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    Occlusal Splints

    Uploaded by

    Salim Malik
    Occlusal splints are a well-established treatment for temporomandibular disorders (TMD) that can provide relief for symptoms like TMJ pain and clicking. There are two main types - stabilization splints which realign the jaw and repositioning splints which guide the jaw forward. Studies show that 40% of TMD patients experience relief from placebo alone, but occlusal splints combined with counseling achieve improvement in symptoms for 70-80% of patients when used as part of a comprehensive TMD treatment plan including education, physical therapy, and cognitive behavioral therapy. Close monitoring of splint fit and occlusion is important for successful rehabilitation.

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    © All Rights Reserved
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    Occlusal Splints

    Uploaded by

    Salim Malik
    143 views25 pages
    Occlusal splints are a well-established treatment for temporomandibular disorders (TMD) that can provide relief for symptoms like TMJ pain and clicking. There are two main types - stabilization splints which realign the jaw and repositioning splints which guide the jaw forward. Studies show that 40% of TMD patients experience relief from placebo alone, but occlusal splints combined with counseling achieve improvement in symptoms for 70-80% of patients when used as part of a comprehensive TMD treatment plan including education, physical therapy, and cognitive behavioral therapy. Close monitoring of splint fit and occlusion is important for successful rehabilitation.

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    occlusal splints

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    Occlusal splints are a well-established treatment for temporomandibular disorders (TMD) that can provide relief for symptoms like TMJ pain and clicking. There are two main types - stabilization splints which realign the jaw and repositioning splints which guide the jaw forward. Studies show that 40% of TMD patients experience relief from placebo alone, but occlusal splints combined with counseling achieve improvement in symptoms for 70-80% of patients when used as part of a comprehensive TMD treatment plan including education, physical therapy, and cognitive behavioral therapy. Close monitoring of splint fit and occlusion is important for successful rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    143 views25 pages

    Occlusal Splints

    Uploaded by

    Salim Malik
    Occlusal splints are a well-established treatment for temporomandibular disorders (TMD) that can provide relief for symptoms like TMJ pain and clicking. There are two main types - stabilization splints which realign the jaw and repositioning splints which guide the jaw forward. Studies show that 40% of TMD patients experience relief from placebo alone, but occlusal splints combined with counseling achieve improvement in symptoms for 70-80% of patients when used as part of a comprehensive TMD treatment plan including education, physical therapy, and cognitive behavioral therapy. Close monitoring of splint fit and occlusion is important for successful rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 25

    Rehabilitation of TMD

    patients with Occlusal


    Splints.
    Rehabilitation of TMD
    How
    patients with Occlusal
    Splints.
    successful is it?
    How successful is it?

    Introduction
    Over the years numerous studies have been

    done in the field of TMD .A significant no. of


    these have been directed towards testing the
    efficacy of various treatment modalities.

    Occlusal splints is a well recognized & widely


    accepted treatment modality. It is the most
    effective, reversible, non-invasive tech.

    Definition : AAOP
    Orthopaedic appliance is a splint

    used to support or improve function


    of moveable parts of the body.
    An intraoral splint is a removable
    orthopaedic appliance that fits over
    the dentition over either arch.

    Treatment Protocol
    Patient education & Self care
    Cognitive behavioural intervention
    Psychotherapy
    Pharmacotherapy
    Physical therapy

    Classification

    Type of material - Hard / Soft


    Principle- Stabilization type
    - Repositioning type

    Coverage - Full / Partial

    SPLINT THEORIES
    Occlusal disengagement
    Maxillomandibular realignment
    Restored occlusal vertical dimension
    TMJ Repositioning

    Stabilization type
    Also called Flat plane, Gnathologic, Muscle
    Relaxation Splint.

    It realigns Maxillomandibular relation.


    Fabricated with autopolymerizing resin on maxilla

    or mandible.
    Designed to preclude all tooth contacts & to
    ensure simultaneous, bilateral & even contact of
    all centric bearing cusps with the splint & canine
    rise in lateral excursions.

    Initially worn full time, later it may be used


    only at night.

    Regular monitoring & occlusal adjustment


    is required till the relation stabilizes.

    Indicated in Temporomandibular

    Disorders(TMD), Masticatory muscle


    Disorders(MMD), TMJ Clicking, Myalgia.

    Repositioning splint
    Also called Anterior Repositioning

    Appliance or Mandibular Orthopaedic


    Repositioning Appliance [MORA].
    It positions the condyle more favourably in
    relation to a displaced articular disk
    [Recapturing the disk].
    Design is similar to stabilization type, but
    guiding ramps are provided to guide
    mandible in a forward position.

    Most effective when worn full time for a short term


    of 6- 12 weeks.
    Later condyle brought back by
    -gradually reducing
    the time for which its worn.
    -Periodic adjustment of
    occlusal table i.e walking back.
    -converting it
    to a stabilization type by replacing guiding ramps
    with a flat occlusal table.

    Indicated in acute joint pain associated

    with clicking intermittent locking or


    bony changes.Best manages pain from
    disk displacement with reduction in TMJ.

    It cannot resolve permanently the disk


    condyle relation.Recurrence likely.

    Soft acrylic splint


    Made of soft acrylic, their use was first
    proposed as early as 1940.

    They are comfortable & easy to use.


    They are best suited for short term
    treatment & can also be used as
    athletic mouthguard.

    They are not as effective as hard


    acrylic in treating TMD.

    It can cause inadvertent tooth

    movement & occlusal changes. Also


    they are difficult to adjust.

    Anterior bite plane splint


    Made of hard acrylic, these can be worn

    only on maxillary teeth with mandibular


    anterior teeth as their only occlusal contact.

    It allows disclusion of posterior teeth, all the


    time that its worn.

    It reduces temporal muscle activity during


    deglutition in TMD patients.

    Specific instructions should be given to the


    patient, regarding its use.

    Supraeruption of posterior teeth is likely

    with continuous use, thats why they are to


    be worn only while sleeping when
    parafunctional activities are most likely.

    Close monitoring of occlusion is required.

    Conclusion
    Despite the controversy regarding the

    exact mechanism of action, it has been


    proven that when appropriately used it
    can contribute to relief of TMD
    symptoms.

    Thorough evaluation of each patient with


    a definitive diagnosis is a must before
    commencing with splint therapy.

    40% of patents suffering from TMD

    respond to therapy from placebo effect


    alone.
    When used along with occlusal therapy
    70% - 80% show improvement in TMJ pain,
    clicking, myalgia .
    Constant monitoring, reassurance,
    counseling sessions along with splint
    therapy often yields good results.

    Thank you

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