Artículos de revistas: "Occlusal Splints"

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Lalonde, Benoit. "OCCLUSAL SPLINTS". Journal of the American Dental Association 127, n.º 5 (mayo de 1996): 554–56. http://dx.doi.org/10.14219/jada.archive.1996.0252.

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Muresanu, Sorana Andreea, Mihaela Hedesiu, Cristian Dinu, Raluca Roman y Oana Almasan. "Digital occlusal splints for temporomandibular joint disorders: a systematic review". Romanian Journal of Stomatology 68, n.º 3 (30 de septiembre de 2022): 97–105. http://dx.doi.org/10.37897/rjs.2022.3.1.

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Objectives. This systematic review aimed at assessing the therapeutic efficacy of computer-assisted or digitally constructed occlusal splints in comparison to conventional splint treatment for temporomandibular disorders or bruxism. Material and methods. The study was prospectively registered in the Open Science Framework. Four electronic databases, PubMed, Embase, Web of Science, and Scopus, were searched comprehensively. The following keywords were employed: “3D-printed”, “additive manufacture”, “computer-aided design/computer-aided manufacturing”, “temporomandibular joint”, “temporomandibular joint dysfunction”, “bruxism”, “disc displacement”, “temporo-mandibular disorder”, “splint’, “oral splint”, “occlusal splint”, “occlusal device”, “bite splint”, “occlusal appliance”. Two risk of bias evaluation instruments were used to assess the quality of the included studies. Outcomes. Following the application of the search strategy, a total of 557 publications were identified in the electronic databases. Seven eligible articles were finally included in the analysis. Six publications (85.7%) compared digitally manufactured occlusal splints to conventionally created splints, while one examined if the use of a facebow influences the performance of digital splints. Visual assessment scores or numerical rating scales of pain, optical axiography, tooth wear, and bruxism frequency were reported as outcomes. Conclusions. Computer aided design occlusal splints provide equivalent outcomes to traditional splints. Some generated superior results, mainly probable as a result of the virtual articulator's greater precision and the splint materials' material qualities.

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Chairunnisa, Ricca y Erna Kurnikasari. "Tinjauan tentang splin oklusal untuk terapi gangguan sendi temporomandibula A review about occlusal splint as a therapy for temporomandibular disorders". Journal of Dentomaxillofacial Science 12, n.º 1 (28 de febrero de 2013): 38. http://dx.doi.org/10.15562/jdmfs.v12i1.347.

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An occlusal splint is a removable appliance usually made of acrylic, that fits over the occlusal and incisal surfaces ofthe teeth in one arch, creating precise occlusal contact with the teeth of the opposing arch. Occlusal splint has severalfunctions, one of which is to temporarily provide an temporary occlusion that allows the temporomandibular joints(TMJ) to make the most othopedically stable joint position. Occlusal splint is also used to protect the teeth and itssupportive structure from abnormal forces that may create breakdown and/or tooth wear. Occlusal splint is reversibleand noninvasive treatment, which is most important in treating temporomandibular disorders (TMD) with manycausative factors involved. Many types of splints have been suggested for the treatment of TMD, but the most frequentlyused are the stabilization splint and the anterior positioning splint. The purpose of this paper is to describe the types ofocclusal splints and indication used for the treatment of TMD.

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Ettlin, D. A., H. Mang, V. Colombo, S. Palla y L. M. Gallo. "Stereometric Assessment of TMJ Space Variation by Occlusal Splints". Journal of Dental Research 87, n.º 9 (septiembre de 2008): 877–81. http://dx.doi.org/10.1177/154405910808700903.

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Occlusal splints are used for the management of temporomandibular disorders, although their mechanism of action remains controversial. This study investigated whether insertion of an occlusal splint leads to condyle-fossa distance changes, and to mandibular rotation and/or translation. By combining magnetic resonance images with jaw tracking (dynamic stereometry), we analyzed the intra-articular distances of 20 human temporomandibular joints (TMJs) before and after insertion of occlusal splints of 3 mm thickness in the first molar region. For habitual closure, protrusion, and laterotrusion in the contralateral joint, occlusal splints led to minor—yet statistically significant—increases of global TMJ space and to larger increases at defined condylar areas. Condylar end rotation and translation in habitual closure were reduced. Hence, the insertion of a 3-mm-thick occlusal splint led to a change in the topographical condyle-fossa relationship, and therefore to a new distribution of contact areas between joint surfaces.

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Lazic, Vojkan, Igor Djordjevic y Ana Todorovic. "Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction". Serbian Dental Journal 58, n.º 3 (2011): 156–62. http://dx.doi.org/10.2298/sgs1103156l.

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Craniomandibular dysfunction (CMD) is a set of structural and functional disorders of different etiology that affects temporomandibular joint (TMJ) and orofacial muscles. The most common etiologic factors are psychogenic, occlusal, trauma and congenital anomalies of craniofacial structures. About 75% of the examined population have mild symptoms of CMD while 3-4% have more severe symptoms which require medical attention. The main symptoms why people seek for medical attention are: facial pain which increases with chewing and irradiates in surrounding areas and pain in TMJ which irradiates in the ear canal, temporal area or neck. Painful restriction of mandible during mouth opening and eccentric movements is frequent as well as mandible deviation or deflection. Sound effects in TMJ such as popping or clicking during mouth opening are common. Initial and least invasive therapeutic procedure is reversible occlusal therapy using splints. There are two main types of occlusal splints: stabilization and relaxation. First type of splints works on condyle stabilization in orthopedically stable position; it is superoanterior condylar position in articular fossa with position of intercondylar discs between condyle and articular fossa when working cusps of the antagonists are in maximal contact with the splint. Another type of splint causes disocclussion of posterior teeth and eliminates negative effects of occlusal interference in the intercuspal position or during eccentric mandibular movements. During therapy, occlusal splint temporarily changes occlusal relationships as well as relations within TMJ, causing reduction of CMD symptoms. The best therapeutic effect for reduction of CMD symptoms is achieved by combination of physical therapy and medication.

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Christensen, Gordon J. "OCCLUSAL SPLINTS: Author's response". Journal of the American Dental Association 127, n.º 5 (mayo de 1996): 556–58. http://dx.doi.org/10.14219/jada.archive.1996.0250.

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7

Carlier, Jean-Francois. "Usefulness of occlusal splints". Journal of Dentofacial Anomalies and Orthodontics 15, n.º 2 (2012): 204. http://dx.doi.org/10.1051/odfen/2012104.

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Chandhok, Tushyata, Ajay Gupta, Gagan Khanna y Nupur Bhargava. "Occlusal Splints: A Review". Journal of Orofacial & Health Sciences 5, n.º 3 (2014): 123. http://dx.doi.org/10.5958/2229-3264.2014.00013.6.

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Myagkova, Natalia y Nikolay Styazhkin. "RESULTS OF THE USE OF OCCLUSAL SPLINTS IN PATIENTS WITH TMJ PAIN DYSFUNCTION SYNDROME ACCORDING TO KINESIOGRAPHY DATA". Actual problems in dentistry 16, n.º 1 (14 de mayo de 2020): 114–20. http://dx.doi.org/10.18481/2077-7566-20-16-1-114-120.

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Subject. Syndrome of pain dysfunction of the temporomandibular joint is one of the common pathologies of TMJ. Patients with this diagnosis complain of a violation of the movements of the lower jaw, discomfort and pain in the joint. The writings of many authors contain a deep and comprehensive discussion of various aspects of this problem, and scientific justification is given that TMJ dysfunction is almost always accompanied by muscle symptoms. One method of treatment is the use of occlusal splints. In this regard, the task of determining the effectiveness of eliminating muscular-articular dysfunction using individual occlusal splints is relevant. The aim of the study was to determine the effectiveness of treatment of TMJ dysfunction with occlusal splints according to kinesiography. Methodology. The kinesiographic study on the Myotronics K7 apparatus consisted of sequentially performing functional tests (opening and closing the mouth, lower jaw movements to the side) and using the method of percutaneous electroneurostimulation. In the treatment of all patients, an occlusal positioner splint was used, which was made individually in an articulator using an interocclusal register in the neuromuscular position of the lower jaw. The average treatment period was 4.5 months with monthly adjustments to the occlusal splint. Results. As a result of treatment with the use of the occlusal splint, disturbances in the trajectory in the transverse (in 70 % of cases) and sagittal (in 65 % of cases) planes were eliminated, the position of the lower jaw in the neuromuscular position (in 100 % of cases) was normalized. Conclusions. Treatment of patients with TMJ dysfunction using individual occlusal splints is one of the most effective ways to treat this pathology.

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Kolcakoglu, Kevser, Salih Dogan, Firdevs Tulga Oz y Mustafa Aydınbelge. "A Comparison of Hard and Soft Occlusal Splints for the Treatment of Nocturnal Bruxism in Children Using the BiteSTRIP®". Journal of Clinical Pediatric Dentistry 46, n.º 3 (1 de mayo de 2022): 219–24. http://dx.doi.org/10.17796/1053-4625-46.3.8.

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Objective: Bruxism is defined as a parafunctional activity. It could be in diurnal or nocturnal form, based on the time it occurs. The purpose of the study compares the effectiveness of occlusal splint treatments in children with nocturnal bruxism using the BiteStrip®. Study Design: The muscle activity of children was measured using the BiteStrip®. The groups used occlusal splints during nighttime sleep for three months, at the end of which their muscle activity were measured again through the use of the BiteStrip®. Results: Muscle pain in palpation and pain in the dynamic position of TMJ pain was significantly reduced in patients using soft occlusal splint (p=0.01). There was no significant change in the BiteStrip® score in both group I (p=0.11) and group II (p=0.61). Conclusion: Soft occlusal splints could reduce pain caused by nocturnal bruxism on muscle and TMJ. The relationship between treatment results and BiteStrip® scores of patients using soft occlusal splint or hard occlusal splint are not significantly.

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Ferrillo, Martina, Nicola Marotta, Amerigo Giudice, Dario Calafiore, Claudio Curci, Leonzio Fortunato, Antonio Ammendolia y Alessandro de Sire. "Effects of Occlusal Splints on Spinal Posture in Patients with Temporomandibular Disorders: A Systematic Review". Healthcare 10, n.º 4 (15 de abril de 2022): 739. http://dx.doi.org/10.3390/healthcare10040739.

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There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and Scopus were systematically searched from inception until 5 January 2022 to identify observational studies with a longitudinal study design presenting: patients with diagnosis of TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); occlusal splint therapy as intervention; postural assessment as outcome. Out of 133 records identified, 104 were suitable for data screening, and only 7 articles were included satisfying the eligibility criteria. We found that occlusal splints might have a positive effect on posture in TMD patients, albeit there is little evidence of appropriate investigation for postural assessment. This systematic review suggested that the occlusal splint might be considered a non-invasive therapeutic approach for patients with TMD. However, the low number of studies with high-quality methodology in these patients showed an urgent need for further research using combined force platform stabilometry and kinematic evaluation of the spine to investigate the impact of occlusal splints on posture.

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Singh, B. P. y D. C. Berry. "Occlusal changes following use of soft occlusal splints". Journal of Prosthetic Dentistry 54, n.º 5 (noviembre de 1985): 711–15. http://dx.doi.org/10.1016/0022-3913(85)90256-2.

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Bohnenkamp, David M. "Dimensional stability of occlusal splints". Journal of Prosthetic Dentistry 75, n.º 3 (marzo de 1996): 262–68. http://dx.doi.org/10.1016/s0022-3913(96)90482-5.

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Patel, Kalpesh, Kenneth W. Hemmings y Simon Vaughan. "The Provision of Occlusal Splints in Primary Dental Care". Primary Dental Care os7, n.º 3 (julio de 2000): 109–13. http://dx.doi.org/10.1308/135576100322694196.

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Occlusal splints (Michigan splints, night/bite guards or bite-raising appliances) can be an effective, inexpensive and reversible treatment for a wide range of dental problems. Objective The aim of this study was to analyse retrospectively the provision of occlusal splint (‘Michigan’ type) in general dental practice, following a prescription by a restorative dental consultant. Method One hundred patients were recruited from consultant clinics in a department of conservative dentistry during 1995 and 1996. All patients were prescribed a maxillary, full-coverage, heat-cured, acrylic-resin splint (Michigan splint) as part of a treatment plan. An explanatory letter and questionnaire were sent to all patients and to their referring general dental practitioner in 1997 and 1998. Results A response rate of 79% was achieved in obtaining completed questionnaires from both patients and general dental practitioners. Of respondents 43% (34/79) received an occlusal splint of some form. A small proportion of the respondents (16.5% [13/79]) received a Michigan splint as prescribed. Irrespective of the type of appliance provided, most patients (82% [28/34]) found them helpful. Of those who did not receive an occlusal splint, 38% (17/45) of patients felt financial implications deterred them from obtaining an appliance. Other common reasons for non-provision included: patients felt that symptoms had improved (18% [8/45]) and patients did not agree with treatment (18% [8/45]). The general dental practitioners had similar opinions to their patients. Discussion These findings raise some serious doubts on the efficacy of consultant clinic advice in the prescription of occlusal splints in general dental practice. The financial and educational issues raised by this study will need to be addressed to improve service provision. Conclusion The results of this study indicate that 16.5% of patient respondents prescribed a Michigan splint at a consultant clinic received such an appliance in general dental practice.

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Conti, Paulo César Rodrigues, João Evandro Silva Miranda, Ana Cláudia C. Ferreira Conti, Luiz Fernando Pegoraro y Carlos dos Reis Pereira de Araújo. "Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study". Journal of Applied Oral Science 13, n.º 4 (diciembre de 2005): 345–50. http://dx.doi.org/10.1590/s1678-77572005000400006.

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This study aimed at evaluating the effectiveness of partial use of anterior repositioning appliances in the management of TMJ pain and dysfunction when compared to stabilization splints and a control group in a one-year follow-up. Sample was initially constituted by 60 patients, randomly divided into three groups: I- stabilization splints, II- repositioning splints and III- no treatment. The whole sample was evaluated by means of TMJ and muscle palpation, mandibular AROM, analysis of occlusal contacts, joint sounds inspection and Visual Analogue Scale (VAS) for one year; 52 patients composed the final sample. A significant (after 15 days) improvement in pain report (VAS) and palpation index was found for group II (p<0.01). The occurrence of occlusal alterations as posterior open bite or gross interferences after the splint therapy and increased muscle tenderness were not problems in this study. Similar results in joint noises reduction were observed for the entire sample. It was concluded that controlled partial use of repositioning splints is a beneficial tool in the management of intra-articular pain and dysfunction, with no risks of irreversible occlusal changes.

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Ferreira, Fabiane Maria, Paulo Cézar Simamoto-Júnior, Carlos José Soares, António Manuel de Amaral Monteiro Ramos y Alfredo Júlio Fernandes-Neto. "Effect of Occlusal Splints on the Stress Distribution on the Temporomandibular Joint Disc". Brazilian Dental Journal 28, n.º 3 (junio de 2017): 324–29. http://dx.doi.org/10.1590/0103-6440201601459.

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Abstract Conservative approach, including occlusal splint therapy, is the first option to treat temporomandibular disorders (TMD), because of its reversibility. The present study analyzed the effect of the articular disc position and occlusal splints use on the stress distribution on this disc. A two-dimensional (2D) finite element (FE) model of the temporomandibular joint with the articular disc at its physiologic position was constructed based on cone-beam computed tomography. Three other FE models were created changing the disc position, according to occlusal splint use and anterior disc displacement condition. Structural stress distribution analysis was performed using Marc-Mentat package. The equivalent von Mises stress was used to compare the study factor. Higher stress concentration was observed on the intermediate to anterior zone of the disc, with maximum values over 2MPa. No relevant difference was verified on the stress distribution and magnitude comparing disc positions and occlusal splint use. However, there was stress reduction arising from the use of the occlusal splints in cases of anterior disc displacement. In conclusion, based on the generated FE models and established boundary conditions, the stress increased at the intermediate zone of the TMJ disc during physiological mandible closure. The stress magnitude was similar in all tested situations

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Reichert, C. "CAD/CAM and surgical navigation splints versus intermaxillary occlusal splints". Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 75, n.º 3 (mayo de 2014): 164–66. http://dx.doi.org/10.1007/s00056-014-0209-9.

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Welsch, Boyd B., Robert E. Bates y Carol M. Stewart. "Fabrication of Easily Reproducible Occlusal Splints". CRANIO® 4, n.º 3 (julio de 1986): 229–33. http://dx.doi.org/10.1080/08869634.1986.11678149.

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Guguvcevski, Ljuben, Nikola Gigovski, Aneta Mijoska, Katerina Zlatanovska y Ana Arsova Gigovska. "Temporomandibular Disorders Treatment with Correction of Decreased Occlusal Vertical Dimension". Open Access Macedonian Journal of Medical Sciences 5, n.º 7 (25 de octubre de 2017): 983–86. http://dx.doi.org/10.3889/oamjms.2017.201.

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BACKGROUND: The term decreased occlusal vertical dimension refers to the reduced distance between two anatomical points while the teeth are in a state of occlusion. The development of this situation is about some parafunctional activities of the masticatory system.AIM: To evaluate the value of decreased occlusal vertical dimension in cases with temporomandibular disorder and to follow up the influence of corrective treatment with occlusal splints and definitive prosthetic construction upon the elimination of clinical symptoms.MATERIAL AND METHODS: Eight cases with decreased occlusal vertical dimension accompanied with temporomandibular disorders were treated with an occlusal splint, as part of reversible occlusal treatment. After reducing, or complete elimination of the symptoms related to problems of decreased occlusal vertical dimension, the definitive prosthetic therapy was performed.RESULTS: The mean value of decreased occlusal vertical dimension in our patients is 8.5 mm, and the mean value of therapy time with an occlusal splint in these patients was 3.5 months.CONCLUSION: Occlusal splint is a part of reversible occlusal therapy in cases with decreased occlusal vertical dimension. After reducing the symptoms related to decreased occlusal vertical dimension definitive prosthetic therapy can be done.

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Shopova, Dobromira, Miroslava Yordanova y Svetlana Yordanova. "Software Details in Occlusal Splint Creation through 3Shape Design Studio". Open Access Macedonian Journal of Medical Sciences 9, n.º D (23 de diciembre de 2021): 330–35. http://dx.doi.org/10.3889/oamjms.2021.7870.

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Introduction: Occlusal splints are usually the first choice in the treatment of bruxism. Splints can also be the only treatment or can be ended with adhesive restoration, orthodontic or prosthetic treatment. Methods: This article demonstrates the steps of a digital workflow through the 3Shape Design system - splint studio. The initial units are virtual models, scanned by Trios Color Scanner (3Shape). Results: The digital protocol includes eight steps that allow precise and detailed creation of the searched object. Each step is described from the perspective of a clinician, prosthetist and orthodontist, not a dental technician. Possible complications and ways to management with them are described. Conclusion: Digital protocol of occlusal splint creation gives many opportunities according to design, thickness and occlusion.

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Zuim, Paulo Renato Junqueira, Alicio Rosalino Garcia, Karina Helga Leal Turcio y Marcelo Matida Hamata. "Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients". Journal of Applied Oral Science 14, n.º 1 (enero de 2006): 61–66. http://dx.doi.org/10.1590/s1678-77572006000100012.

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The effect of Microcurrent Electrical Nerve Stimulation (MENS) was evaluated and compared with occlusal splint therapy in temporomandibular disorders (TMD) patients with muscle pain. Twenty TMD patients were divided into four groups. One received occlusal splint therapy and MENS (I); other received splints and placebo MENS (II); the third, only MENS (III) and the last group, placebo MENS (IV). Sensitivity derived from muscle palpation was evaluated using a visual analogue scale. Results were submitted to analysis of variance (p<0.05). There was reduction of pain level in all groups: group I (occlusal splint and MENS) had a 47.7% reduction rate; group II (occlusal splint and placebo MENS), 66.7%; group III (MENS), 49.7% and group IV (placebo MENS), 16.5%. In spite of that, there was no statistical difference (analysis of variance / p<0.05) between MENS and occlusal splint therapy regarding muscle pain reduction in TMD patients after four weeks.

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Naeem, Ahmad, Verma A.K., Ali Mariyam, Katiyar Pratibha, Gaur Abhishek y Agarwal Anant. "Occlusal Splints Used in Prosthetic Management of TMJ Disorders". Indian Journal of Medical & Health Sciences 3, n.º 2 (2016): 117–21. http://dx.doi.org/10.21088/ijmhs.2347.9981.3216.8.

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Vilela, Selem Alvarenga, Amanda Gonçalves Franco, Aline Batista Gonçalves Franco, Geraldo Alberto Pinheiro de Carvalho, Sérgio Candido Dias, Silvio Mecca Junior, Fabiano Perez, Elimario Venturin Ramos, Francisco Fernando Massola Filho y Caio Marques Martins. "Analysis of compressive strength of occlusal splints manufactured with three liquid resins at three angles of orientation on 3D printer". Research, Society and Development 11, n.º 3 (1 de marzo de 2022): e40811326820. http://dx.doi.org/10.33448/rsd-v11i3.26820.

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The aim of this study is to analyze the compressive strength of occlusal splints manufactured with three different liquid resins in a 3D printer and in three angles of orientation. The resins used here are (n=12): Resilab Clear (Wilcos do Brasil, Petrópolis, RJ, Brazil), Prizma Smart Print Bio (Makertech Labs, Tatuí, SP, Brazil), and Cosmos Splint (Yller Biomateriais, Pelotas, RS, Brazil); each resin group are divided into three subgroups according to orientation of manufacture: 0, 45 and 90 degrees. A dental manikin was scanned and the file was used to manufacture a steel hemiarch model. This model was used to design the occlusal splints and as a basis for the tests. The splints were designed with flat occlusal surface and minimum thickness of 2 mm. The compressive test was performed with constant force of 200N, velocity of 0.5 mm/min, along the entire occlusal surface until fracture. Results show no difference between the resins, regardless of orientation of manufacture. The orientation showed no intragroup effect for resins Prizma Smart Print Bio and Resilab Clear; the resin Cosmos showed larger compressive strength for the samples manufactured at 45 degrees than at 0 degree. The 90-degree samples were intermediary and showed no difference from other angles. This study shows that the three resins had similar behavior in terms of compressive strength, except for the intragroup effect of orientation of Cosmos Splint resin, where plates manufactured at 0 degree performed worse than those at 45 degrees.

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Saakyan, Mikhail, Ol'ga Uspenskaya, Sergey Ryabov y Aleksey Aleksandrov. "DETERMINATION OF ERRORS IN THE MANUFACTURING TECHNOLOGY OF OCCLUSIVE SPLINTS FOR THE TREATMENT OF TMJ DISEASES". Actual problems in dentistry 16, n.º 2 (12 de agosto de 2020): 129–33. http://dx.doi.org/10.18481/2077-7566-20-16-2-129-133.

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Subject. For the treatment of diseases of the temporomandibular joint, occlusal splints are used, in the manufacture of which different methods are used, which have their negative and positive properties. 3D printing technology allows the manufacture of occlusal splints with high precision fit to the dentition and with uniform occlusal contacts with respect to antagonist teeth. The goal is to study errors in the technology of manufacturing occlusal splints for the treatment of patients with diseases of the temporomandibular joint. Methodology. Thirty patients with distal displacement of the heads of the temporomandibular joint in the range of 1-1.5 mm were examined. Patients were diagnosed with Angle Grade 2. The methods used were tele-radiography, 3D computed tomography, and laboratory scanning of jaw models. Results. Errors were revealed in the manufacture of occlusal tires using digital scanning in the EXO-CAD program, various features of adaptation to occlusal tires obtained using 3D printing and cad-cam milling. Findings. 3D printing technology allows the manufacture of occlusal splints with high precision fit to the dentition with uniform occlusal contacts with respect to antagonist teeth. The technology for milling occlusal tires gives an advantage in their strength compared to 3D printing technology. However, the mouthguards made by technology are inferior to mouthguards made on a 3D printer in terms of elasticity of fit to the dentition, which can cause discomfort and pain during the use of milled mouthguards. Occlusal tires made by cold polymerization have lower accuracy of fit to the dentition and require correction when fitting and checking the occlusal relationship of the dentition.

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Kui, Andreea, Silvia Pop, Smaranda Buduru y Marius Negucioiu. "The use of occlusal splints in temporomandibular disorders - an overview." Acta Stomatologica Marisiensis Journal 3, n.º 2 (1 de diciembre de 2020): 3–8. http://dx.doi.org/10.2478/asmj-2020-0008.

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AbstractTemporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.

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Patricio, Marina Denardi, Ricardo Armini Caldas, Milton Edson Miranda, Karina Andrea Novaes Olivieri, Willian Cunha Brandt y Rafael Pino Vitti. "Stresses in lithium disilicate crowns and zirconia implants in patients with bruxism: An in silico study". Research, Society and Development 10, n.º 5 (8 de mayo de 2021): e29710515099. http://dx.doi.org/10.33448/rsd-v10i5.15099.

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The aim of this study was to analyze by finite element analysis the influence of the use occlusal splints in rehabilitation with zirconia implant under oblique and vertical masticatory loads. Four models were developed to simulate a clinical of absence of a premolar (element 45) replaced by zirconia implant and lithium disilicate crown. Four groups were created, SP-V without occlusal splint and vertical load; CP-V with occlusal splint and vertical load; SP-O without occlusal splint and oblique load; CP-O with occlusal splint and oblique load. The four models were built using a software (SolidWorks, SolidWorks Corporation). A load of 300N to 45º (oblique) and 90º (vertical) applied to the long axis of the whole structure. The maximum principal stress (tensile) and minimum principal stress (compression), as well as the total deformation in the implant, occlusal splint, crown and bone tissue were evaluated quantitatively and qualitatively. The CP-V and CP-O groups presented the lowest stress intensities, which were homogeneously distributed in all structures analyzed. On other hand, SP-V and SP-O groups presented highest stress distributed in a heterogeneous way. Groups with occlusal splint (CP-V and CP-O) also showed lower deformation than groups without occlusal splint (SP-V and SP-O). It´s concluded the use of occlusal splint minimizes the stresses and deformation promoted by oblique and vertical occlusal loads of up 300N in implanted lithium disilicate crown supported by zirconia implants.

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Buduru, Smaranda, Daniel Talmaceanu, Oana Baru, Rares Buduru, Camelia Szuhanek y Anca Mesaros. "CAD-CAM Occlusal Splints: Milling and Printing Methods". Revista de Chimie 69, n.º 12 (15 de enero de 2019): 3461–63. http://dx.doi.org/10.37358/rc.18.12.6769.

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In dentistry, splints are often used as means of protecting teeth, ceramic restorations or for treating temporomandibular dysfunction. Digital dentistry has become a common tool involving the following: intraoral scanners, model scanners, design software, computerized milling or printing. Our study aims at comparing two different methods of producing an occlusal splint (milled and printed) with the end result of determining the most suitable solution for patients in terms of time, costs, efficiency, and medical results.

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28

Patzelt, Sebastian Berthold Maximilian, Marei Krügel, Christian Wesemann, Stefano Pieralli, Julian Nold, Benedikt Christopher Spies, Kirstin Vach y Ralf-Joachim Kohal. "In Vitro Time Efficiency, Fit, and Wear of Conventionally- versus Digitally-Fabricated Occlusal Splints". Materials 15, n.º 3 (30 de enero de 2022): 1085. http://dx.doi.org/10.3390/ma15031085.

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The purpose of the study was to compare conventional to digital workflows of occlusal splint production regarding time efficiency, overall fit, and wear. Fifteen Michigan splints were fabricated with a conventional and digital method. The duration for the dentist’s and the dental technician’s workload was recorded. Subsequently, the overall fit was examined with a four-level score (1–4). Paired t-tests were used to compare the time results for the conventional and digital workflows and the sign test to compare the overall fit. The mean time (16 min 58 s) for computerized optical impressions was longer than for conventional impressions (6 min 59 s; p = 0.0001). However, the dental technician needed significantly less mean time for the digital splint production (47 min 52 s) than for the conventional (163 min 32 s; p = 0.001). The overall fit of the digitally-fabricated splints was significantly better compared to the conventionally-fabricated splints (p = 0.002). There was no impact of the different materials used in the conventional and digital workflow on the wear (p = 0.26). The results suggest that the digital workflow for the production of occlusal splints is more time efficient and leads to a better fit than the conventional workflow.

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29

Taneva, I., R. Grozdanova-Uzunova y T. Uzunov. "Occlusal splints – changes in the muscular activity". Journal of Physics: Conference Series 1859, n.º 1 (1 de marzo de 2021): 012046. http://dx.doi.org/10.1088/1742-6596/1859/1/012046.

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30

Hashimoto, Kazuyoshi, Kazumichi Yamamoto, Takashi Yokoyama, Kiyokata Suzuki, Takuro Takeichi, Eiji Hozumi, Morimasa Yamamoto, Toshiyuki Abe y Yutaka Ito. "Condyle Position with Occlusal Splints during Clenching." Nihon Hotetsu Shika Gakkai Zasshi 44, n.º 5 (2000): 690–95. http://dx.doi.org/10.2186/jjps.44.690.

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31

Bharadwaj., Kongkona. "THE BASICS OF OCCLUSAL SPLINTS- A REVIEW." International Journal of Advanced Research 5, n.º 11 (30 de noviembre de 2017): 1239–42. http://dx.doi.org/10.21474/ijar01/5890.

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32

Milosevic, Alex. "Occlusion: 2. Occlusal Splints, Analysis and Adjustment". Dental Update 30, n.º 8 (2 de octubre de 2003): 416–22. http://dx.doi.org/10.12968/denu.2003.30.8.416.

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33

Więckiewicz, Mieszko, Marta Miernik y Włodzimierz Więckiewicz. "Use of light-cured resin to manufacture occlusal splints: report of two cases". Brazilian Dental Journal 23, n.º 4 (2012): 457–60. http://dx.doi.org/10.1590/s0103-64402012000400025.

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This article presents selected cases of patients with functional disorders of the stomatognathic system. This group of patients had a need to made different types of removable occlusal splints. In the past, occlusal appliances were made mostly using self-cured acrylate materials, which for many years had no replacements. The rapid development of dental materials technology led to creation of thermo-formable materials and resins, which can successfully replace traditional acrylic materials in daily clinical practice. A practical application of light-cured resin in the fabrication of the occlusal splints in two clinical cases is reported and discussed herein.

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34

Saakyan, Mikhail, Sergey Ryabov y Aleksey Aleksandrov. "DETERMINATION OF ERRORS IN THE MANUFACTURING TECHNOLOGY OF OCCLUSIVE SPLINTS FOR THE TREATMENT OF TMJ DISEASES". Actual problems in dentistry 17, n.º 4 (4 de febrero de 2022): 131–35. http://dx.doi.org/10.18481/2077-7566-21-17-4-131-135.

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Currently, occlusive splints are widely used for the treatment of TMJ diseases. However, the manufacturing errors of occlusive splints for the treatment of TMJ diseases still remain not fully understood, which determined the purpose of this study. The purpose of the study is to identify and study errors in the technological manufacture of occlusive mouthguards (tires) for the rehabilitation of patients with musculoskeletal dysfunction of the TMJ and other diseases of the TMJ. Materials and methods For this study, an examination was conducted in 30 patients with a distal shift of the TMJ condyles within 1-1.5 mm. 3 occlusal splints were made for 30 patients according to technologies (Fig. 3-4): 1. Cold polymerization of plastic 2. 3-D printing techniques, Fig. 2. 3. CAD-CAM-manufacturing-milling, Fig. 1. Revealed a discrepancy in the size of the occlusal bus and the control model when comparing them by zones (points) that were previously accepted for analysis by us. Research results: We consider it important to note that a comparison of CAD-CAM bus scans with a scan of a virtual control model in stl format revealed no errors, the images were superimposed along their boundaries in the hamulus pterygoideus and incisive papilla sections. Conclusions 1. The 3D printing technique makes it possible to technologically create occlusal splints adjacent to the dentition with high accuracy. 2. Milled occlusal tires have a bending strength of 115 MPa, which gives an advantage in this parameter in comparison with 3D printing technology – 80-90 MPa. Occlusal tires made on a 3D printer are superior to milled tires in elasticity. 3. Occlusal splints made according to the traditional method of plastic polymerization, when compared with two other materials, have lower rates of adhesion to the dentition.

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35

Lozano, Paulina. "Use of Occlusal Splints in Patients with Deep Bite and Bruxism". International Journal of Medical and Surgical Sciences 2, n.º 1 (26 de octubre de 2018): 427–31. http://dx.doi.org/10.32457/ijmss.2015.009.

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The occlusal splints are most commonly used devices for the treatment of temporomandibular disorders and bruxism. A case report of a male patient with deep bite and bruxism, indicating two flat occlusal splints presents full coverage made up of rigid acrylic and permanent use for five months is described. Using both intraoral devices allowed restoring lost vertical dimension and protect teeth attrition, deprogram the musculature and establish a new mandibular positioning prior to treatment of oral rehabilitation.

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36

Steinmetz, A., P. H. Ridder y A. Reichelt. "Craniomandibular Dysfunction and Violin Playing: Prevalence and the Influence of Oral Splints on Head and Neck Muscles in Violinists". Medical Problems of Performing Artists 21, n.º 4 (1 de diciembre de 2006): 183–89. http://dx.doi.org/10.21091/mppa.2006.4038.

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Previous studies have shown a significant higher prevalence of craniomandibular dysfunction (CMD) in violin players compared with controls. CMD is related to increased muscular load in the muscles of mastication, the trapezius and sternocleidomastoid muscles, which can possibly predispose to overuse syndromes. To examine whether CMD can also cause overuse syndromes in violinists, we investigated a group of 31 violinists by questionnaire, mandibular tracking, and a clinical examination to elicit overuse and CMD symptoms. The influence of CMD on muscular tension during violin playing was assessed with surface EMG; this was performed twice on each violinist, once with and once without an occlusal splint, in order to work out the effect of CMD on the muscular load. CMD could be diagnosed in 74% of the investigated violinists. The occlusal splints significantly decreased the load in the masseter, temporalis, trapezius, and sternocleidomastoid muscles during musical performance. Occlusal splints appear to decrease the muscular load in asymptomatic violinists as well, suggesting a possible preventive and therapeutic role in overuse symptoms in the setting of preexisting CMD.

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37

Salmi, Mika, Kaija-Stiina Paloheimo, Jukka Tuomi, Tuula Ingman y Antti Mäkitie. "A digital process for additive manufacturing of occlusal splints: a clinical pilot study". Journal of The Royal Society Interface 10, n.º 84 (6 de julio de 2013): 20130203. http://dx.doi.org/10.1098/rsif.2013.0203.

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The aim of this study was to develop and evaluate a digital process for manufacturing of occlusal splints. An alginate impression was taken from the upper and lower jaws of a patient with temporomandibular disorder owing to cross bite and wear of the teeth, and then digitized using a table laser scanner. The scanned model was repaired using the 3D ata E xpert software, and a splint was designed with the V iscam RP software. A splint was manufactured from a biocompatible liquid photopolymer by stereolithography. The system employed in the process was SLA 350. The splint was worn nightly for six months. The patient adapted to the splint well and found it comfortable to use. The splint relieved tension in the patient's bite muscles. No sign of tooth wear or significant splint wear was detected after six months of testing. Modern digital technology enables us to manufacture clinically functional occlusal splints, which might reduce costs, dental technician working time and chair-side time. Maximum-dimensional errors of approximately 1 mm were found at thin walls and sharp corners of the splint when compared with the digital model.

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38

Mazzeto, Marcelo Oliveira, Takami Hirono Hotta y Rafaela Galli Mazzetto. "Analysis of TMJ vibration sounds before and after use of two types of occlusal splints". Brazilian Dental Journal 20, n.º 4 (2009): 325–30. http://dx.doi.org/10.1590/s0103-64402009000400011.

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Temporomandibular joint (TMJ) sounds are important and common physical signs of temporomandibular disorders (TMD). The aim of this study was to evaluate the influence of the effect of the use of occlusal bite splints (stabilizing and repositioning) on the sounds produced in the TMJ, by means of the electrovibratography (EVG). Thirty-one patients with TMD from the Dental School of Ribeirão Preto, University of São Paulo, Brazil were selected for this study. Group 1 (n=23) wore stabilizing bite splints and Group 2 (n=8) used anterior repositioning splints. Before and after treatment with occlusal splints both groups were analyzed using the SonoPAK Q/S recording system (BioResearch System, Inc.). The treatments with stabilizing bite splints were satisfactory, since they reduced the total amount of the sound energies (p<0.05), but the use of anterior repositioning splints for no more than 4 weeks produced significantly better results (p<0.01). The total amount of vibration energy involved in the vibrating movements of the TMJ showed significant improvement using anterior repositioning splints.

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39

Saranya, S. K., Chandrashekar Janakiram, Anil Mathew, Pramod Subash y Priya K. Nair. "Efficacy of Occlusal Splints in Managing Temporomandibular Disorders". Indian Journal of Public Health Research & Development 10, n.º 12 (1 de diciembre de 2019): 464. http://dx.doi.org/10.37506/v10/i12/2019/ijphrd/191997.

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40

Chaudhary, Poorna, Amit Khera, Shalu Jain y Pradeep Raghav. "Role of occlusal splints in temporomandibular joint disorder". International Journal of Applied Dental Sciences 7, n.º 2 (1 de abril de 2021): 18–21. http://dx.doi.org/10.22271/oral.2021.v7.i2a.1184.

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41

DuPont, John S. y Chris E. Brown. "Occlusal Splints From the Beginning to the Present". CRANIO® 24, n.º 2 (abril de 2006): 141–45. http://dx.doi.org/10.1179/crn.2006.022.

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42

Jagger, Robert. "The effectiveness of occlusal splints for sleep bruxism". Evidence-Based Dentistry 9, n.º 1 (marzo de 2008): 23. http://dx.doi.org/10.1038/sj.ebd.6400569.

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43

Gray, R. J. M. y S. J. Davies. "Occlusal Splints and Temporomandibular Disorders: Why, When, How?" Dental Update 28, n.º 4 (2 de mayo de 2001): 194–99. http://dx.doi.org/10.12968/denu.2001.28.4.194.

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44

Santos, J. dos, H. Suzuki y M. M. Ash. "Mechanical analysis of the equilibrium of occlusal splints". Journal of Prosthetic Dentistry 59, n.º 3 (marzo de 1988): 346–52. http://dx.doi.org/10.1016/0022-3913(88)90189-8.

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45

Korioth, Tom W. P., Kim G. Bohlig y Gary C. Anderson. "Digital assessment of occlusal wear patterns on occlusal stabilization splints: A pilot study". Journal of Prosthetic Dentistry 80, n.º 2 (agosto de 1998): 209–13. http://dx.doi.org/10.1016/s0022-3913(98)70112-x.

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46

Cesanelli, Leonardo, Gianfranco Cesaretti, Berta Ylaitė, Angelo Iovane, Antonino Bianco y Giuseppe Messina. "Occlusal Splints and Exercise Performance: A Systematic Review of Current Evidence". International Journal of Environmental Research and Public Health 18, n.º 19 (30 de septiembre de 2021): 10338. http://dx.doi.org/10.3390/ijerph181910338.

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The role of the dento-mandibular apparatus and, in particular, occlusion and jaw position, received increased attention during last years. In the present study, we aimed to systematically review, on the light of the new potential insights, the published literature covering the occlusal splint (OS) applications, and its impact on exercise performance. A structured search was carried out including MEDLINE®/PubMed and Scopus databases with additional integration from external sources, between March and June 2021. To meet the inclusion criteria, studies published in the English language, involving humans in vivo, published from 2000 to 2021 and that investigated the role of occlusal splints on athletes’ performance were selected. Starting from the 587 identified records, 17 items were finally included for the review. Four main aspects were considered and analyzed: (1) occlusal splint characteristics and occlusion experimental conditions, (2) jump performance, (3) maximal and explosive strength, and (4) exercise technique and biomechanics. The results of the systematic literature analysis depicted a wide heterogenicity in the experimental conditions and suggested the application of the OS as a way to improve athletes’ or individuals’ oral health, and as a potential tool to optimize marginal aspects of exercise performance.

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47

Dubé, C., P. H. Rompré, C. Manzini, F. Guitard, P. de Grandmont y G. J. Lavigne. "Quantitative Polygraphic Controlled Study on Efficacy and Safety of Oral Splint Devices in Tooth-grinding Subjects". Journal of Dental Research 83, n.º 5 (mayo de 2004): 398–403. http://dx.doi.org/10.1177/154405910408300509.

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The efficacy of occlusal splints in diminishing muscle activity and tooth-grinding damage remains controversial. The objective of this study was to compare the efficacy and safety of an occlusal splint (OS) vs. a palatal control device (PCD). Nine subjects with sleep bruxism (SB) participated in this randomized study. Sleep laboratory recordings were made on the second night to establish baseline data. Patients then wore each of the splints in the sleep laboratory for recording nights three and four, two weeks apart, according to a crossover design. A statistically significant reduction in the number of SB episodes per hour (decrease of 41%, p = 0.05) and SB bursts per hour (decrease of 40%, p < 0.05) was observed with the two devices. Both oral devices also showed 50% fewer episodes with grinding noise (p = 0.06). No difference was observed between the devices. Moreover, no changes in respiratory variables were observed. Both devices reduced muscle activity associated with SB.

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48

Derwich, Marcin, Lawrence Gottesman, Karolina Urbanska y Elzbieta Pawlowska. "Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study". Medicina 58, n.º 5 (21 de mayo de 2022): 684. http://dx.doi.org/10.3390/medicina58050684.

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Background and Objectives: The aim of the study was to assess the craniovertebral and craniomandibular changes in patients diagnosed with temporomandibular joint disorders (TMD) after physiotherapy combined with occlusal splint therapy. Materials and Methods: There were forty patients (32 females, 80%), diagnosed with TMD, included into the study group. After the initial series of physiotherapy, patients received maxillary occlusal splints to be worn day and night. Participants continued physiotherapy simultaneously with occlusal splint therapy for 6 months. Lateral cephalograms taken in natural head position before and after the end of the therapy were used for measurements. The control group consisted of 15 healthy participants (12 females, 80%), who had taken lateral cephalograms twice, and did not receive any type of occlusal treatment nor physiotherapy in the meantime. Results: Occlusal splint therapy and physiotherapy combined together significantly affected: the vertical position of the mandible (significant increase, p < 0.0001), the sagittal position of mandible (significant decrease, p = 0.0065), as well as the width of the functional space between C1 and C2 (significant decrease, p = 0.0042). Moreover, the cervical lordosis was restored after the end of the treatment (p < 0.0001). Conclusions: Cooperation of physiotherapists with dental practitioners is necessary in the treatment of patients with TMD, including temporomandibular joint osteoarthritis.

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Dias, Amândio A., Luís A. Redinha, Luís M. Silva y Pedro C. Pezarat-Correia. "Effects of Dental Occlusion on Body Sway, Upper Body Muscle Activity and Shooting Performance in Pistol Shooters". Applied Bionics and Biomechanics 2018 (24 de julio de 2018): 1–9. http://dx.doi.org/10.1155/2018/9360103.

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Occlusal splints, to some extent, have been related to reduced body sway in a static position and increased muscle activity in the upper limbs. However, how dental occlusion status affects sports performance remains unclear. Here, we investigated whether occlusal splints that reposition the temporomandibular joint (TMJ) influenced body posture, muscle activity, and performance in 10-meter pistol shooters. Thirteen national-level male shooters (age = 38.8 ± 10.9 yrs) were recruited for this study, and cleared of any cervical pathology. An occlusal splint (OS) and a placebo splint (PS) were fabricated for each of the subjects, with the mandibular and maxillary position verified by an expert dentist, with the aid of an adjustable articulator. Surface electromyography (EMG) was assessed in the upper limb that holds the pistol while the subjects were standing on a force platform. Subjects performed two series of 10 shots for each of the three experimental conditions (OS, PS, N (no splint)) in randomized order, with the mandible in a rest position. Results revealed similar centre of pressure (COP) parameters in all conditions, despite a reduction in the average oscillation area caused by the OS. There were also no significant differences in EMG activity between conditions in the five upper limb muscles monitored. Consistent with this, shooting performance was similar in all conditions, despite a reduction in shot dispersion in subjects using OS. Thus, changes in dental occlusion status induced by OS do not affect body posture, upper limb EMG muscle activity, or shot performance in healthy male pistol shooters.

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50

Mańka-Malara, Katarzyna, Dominika Gawlak y Jolanta Kostrzewa-Janicka. "Dental applications of elastic occlusal splints – review of literature". Journal of Stomatology (Czasopismo Stomatologiczne) 67, n.º 3 (30 de junio de 2014): 372–80. http://dx.doi.org/10.5604/00114553.1111279.

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