Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders

Splint therapy is widely used in the treatment of myofascial pain, but valid studies on the efficacy of this therapy are rare. The purpose of the present study was to investigate which qualifiable and quantifiable effects of splint therapy are detectable. For this purpose, 29 patients (21 women, mea...

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Main Authors: Bernhard Wiechens, Svea Paschereit, Tristan Hampe, Torsten Wassmann, Nikolaus Gersdorff, Ralf Bürgers
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/6/1070
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author Bernhard Wiechens
Svea Paschereit
Tristan Hampe
Torsten Wassmann
Nikolaus Gersdorff
Ralf Bürgers
author_facet Bernhard Wiechens
Svea Paschereit
Tristan Hampe
Torsten Wassmann
Nikolaus Gersdorff
Ralf Bürgers
author_sort Bernhard Wiechens
collection DOAJ
description Splint therapy is widely used in the treatment of myofascial pain, but valid studies on the efficacy of this therapy are rare. The purpose of the present study was to investigate which qualifiable and quantifiable effects of splint therapy are detectable. For this purpose, 29 patients (21 women, mean age 44.6 ± 16 years) diagnosed with myofascial pain (RDC/TMD) were investigated in this prospective clinical trial (10/6/14An). Patients were treated with Michigan splints applied overnight for three months. Before (T1) and after three months of treatment (T2), patients were registered with an electronic ultrasound device with qualitative and quantitative evaluation of the registrations and a qualitative assessment of pain symptoms using a verbal analog scale. Significant differences were found between maximum mouth opening (MMP) (<i>p</i> < 0.001) and right condylar movement (CM) at MMP (<i>p</i> = 0.045). Qualitative assessment revealed that 24 of 29 patients experienced an improvement in pain symptoms, 17 of whom experienced complete remission. The results of the qualitative and quantitative analysis provide indications of the effectiveness of the splint therapy. In addition to quantitative measurements, the ultrasound facebow technique was also able to provide qualitative information.
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spelling doaj.art-badb308925a2477aa0e19deaeda0e3502023-11-23T16:52:27ZengMDPI AGHealthcare2227-90322022-06-01106107010.3390/healthcare10061070Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular DisordersBernhard Wiechens0Svea Paschereit1Tristan Hampe2Torsten Wassmann3Nikolaus Gersdorff4Ralf Bürgers5Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanyDepartment of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, GermanySplint therapy is widely used in the treatment of myofascial pain, but valid studies on the efficacy of this therapy are rare. The purpose of the present study was to investigate which qualifiable and quantifiable effects of splint therapy are detectable. For this purpose, 29 patients (21 women, mean age 44.6 ± 16 years) diagnosed with myofascial pain (RDC/TMD) were investigated in this prospective clinical trial (10/6/14An). Patients were treated with Michigan splints applied overnight for three months. Before (T1) and after three months of treatment (T2), patients were registered with an electronic ultrasound device with qualitative and quantitative evaluation of the registrations and a qualitative assessment of pain symptoms using a verbal analog scale. Significant differences were found between maximum mouth opening (MMP) (<i>p</i> < 0.001) and right condylar movement (CM) at MMP (<i>p</i> = 0.045). Qualitative assessment revealed that 24 of 29 patients experienced an improvement in pain symptoms, 17 of whom experienced complete remission. The results of the qualitative and quantitative analysis provide indications of the effectiveness of the splint therapy. In addition to quantitative measurements, the ultrasound facebow technique was also able to provide qualitative information.https://www.mdpi.com/2227-9032/10/6/1070myofascial painTMDsplint treatmentelectronic ultrasound device
spellingShingle Bernhard Wiechens
Svea Paschereit
Tristan Hampe
Torsten Wassmann
Nikolaus Gersdorff
Ralf Bürgers
Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
Healthcare
myofascial pain
TMD
splint treatment
electronic ultrasound device
title Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
title_full Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
title_fullStr Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
title_full_unstemmed Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
title_short Changes in Maximum Mandibular Mobility Due to Splint Therapy in Patients with Temporomandibular Disorders
title_sort changes in maximum mandibular mobility due to splint therapy in patients with temporomandibular disorders
topic myofascial pain
TMD
splint treatment
electronic ultrasound device
url https://www.mdpi.com/2227-9032/10/6/1070
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