Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction

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...

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Main Authors: Lazić Vojkan, Đorđević Igor, Todorović Ana
Format: Article
Language:English
Published: Serbian Medical Society - Dental Section, Belgrade 2011-01-01
Series:Stomatološki glasnik Srbije
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0039-1743/2011/0039-17431103156L.pdf
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author Lazić Vojkan
Đorđević Igor
Todorović Ana
author_facet Lazić Vojkan
Đorđević Igor
Todorović Ana
author_sort Lazić Vojkan
collection DOAJ
description 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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spelling doaj.art-1a7739ae0a6d4cc39b9d82c8ba3d76b72022-12-22T01:28:48ZengSerbian Medical Society - Dental Section, BelgradeStomatološki glasnik Srbije0039-17432011-01-0158315616210.2298/SGS1103156LOcclusal splints in reversible occlusal therapy of craniomandibular dysfunctionLazić VojkanĐorđević IgorTodorović AnaCraniomandibular 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.http://www.doiserbia.nb.rs/img/doi/0039-1743/2011/0039-17431103156L.pdfcraniomandibular dysfunctionreversible occlusal therapyocclusal splints
spellingShingle Lazić Vojkan
Đorđević Igor
Todorović Ana
Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
Stomatološki glasnik Srbije
craniomandibular dysfunction
reversible occlusal therapy
occlusal splints
title Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
title_full Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
title_fullStr Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
title_full_unstemmed Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
title_short Occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
title_sort occlusal splints in reversible occlusal therapy of craniomandibular dysfunction
topic craniomandibular dysfunction
reversible occlusal therapy
occlusal splints
url http://www.doiserbia.nb.rs/img/doi/0039-1743/2011/0039-17431103156L.pdf
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AT đorđevicigor occlusalsplintsinreversibleocclusaltherapyofcraniomandibulardysfunction
AT todorovicana occlusalsplintsinreversibleocclusaltherapyofcraniomandibulardysfunction