Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review.
The aim of this review is to establish the effectiveness of stabilization splint (SS) therapy in reducing symptoms in patients with myofascial pain. Searching of electronic databases, handsearching of relevant key journals, and screening of reference lists of included studies were undertaken. There was no language restriction, and unpublished research was sought. The selection criteria were randomized controlled trials comparing splint therapy to either no treatment or another active treatment. Data extraction and validity assessment were carried out independently and in duplicate. Studies were grouped according to treatment type. Twenty potentially relevant Randomized Controlled Trials (RCTs) were identified. Only twelve met the inclusion criteria. There is insufficient evidence either for or against the use of stabilization splint therapy over other active interventions for the treatment of temporomandibular myofascial pain. However, it appears that stabilization splint therapy may be beneficial for reducing pain severity at rest and on palpation and depression when compared to no treatment. The authors suggested the need for well conducted RCTs that pay attention to method of allocation, blind outcome assessment, sample size, and duration of follow-up. Various measures were adopted to assess the outcomes of treatment. Standardization of the methods used to measure outcomes of the treatment of myofascial pain should be established in future RCTs.
Al-Ani
Ziad
Z
TMD Unit, School of Dentistry, University of Manchester, Manchester, UK M15 6FH. ziad.al-ani@manchester.ac.uk
Gray
Robin J
RJ
Davies
Stephen J
SJ
Sloan
Philip
P
Glenny
Anne-Marie
AM
D015670:Acupuncture Therapy; D001676:Biofeedback, Psychology; D005157:Facial Pain / Q000628:therapy; D006801:Humans; D017090:Occlusal Splints; D009967:Orthodontic Appliances; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D016032:Randomized Controlled Trials as Topic; D012064:Relaxation Therapy; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000628:therapy*