 50(3):281–285PubMed Whitney CW, Von Korff M (1992) Regression to the mean in treated versus untreated chronic pain. Pain 50(3):281–285PubMed
30.
Zurück zum Zitat Wang Y, Chan E, Dorsey SG, Campbell CM, Colloca L (2022) Who are the placebo responders? A cross-sectional cohort study for psychological determinants. Pain 163(6):1078–1090PubMed Wang Y, Chan E, Dorsey SG, Campbell CM, Colloca L (2022) Who are the placebo responders? A cross-sectional cohort study for psychological determinants. Pain 163(6):1078–1090PubMed
31.
Zurück zum Zitat Al-Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny AM (2005) Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review. J Dent Educ 69(11):1242–1250PubMed Al-Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny AM (2005) Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review. J Dent Educ 69(11):1242–1250PubMed
32.
Zurück zum Zitat Forssell H, Kalso E, Koskela P, Vehmanen R, Puukka P, Alanen P (1999) Occlusal treatments in temporomandibular disorders: a qualitative systematic review of randomized controlled trials. Pain 83(3):549–560PubMed Forssell H, Kalso E, Koskela P, Vehmanen R, Puukka P, Alanen P (1999) Occlusal treatments in temporomandibular disorders: a qualitative systematic review of randomized controlled trials. Pain 83(3):549–560PubMed
33.
Zurück zum Zitat Kuzmanovic Pficer J, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B (2017) Occlusal stabilization splint for patients with temporomandibular disorders: meta-analysis of short and long term effects. PLoS ONE 12(2):e0171296PubMedPubMedCentral Kuzmanovic Pficer J, Dodic S, Lazic V, Trajkovic G, Milic N, Milicic B (2017) Occlusal stabilization splint for patients with temporomandibular disorders: meta-analysis of short and long term effects. PLoS ONE 12(2):e0171296PubMedPubMedCentral
35.
Zurück zum Zitat Ebrahim S, Montoya L, Busse JW, Carrasco-Labra A, Guyatt GH (2012) The effectiveness of splint therapy in patients with temporomandibular disorders. J Am Dent Assoc 143(8):847–857PubMed Ebrahim S, Montoya L, Busse JW, Carrasco-Labra A, Guyatt GH (2012) The effectiveness of splint therapy in patients with temporomandibular disorders. J Am Dent Assoc 143(8):847–857PubMed
37.
Zurück zum Zitat Roldán-Barraza C, Janko S, Villanueva J, Araya I, Lauer HC (2014) A Systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain. J Oral Facial Pain Headache 28(3):205–222PubMed Roldán-Barraza C, Janko S, Villanueva J, Araya I, Lauer HC (2014) A Systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain. J Oral Facial Pain Headache 28(3):205–222PubMed
38.
Zurück zum Zitat Noguchi T, Kashiwagi K, Fukuda K (2020) The effectiveness of stabilization appliance therapy among patients with myalgia. Clin Exp Dent Res 6(2):244–253PubMed Noguchi T, Kashiwagi K, Fukuda K (2020) The effectiveness of stabilization appliance therapy among patients with myalgia. Clin Exp Dent Res 6(2):244–253PubMed
39.
Zurück zum Zitat Raphael KG, Marbach JJ (2001) Widespread pain and the effectiveness of oral splints in myofascial face pain. J Am Dent Assoc 132(3):305–316PubMed Raphael KG, Marbach JJ (2001) Widespread pain and the effectiveness of oral splints in myofascial face pain. J Am Dent Assoc 132(3):305–316PubMed
40.
Zurück zum Zitat Magdaleno F, Ginestal E (2010) Side effects of stabilization occlusal splints: a report of three cases and literature review. CRANIO® 28(2):128–135PubMed Magdaleno F, Ginestal E (2010) Side effects of stabilization occlusal splints: a report of three cases and literature review. CRANIO® 28(2):128–135PubMed
41.
Zurück zum Zitat Gagnon Y, Mayer P, Morisson F, Rompré PH, Lavigne GJ (2004) Aggravation of respiratory disturbances using an occlusal splint in apneic patients: a pilot study. Int J Prosthodont 17(4):8 Gagnon Y, Mayer P, Morisson F, Rompré PH, Lavigne GJ (2004) Aggravation of respiratory disturbances using an occlusal splint in apneic patients: a pilot study. Int J Prosthodont 17(4):8
42.
Zurück zum Zitat Nikolopoulou M, Naeije M, Aarab G, Hamburger HL, Visscher CM, Lobbezoo F (2011) The effect of raising the bite without mandibular protrusion on obstructive sleep apnoea: THE EFFECT OF RAISING THE BITE ON OSA. J Oral Rehabil 38(9):643–647PubMed Nikolopoulou M, Naeije M, Aarab G, Hamburger HL, Visscher CM, Lobbezoo F (2011) The effect of raising the bite without mandibular protrusion on obstructive sleep apnoea: THE EFFECT OF RAISING THE BITE ON OSA. J Oral Rehabil 38(9):643–647PubMed
43.
Zurück zum Zitat Nikolopoulou M, Ahlberg J, Visscher C, Hamburger H, Naeije M, Lobbezoo F (2013) Effects of occlusal stabilization splints on obstructive sleep apnea: a randomized controlled trial. J Orofac Pain 27(3):199–205PubMed Nikolopoulou M, Ahlberg J, Visscher C, Hamburger H, Naeije M, Lobbezoo F (2013) Effects of occlusal stabilization splints on obstructive sleep apnea: a randomized controlled trial. J Orofac Pain 27(3):199–205PubMed
44.
Zurück zum Zitat Hans MG, Nelson S, Luks VG, d Lorkovich P, Baek SJ (1997) Comparison of two dental devices for treatment of obstructive sleep apnea syndrome (OSAS). Am J Orthod Dentofac Orthop 111(5):562–570 Hans MG, Nelson S, Luks VG, d Lorkovich P, Baek SJ (1997) Comparison of two dental devices for treatment of obstructive sleep apnea syndrome (OSAS). Am J Orthod Dentofac Orthop 111(5):562–570
45.
Zurück zum Zitat Azusa K, Amrittej V, Robert M (2019) Respiratory effect associated with use of occlusal orthotics in temporomandibular disorder patients. IJOMS 18(1):101–109 Azusa K, Amrittej V, Robert M (2019) Respiratory effect associated with use of occlusal orthotics in temporomandibular disorder patients. IJOMS 18(1):101–109
46.
Zurück zum Zitat Guo Y-n, Cui S-j, Zhou Y-h, Wang X-d (2021) An overview of anterior repositioning splint therapy for disc displacement-related temporomandibular disorders. Curr Med Sci 41(3):626–634PubMed Guo Y-n, Cui S-j, Zhou Y-h, Wang X-d (2021) An overview of anterior repositioning splint therapy for disc displacement-related temporomandibular disorders. Curr Med Sci 41(3):626–634PubMed
47.
Zurück zum Zitat Conti PCR, Miranda JES, Conti ACCF, Pegoraro LF, dos de Araújo CRP (2005) Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study. J Appl Oral Sci 13(4):345–350PubMed Conti PCR, Miranda JES, Conti ACCF, Pegoraro LF, dos de Araújo CRP (2005) Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study. J Appl Oral Sci 13(4):345–350PubMed
48.
Zurück zum Zitat Simmons HC, Gibbs SJ (1995) Recapture of temporomandibular joint disks using anterior repositioning appliances: an MRI study. CRANIO® 13(4):227–237PubMed Simmons HC, Gibbs SJ (1995) Recapture of temporomandibular joint disks using anterior repositioning appliances: an MRI study. CRANIO® 13(4):227–237PubMed
49.
Zurück zum Zitat Tallents RH, Katzberg RW, Macher DJ, Roberts CA (1990) Use of protrusive splint therapy in anterior disk displacement of the temporomandibular joint: a 1- to 3-year follow-up. J Prosthet Dent 63(3):336–341PubMed Tallents RH, Katzberg RW, Macher DJ, Roberts CA (1990) Use of protrusive splint therapy in anterior disk displacement of the temporomandibular joint: a 1- to 3-year follow-up. J Prosthet Dent 63(3):336–341PubMed
50.
Zurück zum Zitat Conti PCR, da Corrêa ASN, Lauris JRP, Stuginski-Barbosa J (2015) Management of painful temporomandibular joint clicking with different intraoral devices and counseling: a controlled study. J Appl Oral Sci 23(5):529–535PubMedPubMedCentral Conti PCR, da Corrêa ASN, Lauris JRP, Stuginski-Barbosa J (2015) Management of painful temporomandibular joint clicking with different intraoral devices and counseling: a controlled study. J Appl Oral Sci 23(5):529–535PubMedPubMedCentral
51.
Zurück zum Zitat Liu MQ, Lei J, Han JH, Yap AUJ, Fu KY (2017) Metrical analysis of disc-condyle relation with different splint treatment positions in patients with TMJ disc displacement. J Appl Oral Sci 25(5):483–489PubMedPubMedCentral Liu MQ, Lei J, Han JH, Yap AUJ, Fu KY (2017) Metrical analysis of disc-condyle relation with different splint treatment positions in patients with TMJ disc displacement. J Appl Oral Sci 25(5):483–489PubMedPubMedCentral
52.
Zurück zum Zitat Simmons HC III, Gibbs SJ (2005) Anterior repositioning appliance therapy for TMJ disorders: specific symptoms relieved and relationship to disk status on MRI. CRANIO® 23(2):89–99PubMed Simmons HC III, Gibbs SJ (2005) Anterior repositioning appliance therapy for TMJ disorders: specific symptoms relieved and relationship to disk status on MRI. CRANIO® 23(2):89–99PubMed
54.
Zurück zum Zitat Naeije M, te Veldhuis AH, te Veldhuis EC, Visscher CM, Lobbezoo F (2013) Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance.’ J Oral Rehabil 40(2):139–158PubMed Naeije M, te Veldhuis AH, te Veldhuis EC, Visscher CM, Lobbezoo F (2013) Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance.’ J Oral Rehabil 40(2):139–158PubMed
55.
Zurück zum Zitat Stapelmann H, Türp JC (2008) The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache – Where do we stand? A qualitative systematic review of the literature. BMC Oral Health 8(1):22PubMedPubMedCentral Stapelmann H, Türp JC (2008) The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache – Where do we stand? A qualitative systematic review of the literature. BMC Oral Health 8(1):22PubMedPubMedCentral
56.
Zurück zum Zitat Baad-Hansen L, Jadidi F, Castrillon E, Thomsen PB, Svensson P (2007) Effect of a nociceptive trigeminal inhibitory splint on electromyographic activity in jaw closing muscles during sleep. J Oral Rehabil 34(2):105–111PubMed Baad-Hansen L, Jadidi F, Castrillon E, Thomsen PB, Svensson P (2007) Effect of a nociceptive trigeminal inhibitory splint on electromyographic activity in jaw closing muscles during sleep. J Oral Rehabil 34(2):105–111PubMed
57.
Zurück zum Zitat Lukic N, Saxer T, Hou M, Zumbrunn Wojczyńska A, Gallo LM, Colombo V (2021) Short-term effects of NTI-tss and Michigan splint on nocturnal jaw muscle activity: a pilot study. Clin Exp Dent Res 7(3):323–330PubMed Lukic N, Saxer T, Hou M, Zumbrunn Wojczyńska A, Gallo LM, Colombo V (2021) Short-term effects of NTI-tss and Michigan splint on nocturnal jaw muscle activity: a pilot study. Clin Exp Dent Res 7(3):323–330PubMed
58.
Zurück zum Zitat Hasanoglu Erbasar GN, Alpaslan C, Eroglu IG (2017) Can an NTI-tss device be effective as a first-line therapy in patients with TMD myofascial pain? J Oral Rehabil 44(8):589–593PubMed Hasanoglu Erbasar GN, Alpaslan C, Eroglu IG (2017) Can an NTI-tss device be effective as a first-line therapy in patients with TMD myofascial pain? J Oral Rehabil 44(8):589–593PubMed
59.
Zurück zum Zitat Jokstad A, Mo A, Krogstad BS (2005) Clinical comparison between two different splint designs for temporomandibular disorder therapy. Acta Odontol Scand 63(4):218–226PubMed Jokstad A, Mo A, Krogstad BS (2005) Clinical comparison between two different splint designs for temporomandibular disorder therapy. Acta Odontol Scand 63(4):218–226PubMed
60.
Zurück zum Zitat Bruno MAD, Krymchantowski AV (2018) Amitriptyline, and intraoral devices for migraine prevention: a randomized comparative trial. Arq Neuro Psiquiatr 76(4):213–218 Bruno MAD, Krymchantowski AV (2018) Amitriptyline, and intraoral devices for migraine prevention: a randomized comparative trial. Arq Neuro Psiquiatr 76(4):213–218
61.
Zurück zum Zitat Blumenfeld AM, Boyd JP (2022) Adjunctive treatment of chronic migraine using an oral dental device: overview and results of a randomized placebo-controlled crossover study. BMC Neurol 22(1):72PubMedPubMedCentral Blumenfeld AM, Boyd JP (2022) Adjunctive treatment of chronic migraine using an oral dental device: overview and results of a randomized placebo-controlled crossover study. BMC Neurol 22(1):72PubMedPubMedCentral
62.
Zurück zum Zitat Jokstad A (2009) The NTI-tss device may be used successfully in the management of bruxism and TMD: question: Is the NTI-tss device effective in the treatment of temporomandibular disorders and bruxism? Evid Based Dent 10(1):23–23PubMed Jokstad A (2009) The NTI-tss device may be used successfully in the management of bruxism and TMD: question: Is the NTI-tss device effective in the treatment of temporomandibular disorders and bruxism? Evid Based Dent 10(1):23–23PubMed
64.
Zurück zum Zitat Al Quran FAM, Lyons MF (1999) The immediate effect of hard and soft splints on the EMG activity of the masseter and temporalis muscles. J Oral Rehabil 26(7):559–563PubMed Al Quran FAM, Lyons MF (1999) The immediate effect of hard and soft splints on the EMG activity of the masseter and temporalis muscles. J Oral Rehabil 26(7):559–563PubMed
65.
Zurück zum Zitat Zhang L, Xu L, Wu D, Yu C, Fan S, Cai B (2021) Effectiveness of exercise therapy versus occlusal splint therapy for the treatment of painful temporomandibular disorders: a systematic review and meta-analysis. Ann Palliat Med 10(6):6122–6132PubMed Zhang L, Xu L, Wu D, Yu C, Fan S, Cai B (2021) Effectiveness of exercise therapy versus occlusal splint therapy for the treatment of painful temporomandibular disorders: a systematic review and meta-analysis. Ann Palliat Med 10(6):6122–6132PubMed
66.
Zurück zum Zitat Santacatterina A, Paoli M, Peretta R, Bambace A, Beltrame A (1998) A comparison between horizontal splint and repositioning splint in the treatment of ‘disc dislocation with reduction’. Literature meta-analysis. J Oral Rehabil 25(2):81–88PubMed Santacatterina A, Paoli M, Peretta R, Bambace A, Beltrame A (1998) A comparison between horizontal splint and repositioning splint in the treatment of ‘disc dislocation with reduction’. Literature meta-analysis. J Oral Rehabil 25(2):81–88PubMed
70.
Zurück zum Zitat Mercuri LG, Handelman CS (2020) Idiopathic condylar resorption: What should we do? Oral Maxillofac Surg Clin North Am 32(1):105–116PubMed Mercuri LG, Handelman CS (2020) Idiopathic condylar resorption: What should we do? Oral Maxillofac Surg Clin North Am 32(1):105–116PubMed
71.
Zurück zum Zitat Okeson JP (2012) Management of temporomandibular disorders and occlusion, 7th edn. Mosby, St. Louis Okeson JP (2012) Management of temporomandibular disorders and occlusion, 7th edn. Mosby, St. Louis
72.
Zurück zum Zitat Cao J, Qian Y, Wang X (2019) About, “MRI-based determination of occlusal splint thickness for temporomandibular joint disk derangement: a randomized controlled clinical trial” by Hegab et al. Oral Surg Oral Med Oral Pathol Oral Radiol 128(3):342–343PubMed Cao J, Qian Y, Wang X (2019) About, “MRI-based determination of occlusal splint thickness for temporomandibular joint disk derangement: a randomized controlled clinical trial” by Hegab et al. Oral Surg Oral Med Oral Pathol Oral Radiol 128(3):342–343PubMed
74.
Zurück zum Zitat Klasser GD, Greene CS (2009) Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 107(2):212–223 Klasser GD, Greene CS (2009) Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 107(2):212–223
75.
Zurück zum Zitat Gibreel M, Perea-Lowery L, Vallittu PK, Lassila L (2021) Characterization of occlusal splint materials: CAD-CAM versus conventional resins. J Mech Behav Biomed Mater 124:104813PubMed Gibreel M, Perea-Lowery L, Vallittu PK, Lassila L (2021) Characterization of occlusal splint materials: CAD-CAM versus conventional resins. J Mech Behav Biomed Mater 124:104813PubMed
76.
Zurück zum Zitat Chang SW, Chuang CY, Li JR, Lin CY, Chiu CT (2010) Treatment effects of maxillary flat occlusal splints for painful clicking of the temporomandibular joint. Kaohsiung J Med Sci 26(6):299–307PubMed Chang SW, Chuang CY, Li JR, Lin CY, Chiu CT (2010) Treatment effects of maxillary flat occlusal splints for painful clicking of the temporomandibular joint. Kaohsiung J Med Sci 26(6):299–307PubMed
Metadaten
Titel
Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice
verfasst von
Darpan Bhargava
Camilo Chávez Farías
Ignacio Ardizone García
Louis G. Mercuri
Suzie Bergman
M. Anthony Pogrel
Andrew J. Sidebottom
Samer Srouji
Mehmet Fatih Şentürk
P. Elavenil
Kishore Moturi
P. Anantanarayanan
Preeti G. Bhargava
Vankudoth Dal Singh
Publikationsdatum
27.06.2023
Verlag
Springer India
Erschienen in
Journal of Maxillofacial and Oral Surgery / Ausgabe 3/2023
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-023-01939-y

Weitere Artikel der Ausgabe 3/2023

Journal of Maxillofacial and Oral Surgery 3/2023 Zur Ausgabe

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.