A progressive approach for the use of occlusal devices in the management of temporomandibular disorders.
Temporomandibular disorders (TMDs) represent a broad spectrum of conditions associated with the temporomandibular joints and the neuromuscular system. Evidence-based diagnostic criteria for various TMDs are emerging, while corresponding treatment procedures remain less clear. As a result, the clinician may be uncertain how to best care for TMD patients. The objectives of this evidence-based review were to outline the various types of occlusal devices, assess the efficacy of occlusal splints in treating TMD patients, and create a treatment rubric based on diagnostic criteria and condition severity. A select literature review as to the effectiveness and efficacy of occlusal device TMD therapy revealed that stabilization splint intervention and control treatments had a positive effect in reducing TMD-related symptoms; minimal statistically significant differences were noted between intervention and control treatments. Stabilization splints are effective as a reversible treatment for patients with TMD. Other therapies and occlusal devices may be beneficial when used for a specific TMD diagnostic protocol. A treatment rubric based on diagnostic criteria and condition severity may assist the clinician.
Jonathan P
JP
Wiens
D006801:Humans; D017090:Occlusal Splints; D009967:Orthodontic Appliances; D009968:Orthodontic Appliances, Removable; D018704:Orthodontic Retainers; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000628:therapy*
TMDs; diagnostic criteria; intraoral appliance; occlusal devices; occlusal splints; stabilization splint; temporomandibular disorders