Effect of Occlusal Splints and Their Relationship with Temporomandibular Dysfunction Symptoms. Systematic Review [Efecto de las férulas oclusales y su relación con síntomas de disfunción temporomandibular. Revisión sistemática]
DOI:
https://doi.org/10.62574/vnt4c262Keywords:
temporomandibular joint, occlusal splints, temporomandibular disorderAbstract
Objective: To evaluate the effect of occlusal splints on the temporomandibular joint (TMJ) and their relationship with temporomandibular dysfunction (TMD) symptoms. Method: A systematic review of the literature was conducted in databases such as PubMed, Scopus, Lilacs, the Cochrane Library, ProQuest, Epistemonikos, Google Academic, among others. In the end, 20 articles that met the selection criteria were examined. Results and conclusion: Of the 159 studies identified, 70 were preselected and, after careful evaluation, 20 articles were included in the systematic review. The application of occlusal splints has potential advantages in the treatment of TMD; however, studies suggest that its effectiveness varies depending on the case. This highlights the importance of tailoring treatment to each individual and continuing high-quality research to consolidate clinical evidence.
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References
Zhang SH, He KX, Lin CJ, Liu XD, Wu L, Chen J, et al. Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontol Scand. 2020 6;78(8):580–9.
Bjørk MB, Bleka Ø, Kvaal SI, et al. MRI segmentation of tooth tissue in age prediction of sub-adults - a new method for combining data from the 1st, 2nd, and 3rd molars. Int J Legal Med. 2024;138(3):939-949. doi:10.1007/s00414-023-03149-0
Ronald RM, Cristian BZ, Lorenzo PR, Gabriela PS. Tratamiento interdisciplinario de paciente adulto con trastornos de la articulación temporomandibular. reporte de caso. Odontología Activa Revista Científica [Internet]. 2020;5(3):125–30. Available from: https://oactiva.ucacue.edu.ec/index.php/oactiva/article/view/502/612
Ferreira FM, Simamoto-Júnior PC, Soares CJ, Ramos AM de AM, Fernandes-Neto AJ. Effect of occlusal splints on the stress distribution on the temporomandibular joint disc. Braz Dent J. 2017 Aug 2;28(3):324–9.
Ramos Montiel RR. Theoretical epistemic foundation of the maxillofacial cranio-cervico diagnosis Fundamento teórico epistémico del diagnóstico cráneo-cérvico maxilofacial. Rev Mex Ortodon [Internet]. 2022;7(4):180–2. Available from: www.medigraphic.com/ortodoncia
Albagieh H, Alomran I, Binakresh A, Alhatarisha N, Almeteb M, Khalaf Y, et al. Occlusal splints-types and effectiveness in temporomandibular disorder management. Saudi Dental Journal. 2023 Jan 1;35(1):70–9.
Cocios Arpi JF, Trelles Méndez JA, Jinez Zuñiga PA, Zapata Hidalgo CD, Ramos Montiel RR. Correlación cefalométrica del mentón y cuerpo mandibular en adultos jóvenes andinos, año 2019. Revista Dilemas Contemporáneos: Educación, Política y Valores [Internet]. 2021;6. Available from: http://www.scielo.org.mx/scielo.php?pid=S2007-78902021000500056&script=sci_abstract&tlng=en
Hidalgo Ordoñez S, Mora Rojas M, Velásquez Ron B. Efecto de las férulas oclusales en la disfunción Temporomandibular: Revisión Sistemática Effect of Occlusal Splints on Temporomandibular Dysfunctions: Systematic Review. Av Odontoestomatol [Internet]. 2021; Available from: https://orcid.org/0000-0002-6190-8499
Ferrillo M, Marotta N, Giudice A, Calafiore D, Curci C, Fortunato L, et al. Effects of Occlusal Splints on Spinal Posture in Patients with Temporomandibular Disorders: A Systematic Review. Healthcare (Switzerland). MDPI; 2022;10.
Oliveira SSI, Pannuti CM, Paranhos KS, Tanganeli JPC, Laganá DC, Sesma N, et al. Effect of occlusal splint and therapeutic exercises on postural balance of patients with signs and symptoms of temporomandibular disorder. Clin Exp Dent Res. 2019 Apr 1;5(2):109–15.
Ram H, Shah D. Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial. J Indian Prosthodont Soc. 2021 Oct 1;21(4):356–65.
Vrbanović E, Alajbeg IZ. Long-term Effectiveness of Occlusal Splint Therapy Compared to Placebo in Patients with Chronic Temporomandibular Disorders. Acta Stomatol Croat. 2019;53(3):195–206.
Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM. Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2020 Aug 1;49(8):1042–56.
Saha FJ, Pulla A, Ostermann T, Miller T, Dobos G, Cramer H. Effects of occlusal splint therapy in patients with migraine or tension-type headache and comorbid temporomandibular disorder: A randomized controlled trial. Medicine (United States). 2019 Aug 1;98(33).
Incorvati C, Romeo A, Fabrizi A, Defila L, Vanti C, Gatto MRA, et al. Effectiveness of physical therapy in addition to occlusal splint in myogenic temporomandibular disorders: Protocol of a randomised controlled trial. BMJ Open. 2020 Aug 13;10(8).
Chen J, Ning R, Lu Y. Effects of occlusal splint and exercise therapy, respectively, for the painful temporomandibular disorder in patients seeking for orthodontic treatment: a retrospective study. BMC Oral Health. 2022 Dec 1;22(1).
Abbasgholizadeh ZS, Evren B, Ozkan Y. Evaluation of the efficacy of different treatment modalities for painful temporomandibular disorders. Int J Oral Maxillofac Surg. 2020 May 1;49(5):628–35.
Ananya R, Kumar MPS, Hinaz N. Effectiveness of splint therapy in the management of temporomandibular joint disorders. Int J Dent Oral Sci. 2021;8(6):2792–8.
De Sousa BM, López-valverde N, López-Valverde A, Caramelo F, Fraile JF, Payo JH, et al. Different treatments in patients with temporomandibular joint disorders: A comparative randomized study. Medicina (Lithuania). 2020 Mar 1;56(3).
Espí-López GV, Arnal-Gómez A, Del Pino AC, Benavent-Corai J, Serra-Añó P, Inglés M. Effect of manual therapy and splint therapy in people with temporomandibular disorders: A preliminary study. J Clin Med. 2020 Aug 1;9(8):1–15.
Derwich M, Gottesman L, Urbanska K, Pawlowska E. Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study. Medicina (Lithuania). 2022 May 1;58(5).
Tawk K, Vahidi R, Khoshsar A, Chao M, Abouzari M, Djalilian HR. Occlusal splints as a therapeutic option for patients with temporomandibular joint disorders and meniere’s disease. Otology and Neurotology. Lippincott Williams and Wilkins; 2024.
Maheshwari K, Srinivasan R, Singh BP, Tiwari B, Kirubakaran R. Effectiveness of anterior repositioning splint versus other occlusal splints in the management of temporomandibular joint disc displacement with reduction: A meta-analysis. J Indian Prosthodont Soc. 2024 Mar 1;24(1):15–24.
Wu X, Li Z, Cui Y, Yan Z, Lu T, Cui S. Neurodevelopmental disorders as a risk factor for temporomandibular disorder: evidence from Mendelian randomization studies. Front Genet. 2024 Mar 8;15.
Ordoñez Pintado AR, Trelles Méndez JA, Carrión Sarmiento MV, Zapata Hidalgo CD, Ramos Montiel RR. Cephalometric proportionality between the chin and its anterior projection in young andean adults. Revista Científica de la Universidad de Cienfuegos. 2021;13(5):439–44.
Pulgarin Fernandez CM, Campoverde Torres CH, Zapata Hidalgo CD, Calderon Barzallo ML, Ramos Montiel RR. Capítulo 5. Estimación tridimensional de la porción condilar en adultos jóvenes con normo-oclusión de la ciudad de Cuenca-Ecuador. Sociedad del Conocimiento: Resultados de investigaciones universitarias. 2023;120–39.
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