Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study
Occlusal splints are used as a non-invasive treatment for patients diagnosed with temporomandibular disorders (TMD). Another non-invasive treatment option for TMD patients is kinesiotherapy, which may be used alone or in conjunction with occlusal splint therapy. The aim of this study was to evaluate...
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MDPI AG
2022-12-01
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| author | Manuela Tăut Smaranda Dana Buduru Daniel Tălmăceanu Alina Ban Raluca Roman Daniel Leucuța Ioan Barbur Aranka Ilea |
| author_facet | Manuela Tăut Smaranda Dana Buduru Daniel Tălmăceanu Alina Ban Raluca Roman Daniel Leucuța Ioan Barbur Aranka Ilea |
| author_sort | Manuela Tăut |
| collection | DOAJ |
| description | Occlusal splints are used as a non-invasive treatment for patients diagnosed with temporomandibular disorders (TMD). Another non-invasive treatment option for TMD patients is kinesiotherapy, which may be used alone or in conjunction with occlusal splint therapy. The aim of this study was to evaluate the changes in the intra-articular spaces of the temporomandibular joint (TMJ) after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients. Twenty-four patients (<i>N</i> = 24) diagnosed with TMD according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were included. Cone beam computed tomography (CBCT) images were taken before and after treatment. The anterior, superior, posterior, and medial joint spaces were measured on the CBCT images, and the condylar ratio was calculated using Pullinger and Hollender’s formula. Additionally, the thickness of the glenoid fossa (GFT), condylar medio-lateral widths (MLW), and condylar height (HCo) were measured. The condylar ratio was significantly higher after treatment (<i>p</i> = 0.049). The changes in dimensions of the anterior, superior, posterior and medial joint spaces were not statistically significant after treatment. No statistically significant differences were found in the dimensions of the GFT, MLW, and HCo post treatment. The condylar position did not shift anteriorly in a statistically significant way after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients. |
| first_indexed | 2024-03-09T16:10:54Z |
| format | Article |
| id | doaj.art-5820a0546ad8473da90c48bc7dfa1e70 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-09T16:10:54Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-5820a0546ad8473da90c48bc7dfa1e702023-11-24T16:14:16ZengMDPI AGLife2075-17292022-12-011212214310.3390/life12122143Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT StudyManuela Tăut0Smaranda Dana Buduru1Daniel Tălmăceanu2Alina Ban3Raluca Roman4Daniel Leucuța5Ioan Barbur6Aranka Ilea7Department of Oral Rehabilitation, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaDepartment of Prosthetic Dentistry and Dental Materials, Prosthetic Dentistry, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, Romania“Stomestet” Dental Clinic, Department of Oral Surgery, 400372 Cluj-Napoca, RomaniaDepartment of Maxillo-Facial Surgery and Radiology, Dental Radiology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaDepartment of Maxillo-Facial Surgery and Radiology, Dental Radiology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaDepartment of Medical Education, Medical Informatics and Biostatistics, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaDepartment of Maxillo-Facial Surgery and Radiology, Surgery and Maxillo-Facial Implantology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaDepartment of Oral Rehabilitation, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400029 Cluj-Napoca, RomaniaOcclusal splints are used as a non-invasive treatment for patients diagnosed with temporomandibular disorders (TMD). Another non-invasive treatment option for TMD patients is kinesiotherapy, which may be used alone or in conjunction with occlusal splint therapy. The aim of this study was to evaluate the changes in the intra-articular spaces of the temporomandibular joint (TMJ) after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients. Twenty-four patients (<i>N</i> = 24) diagnosed with TMD according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were included. Cone beam computed tomography (CBCT) images were taken before and after treatment. The anterior, superior, posterior, and medial joint spaces were measured on the CBCT images, and the condylar ratio was calculated using Pullinger and Hollender’s formula. Additionally, the thickness of the glenoid fossa (GFT), condylar medio-lateral widths (MLW), and condylar height (HCo) were measured. The condylar ratio was significantly higher after treatment (<i>p</i> = 0.049). The changes in dimensions of the anterior, superior, posterior and medial joint spaces were not statistically significant after treatment. No statistically significant differences were found in the dimensions of the GFT, MLW, and HCo post treatment. The condylar position did not shift anteriorly in a statistically significant way after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients.https://www.mdpi.com/2075-1729/12/12/2143CBCTTMDocclusal splintkinesiotherapycondylar ratio |
| spellingShingle | Manuela Tăut Smaranda Dana Buduru Daniel Tălmăceanu Alina Ban Raluca Roman Daniel Leucuța Ioan Barbur Aranka Ilea Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study Life CBCT TMD occlusal splint kinesiotherapy condylar ratio |
| title | Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study |
| title_full | Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study |
| title_fullStr | Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study |
| title_full_unstemmed | Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study |
| title_short | Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders—A CBCT Study |
| title_sort | occlusal splint therapy combined with cranio temporomandibular kinesiotherapy in patients with temporomandibular disorders a cbct study |
| topic | CBCT TMD occlusal splint kinesiotherapy condylar ratio |
| url | https://www.mdpi.com/2075-1729/12/12/2143 |
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