The effectiveness of stabilization appliance therapy among patients with myalgia
Abstract Background The efficacy of stabilization appliance therapy for masticatory muscle pain is debated. Therefore, there are currently no clear usage standards. We analyzed patient factors influencing its efficacy and characterized masticatory muscle pain subtypes to determine appropriate therap...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-04-01
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| Series: | Clinical and Experimental Dental Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cre2.266 |
| _version_ | 1819066228533100544 |
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| author | Tomoyasu Noguchi Kosuke Kashiwagi Kenichi Fukuda |
| author_facet | Tomoyasu Noguchi Kosuke Kashiwagi Kenichi Fukuda |
| author_sort | Tomoyasu Noguchi |
| collection | DOAJ |
| description | Abstract Background The efficacy of stabilization appliance therapy for masticatory muscle pain is debated. Therefore, there are currently no clear usage standards. We analyzed patient factors influencing its efficacy and characterized masticatory muscle pain subtypes to determine appropriate therapy candidates. Methods This case series study recruited patients diagnosed with local myalgia or myofascial pain and used variables related to temporomandibular disorders in the analysis. We used temporary appliance to screen patients for sleep bruxism for 2 weeks. Afterwards, we initiated therapy with stabilization appliances. Efficacy was evaluated via tenderness intensity during muscle palpation and the treatment satisfaction score after 2 months of treatment. Results We analyzed 62 (91%) patients. Tenderness upon muscle palpation was mitigated in 27 patients. Mitigated tenderness odds ratios were 0.035 for myofascial pain, 0.804 for 15‐item Patient Health Questionnaire scores, and 1.915 for facet length. Thirty‐nine patients expressed satisfaction; satisfaction odds ratios were 0.855 for 9‐item Patient Health Questionnaire scores, 1.606 for facet length, and 4.023 for awake bruxism awareness. Conclusions Stabilization appliance therapy is most effective for patients with awake bruxism awareness, local myalgia, long facets, and no psychosocial risk factors. |
| first_indexed | 2024-12-21T15:59:01Z |
| format | Article |
| id | doaj.art-3673348e667c44f8a141179b35642ac7 |
| institution | Directory Open Access Journal |
| issn | 2057-4347 |
| language | English |
| last_indexed | 2024-12-21T15:59:01Z |
| publishDate | 2020-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Experimental Dental Research |
| spelling | doaj.art-3673348e667c44f8a141179b35642ac72022-12-21T18:58:01ZengWileyClinical and Experimental Dental Research2057-43472020-04-016224425310.1002/cre2.266The effectiveness of stabilization appliance therapy among patients with myalgiaTomoyasu Noguchi0Kosuke Kashiwagi1Kenichi Fukuda2Division of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Science Tokyo Dental College Tokyo JapanDivision of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Science Tokyo Dental College Tokyo JapanDivision of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Science Tokyo Dental College Tokyo JapanAbstract Background The efficacy of stabilization appliance therapy for masticatory muscle pain is debated. Therefore, there are currently no clear usage standards. We analyzed patient factors influencing its efficacy and characterized masticatory muscle pain subtypes to determine appropriate therapy candidates. Methods This case series study recruited patients diagnosed with local myalgia or myofascial pain and used variables related to temporomandibular disorders in the analysis. We used temporary appliance to screen patients for sleep bruxism for 2 weeks. Afterwards, we initiated therapy with stabilization appliances. Efficacy was evaluated via tenderness intensity during muscle palpation and the treatment satisfaction score after 2 months of treatment. Results We analyzed 62 (91%) patients. Tenderness upon muscle palpation was mitigated in 27 patients. Mitigated tenderness odds ratios were 0.035 for myofascial pain, 0.804 for 15‐item Patient Health Questionnaire scores, and 1.915 for facet length. Thirty‐nine patients expressed satisfaction; satisfaction odds ratios were 0.855 for 9‐item Patient Health Questionnaire scores, 1.606 for facet length, and 4.023 for awake bruxism awareness. Conclusions Stabilization appliance therapy is most effective for patients with awake bruxism awareness, local myalgia, long facets, and no psychosocial risk factors.https://doi.org/10.1002/cre2.266bruxismmyalgiamyalgiamyofacial painpsychosocial factorsocclusal splints |
| spellingShingle | Tomoyasu Noguchi Kosuke Kashiwagi Kenichi Fukuda The effectiveness of stabilization appliance therapy among patients with myalgia Clinical and Experimental Dental Research bruxism myalgia myalgia myofacial pain psychosocial factors occlusal splints |
| title | The effectiveness of stabilization appliance therapy among patients with myalgia |
| title_full | The effectiveness of stabilization appliance therapy among patients with myalgia |
| title_fullStr | The effectiveness of stabilization appliance therapy among patients with myalgia |
| title_full_unstemmed | The effectiveness of stabilization appliance therapy among patients with myalgia |
| title_short | The effectiveness of stabilization appliance therapy among patients with myalgia |
| title_sort | effectiveness of stabilization appliance therapy among patients with myalgia |
| topic | bruxism myalgia myalgia myofacial pain psychosocial factors occlusal splints |
| url | https://doi.org/10.1002/cre2.266 |
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