BibTex RIS Kaynak Göster

Conservative treatment approaches in temporomandibular joint disorders: Occlusal splints

Yıl 2011, Cilt: 5 Sayı: 3, 913 - 923, 01.10.2011

Oğuz Ozan Melek Aydın Serhat Ramoğlu

Öz

Temporomandibular joint disorder TMD encompasses a number of clinical problems involving the masticatory muscles or the temporomandibular joints. Treatment options for this complex joint can be divided into two as surgical and conservative methods. Various types of occlusal splints have been used for over half a century to treat TMDs in a non-invasive manner, but there has been considerable debate about how they should be designed, how they should be used, and what they actually do therapeutically. Basicly the most common splints for the treatment of TMDs are the stabilization, anterior repositioning, anterior bite plane, posterior bite plane, pivoting and soft or resilient splints. The purpose of this article is to conduct a narrative review of current evidence regarding the understanding of the design and treatment mechanism of different occusal splint types which can be used for the treatment of the TMDs

Anahtar Kelimeler

Occlusal splint Temporomandibular joint

Kaynakça

  • Okeson JP. Bell’s Orofacial Pains, Chicago, Qu- intessence Publishing Co., 2005, 13-45.
  • Okeson JP. Management of Temporomandibular Disorders and Occlusion, St.Louis, Mosby-Year Book, 2008, 2-23, 285-512.
  • Schiffman EL., Fricton JR., Haley DP., Shapiro BL. The prevalence and treatment needs of subjects with temporomandibular disorders, J. Am. Dent. Assoc. 120:295-303, 1990. Yılmaz AB., Yesil Duymus Z. TME düzensizlikleri semptomlarına diş hekimliği fakültesi öğrencileri arasında rastlanma sıklığı ile cinsiyet, maloklüz- yon ve parafonksiyonel alışkanlıkların ilişkisinin tespit edilmesi, Atatürk Üniv. Diş Hek. Fak. Derg. 12:14-19, 2002.
  • Clark GT. Diagnosis and treatment of painful tem- poromandibular disorders, Review, Dent. Clin. North Am. 31:645-674, 1987.
  • Dworkin SF., LeResche L. Research diagnostic criteria for temporomandibular disorders: revi- ew, criteria, examinations and specifications, critique, J. Craniomandib. Disord. 6:301-355, 1992.
  • Dworkin SF., Huggins KH., LeResche L., Von Korff M., Howard J., Truelove E., Sommers E. Epidemi- ology of signs and symptoms in temporomandibu- lar disorders: clinical signs in cases and controls, J. Am. Dent. Assoc. 120:273-281, 1990.
  • Schmitter M., Rammelsberg P., Hassel A. The pre- valence of signs and symptoms of temporoman- dibular disorders in very old subjects, J. Oral. Rehabil. 32:467-473, 2005.
  • Adlam DM. Temporomandibular Pain Syndro- me, London, Mosby International Lynton House, 1998, 413-440.
  • Dolwick MF. Temporomandibular Disorders, Arthritis and Allied Conditions, Baltimore, Williams&Wilkins Co, 1997, 1813-1820.
  • Karan A., Aksoy C. Temporomandibular Eklem Rehabilitasyonu, Tıbbi Rehabilitasyon, İstanbul, Nobel Kitabevi, 2004, 1061-1079.
  • Clark GT., Adler RC. A critical evaluation of occ- lusal therapy: occlusal adjustment procedures, J. Am. Dent. Assoc. 110:743-750, 1985.
  • Yengin E. Temporomandibular Rahatsızlıklarda Teshis ve Tedavi, İstanbul, Dilek Matbaacılık, 2000, 234-239.
  • Milaro M. Peterson’s Principle of Oral and Maxil- lofacial Surgery, Hamilton, 2004, 949-989.
  • Yap AUJ. Effects of Stabilization Appliances on Nocturnal Parafunctional Activities in Patients with and without Signs of Temporomandibuar Di- sorders. J. Oral. Rehab. 25:64-68, 1998.
  • Tekel N., Kahraman S. Temporomandibular ek- lem bozukluklarının tedavisinde oklüzal splintle- rin kullanımı, Atatürk Üniv. Diş Hek. Fak. Derg. Suppl:61-69, 2006.
  • Cassisi JE., McGlynn FD., Mahan PE. Occlusal splint effects on nocturnal bruxing: An emerging paridium and some early results, Craniomand. Pract., 5:65-68, 1987.
  • Kuwahara T., Bessette R., Maruyama T. A retros- pective study on the clinical results of temporo- mandibular joint surgery, J. Craniomand. Prac. 12:179-183, 1994.
  • Dalkız M., Beydemir B. Temporomandibular Eklem Hastalıklarının Teşhis ve Tedavi Yöntem- leri, Ankara, GATA Basımevi, 2003, 30-39, 46-63.
  • Ozcan B. Brukzime eşlik eden miyofasiyal ağrı sendromlu ve temporomandibular rahatsızlığı olan hastalarda oklüzal splint ve tens tedavileri- nin klinik ve ağrı eşiği üzerine olan etkinliklerinin karşılaştırılması, T.C. Sağlık Bakanlığı Şişli Etfal Hastanesi Fizik Tedavi ve Rehabilitasyon kliniği, Uzmanlık Tezi, İstanbul, 2005
  • Bourbon B., Craniomandibular Examination and Treatment; Saunders Manuel of Physical The- rapy Practice, Philadelphia, W.B. Saunders Co., 1995, 669-715.
  • Lundh H., Westesson PL., Kopp S., Tillström B. Anterior Repositioning Splint in the Treatment of Temporomandibular Joints with Reciprocal Clic- king: Comparison with a Flat Occlusal Splint and an Untrated Control Group, Oral Surg. Oral Med. Oral Pathol. 60:131-136, 1985.
  • Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the tempo- romandibular joint, Ann. Otol. Rhinol. Laryngol. 43:1-15, 1934.
  • Dylina TJ. A common sense approach to splint therapy, J. Prosthet. Dent. 86:539-545, 2001.
  • Faulkner KD. Bruxism: a review of literature: Part I, Aust. Dent. J. 35:266-276, 1990.
  • Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism, J. Am. Dent. Assoc. 114:788-791, 1987.
  • Hiyama S., Ono T., Ishiwata Y., Kato Y., Kuroda T. First night effect of an interocclusal appliance on nocturnal masticatory muscle activity, J. Oral Rehabil. 30:139-145, 2003.
  • Davies SJ., Gray RJM. The Pattern of Splint Usage in the Management of Two Common Temporo- mandibular Disorders Part III: Long-Term Follow- Up in an Assesment of Splint Therapy in the Ma- nagement of Disc Displacement with Reduction and Pain Dysfunction Syndrome, J. Br. Dent. 183:279-283, 1997.
  • Cozzani G. Garden of Orthodontics, Almanya, Quintessence Publishing Co., 2000, 277-314
  • Akarsu B., Ciğer S. Okluzal Splintler ve Elektro- miyografik Değerlendirmeleri, E.Ü. Dişhek. Fak. Derg. 28:1-8, 2007.
  • Moncayo S. Biomechanic of Pivoting Appliances, J. Orofacial Pain, 8:190-97, 1994.
  • Wright EF. Manual of temporomandibular disor- ders, Blackwell Publishing, 2005, 127-131.
  • Dawson PE. Functional Occlusion. From TMJ to Smile Design, St. Louis, Mosby, 2007, 345-348, 379-392.
  • Pettengill CA., Growney MR., Jr Schoff R., Ken- worthy CR. A pilot study comparing the efficacy of hard and soft stabilizing appliances in treating patients with temporomandibular disorders, J. Prosthet. Dent. 79:165-168, 1998.
  • Forssell H., Kalso E., Koskela P., Vehmanen R., Puukka P., Alanen P. Occlusal treatments in tem- poromandibular disorders: a qualitative systema- tic review of randomized controlled trials, Pain. 83:549-560, 1999.
  • Kreiner M., Betancor E., Clark GT. Occlusal sta- bilization appliances, Evidence of their efficacy, J. Am. Dent. Assoc. 132:770-777, 2001.
  • Dubé C., Rompre PH., Manzini C., Guitard F., De Grandmont P., Lavigne GJ. Quantitative Poly- graphic Controlled Study on Efficacy and Safety of Oral Splint Devices in Tooth-grinding Subjects, J. Dent. Res. 83:398-403, 2004.
  • Al-Ani MZ., Davies SJ., Gray RJM., Sloan P., Glenny AM. Stabilisation splint therapy for tempo- romandibular pain dysfunction syndrome, Coch- rane Database Syst. Rev., CD002778, 2004.
  • Türp JC., Komine F., Hugger A. Efficacy of stabili- zation splints for the management of patients with masticatory muscle pain: a qualitative systematic review, Clin. Oral Invest. 8: 179-195, 2004.
  • Jokstad A., Mo A., Krogstad BS. Clinical compa- rison between two different splint designs for tem- poromandibular disorder therapy, Acta. Odonto- logica Scandinavica. 63:218-226, 2005.
  • Van der Zaag J., Lobbezoo F., Wicks DJ., Viss- cher CM., Hamburger HL., Naeije M. Controlled Assessment of the Efficacy of Occlusal Stabiliza- tion Splints on Sleep Bruxism, J. Orofacioal Pain. 19:151-158, 2005.
  • Al Quran FA., Kamal MS. Anterior middle point stop device (AMPS) in the treatment of myoge- nous TMDs: Comparison with the stabilization splint and control group, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 101:741-747, 2006.
  • Macedo CR., Silva AB., Machado MAC., Saco- nato H., Prado GF. Occlusal splints for treating sleep bruxism (tooth grinding), Cochrane Data- base Syst. Rev. CD005514, 2007.
  • Glaros AG., Owais Z., Lausten L. Reduction in parafunctional activity: a potential mechanism for the effectiveness of splint therapy, Journal of Oral Rehabilitation. 34:97-104, 2007.
  • Nascimento LL., Amorim CF., Giannasi LC., Oli- veira CS., Nacif SR., Silva Ade M., Nascimento DF., Marchini L., De Oliveira LV. Occlusal splint for sleep bruxism: an electromyographic associ- ated to Helkimo Index evaluation, Sleep Breath. 12:275-280, 2008.
  • Hamata MM., Zuim PR., Garcia AR. Compara- tive evaluation of the efficacy of occlusal splints fabricated in centric relation or maximum inter- cuspation in temporomandibular disorders pati- ents, J. Appl. Oral Sci. 17:32-38, 2009.
  • Amorim CF., Giannasi LC., Ferreira LM., Magi- ni M., Oliveira CS., De Oliveira LV., Hirata T., Politti F. Behavior analysis of electromyographic activity of the masseter muscle in sleep bruxers, J. Bodyw. Mov. Ther. 14:234-238, 2010.
  • Carlsson GE. Some dogmas related to prost- hodontics, temporomandibular disorders and occlusion, Acta. Odontol. Scand. 68:313-322, 2010.
  • Chang SW., Chuang CY., Li JR., Lin CY., Chiu CT. Treatment effects of maxillary flat occlusal splints for painful clicking of the temporomandi- bular joint, Kaohsiung J. Med. Sci. 26:299-307, 2010. Dr. oğuz ozan
  • Yakın Doğu Üniversitesi Diş Hekimligi Fakültesi Protetik Diş Tedavisi ana Bilim Dalı
  • lefkoşa mersin-10 Türkiye
  • Tel: 0392 680 20 30 / 2628 - Fax: 0392 6802025 • E−posta: oguzozan@gmail.com

Temporomandibuler eklem bozukluklarında konservatif tedavi yaklaşımları: Okluzal splintler

Yıl 2011, Cilt: 5 Sayı: 3, 913 - 923, 01.10.2011

Oğuz Ozan Melek Aydın Serhat Ramoğlu

Öz

Temporomandibuler bozukluklar, çiğneme kasları ve temporomandibuler eklemi içeren klinik bir takım sorunları kapsamaktadır. Bu karmaşık eklem için tedavi seçenekleri cerrahi ve konservatif yöntemler olarak ikiye ayrılabilir. Birçok değişik tipte okluzal splintlerin, temporomandibuler bozuklukların non-invaziv tedavisi için yarım yüzyıldan uzun bir süredir kullanılmakta olmasına rağmen nasıl tasarlanmaları ve uygulanmaları gerektiği ve aslında teröpatik olarak ne yaptıkları önemli tartışma konusu olmuştur. Temelde temporomandibular bozuklukların tedavisinde en yaygın kullanılan splintler; stabilizasyon, anterior repozisyon, anterior ısırma plağı, posterior ısırma plağı, pivoting ve yumuşak veya esnek splintler olarak sıralanabilirler. Bu makalenin amacı temporomandibuler bozuklukların tedavisinde kullanılabilecek farklı okluzal splint türlerinin tasarım ve tedavi mekanizmasının anlaşılması için mevcut literatürü kullanarak bir derleme yapmaktır

Anahtar Kelimeler

Oklüzal splint Temporomandibuler eklem

Kaynakça

  • Okeson JP. Bell’s Orofacial Pains, Chicago, Qu- intessence Publishing Co., 2005, 13-45.
  • Okeson JP. Management of Temporomandibular Disorders and Occlusion, St.Louis, Mosby-Year Book, 2008, 2-23, 285-512.
  • Schiffman EL., Fricton JR., Haley DP., Shapiro BL. The prevalence and treatment needs of subjects with temporomandibular disorders, J. Am. Dent. Assoc. 120:295-303, 1990. Yılmaz AB., Yesil Duymus Z. TME düzensizlikleri semptomlarına diş hekimliği fakültesi öğrencileri arasında rastlanma sıklığı ile cinsiyet, maloklüz- yon ve parafonksiyonel alışkanlıkların ilişkisinin tespit edilmesi, Atatürk Üniv. Diş Hek. Fak. Derg. 12:14-19, 2002.
  • Clark GT. Diagnosis and treatment of painful tem- poromandibular disorders, Review, Dent. Clin. North Am. 31:645-674, 1987.
  • Dworkin SF., LeResche L. Research diagnostic criteria for temporomandibular disorders: revi- ew, criteria, examinations and specifications, critique, J. Craniomandib. Disord. 6:301-355, 1992.
  • Dworkin SF., Huggins KH., LeResche L., Von Korff M., Howard J., Truelove E., Sommers E. Epidemi- ology of signs and symptoms in temporomandibu- lar disorders: clinical signs in cases and controls, J. Am. Dent. Assoc. 120:273-281, 1990.
  • Schmitter M., Rammelsberg P., Hassel A. The pre- valence of signs and symptoms of temporoman- dibular disorders in very old subjects, J. Oral. Rehabil. 32:467-473, 2005.
  • Adlam DM. Temporomandibular Pain Syndro- me, London, Mosby International Lynton House, 1998, 413-440.
  • Dolwick MF. Temporomandibular Disorders, Arthritis and Allied Conditions, Baltimore, Williams&Wilkins Co, 1997, 1813-1820.
  • Karan A., Aksoy C. Temporomandibular Eklem Rehabilitasyonu, Tıbbi Rehabilitasyon, İstanbul, Nobel Kitabevi, 2004, 1061-1079.
  • Clark GT., Adler RC. A critical evaluation of occ- lusal therapy: occlusal adjustment procedures, J. Am. Dent. Assoc. 110:743-750, 1985.
  • Yengin E. Temporomandibular Rahatsızlıklarda Teshis ve Tedavi, İstanbul, Dilek Matbaacılık, 2000, 234-239.
  • Milaro M. Peterson’s Principle of Oral and Maxil- lofacial Surgery, Hamilton, 2004, 949-989.
  • Yap AUJ. Effects of Stabilization Appliances on Nocturnal Parafunctional Activities in Patients with and without Signs of Temporomandibuar Di- sorders. J. Oral. Rehab. 25:64-68, 1998.
  • Tekel N., Kahraman S. Temporomandibular ek- lem bozukluklarının tedavisinde oklüzal splintle- rin kullanımı, Atatürk Üniv. Diş Hek. Fak. Derg. Suppl:61-69, 2006.
  • Cassisi JE., McGlynn FD., Mahan PE. Occlusal splint effects on nocturnal bruxing: An emerging paridium and some early results, Craniomand. Pract., 5:65-68, 1987.
  • Kuwahara T., Bessette R., Maruyama T. A retros- pective study on the clinical results of temporo- mandibular joint surgery, J. Craniomand. Prac. 12:179-183, 1994.
  • Dalkız M., Beydemir B. Temporomandibular Eklem Hastalıklarının Teşhis ve Tedavi Yöntem- leri, Ankara, GATA Basımevi, 2003, 30-39, 46-63.
  • Ozcan B. Brukzime eşlik eden miyofasiyal ağrı sendromlu ve temporomandibular rahatsızlığı olan hastalarda oklüzal splint ve tens tedavileri- nin klinik ve ağrı eşiği üzerine olan etkinliklerinin karşılaştırılması, T.C. Sağlık Bakanlığı Şişli Etfal Hastanesi Fizik Tedavi ve Rehabilitasyon kliniği, Uzmanlık Tezi, İstanbul, 2005
  • Bourbon B., Craniomandibular Examination and Treatment; Saunders Manuel of Physical The- rapy Practice, Philadelphia, W.B. Saunders Co., 1995, 669-715.
  • Lundh H., Westesson PL., Kopp S., Tillström B. Anterior Repositioning Splint in the Treatment of Temporomandibular Joints with Reciprocal Clic- king: Comparison with a Flat Occlusal Splint and an Untrated Control Group, Oral Surg. Oral Med. Oral Pathol. 60:131-136, 1985.
  • Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the tempo- romandibular joint, Ann. Otol. Rhinol. Laryngol. 43:1-15, 1934.
  • Dylina TJ. A common sense approach to splint therapy, J. Prosthet. Dent. 86:539-545, 2001.
  • Faulkner KD. Bruxism: a review of literature: Part I, Aust. Dent. J. 35:266-276, 1990.
  • Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism, J. Am. Dent. Assoc. 114:788-791, 1987.
  • Hiyama S., Ono T., Ishiwata Y., Kato Y., Kuroda T. First night effect of an interocclusal appliance on nocturnal masticatory muscle activity, J. Oral Rehabil. 30:139-145, 2003.
  • Davies SJ., Gray RJM. The Pattern of Splint Usage in the Management of Two Common Temporo- mandibular Disorders Part III: Long-Term Follow- Up in an Assesment of Splint Therapy in the Ma- nagement of Disc Displacement with Reduction and Pain Dysfunction Syndrome, J. Br. Dent. 183:279-283, 1997.
  • Cozzani G. Garden of Orthodontics, Almanya, Quintessence Publishing Co., 2000, 277-314
  • Akarsu B., Ciğer S. Okluzal Splintler ve Elektro- miyografik Değerlendirmeleri, E.Ü. Dişhek. Fak. Derg. 28:1-8, 2007.
  • Moncayo S. Biomechanic of Pivoting Appliances, J. Orofacial Pain, 8:190-97, 1994.
  • Wright EF. Manual of temporomandibular disor- ders, Blackwell Publishing, 2005, 127-131.
  • Dawson PE. Functional Occlusion. From TMJ to Smile Design, St. Louis, Mosby, 2007, 345-348, 379-392.
  • Pettengill CA., Growney MR., Jr Schoff R., Ken- worthy CR. A pilot study comparing the efficacy of hard and soft stabilizing appliances in treating patients with temporomandibular disorders, J. Prosthet. Dent. 79:165-168, 1998.
  • Forssell H., Kalso E., Koskela P., Vehmanen R., Puukka P., Alanen P. Occlusal treatments in tem- poromandibular disorders: a qualitative systema- tic review of randomized controlled trials, Pain. 83:549-560, 1999.
  • Kreiner M., Betancor E., Clark GT. Occlusal sta- bilization appliances, Evidence of their efficacy, J. Am. Dent. Assoc. 132:770-777, 2001.
  • Dubé C., Rompre PH., Manzini C., Guitard F., De Grandmont P., Lavigne GJ. Quantitative Poly- graphic Controlled Study on Efficacy and Safety of Oral Splint Devices in Tooth-grinding Subjects, J. Dent. Res. 83:398-403, 2004.
  • Al-Ani MZ., Davies SJ., Gray RJM., Sloan P., Glenny AM. Stabilisation splint therapy for tempo- romandibular pain dysfunction syndrome, Coch- rane Database Syst. Rev., CD002778, 2004.
  • Türp JC., Komine F., Hugger A. Efficacy of stabili- zation splints for the management of patients with masticatory muscle pain: a qualitative systematic review, Clin. Oral Invest. 8: 179-195, 2004.
  • Jokstad A., Mo A., Krogstad BS. Clinical compa- rison between two different splint designs for tem- poromandibular disorder therapy, Acta. Odonto- logica Scandinavica. 63:218-226, 2005.
  • Van der Zaag J., Lobbezoo F., Wicks DJ., Viss- cher CM., Hamburger HL., Naeije M. Controlled Assessment of the Efficacy of Occlusal Stabiliza- tion Splints on Sleep Bruxism, J. Orofacioal Pain. 19:151-158, 2005.
  • Al Quran FA., Kamal MS. Anterior middle point stop device (AMPS) in the treatment of myoge- nous TMDs: Comparison with the stabilization splint and control group, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 101:741-747, 2006.
  • Macedo CR., Silva AB., Machado MAC., Saco- nato H., Prado GF. Occlusal splints for treating sleep bruxism (tooth grinding), Cochrane Data- base Syst. Rev. CD005514, 2007.
  • Glaros AG., Owais Z., Lausten L. Reduction in parafunctional activity: a potential mechanism for the effectiveness of splint therapy, Journal of Oral Rehabilitation. 34:97-104, 2007.
  • Nascimento LL., Amorim CF., Giannasi LC., Oli- veira CS., Nacif SR., Silva Ade M., Nascimento DF., Marchini L., De Oliveira LV. Occlusal splint for sleep bruxism: an electromyographic associ- ated to Helkimo Index evaluation, Sleep Breath. 12:275-280, 2008.
  • Hamata MM., Zuim PR., Garcia AR. Compara- tive evaluation of the efficacy of occlusal splints fabricated in centric relation or maximum inter- cuspation in temporomandibular disorders pati- ents, J. Appl. Oral Sci. 17:32-38, 2009.
  • Amorim CF., Giannasi LC., Ferreira LM., Magi- ni M., Oliveira CS., De Oliveira LV., Hirata T., Politti F. Behavior analysis of electromyographic activity of the masseter muscle in sleep bruxers, J. Bodyw. Mov. Ther. 14:234-238, 2010.
  • Carlsson GE. Some dogmas related to prost- hodontics, temporomandibular disorders and occlusion, Acta. Odontol. Scand. 68:313-322, 2010.
  • Chang SW., Chuang CY., Li JR., Lin CY., Chiu CT. Treatment effects of maxillary flat occlusal splints for painful clicking of the temporomandi- bular joint, Kaohsiung J. Med. Sci. 26:299-307, 2010. Dr. oğuz ozan
  • Yakın Doğu Üniversitesi Diş Hekimligi Fakültesi Protetik Diş Tedavisi ana Bilim Dalı
  • lefkoşa mersin-10 Türkiye
  • Tel: 0392 680 20 30 / 2628 - Fax: 0392 6802025 • E−posta: oguzozan@gmail.com
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Oğuz Ozan Bu kişi benim

Melek Aydın Bu kişi benim

Serhat Ramoğlu Bu kişi benim

Yayımlanma Tarihi 1 Ekim 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Ozan O, Aydın M, Ramoğlu S. Temporomandibuler eklem bozukluklarında konservatif tedavi yaklaşımları: Okluzal splintler. ADO Klinik Bilimler Dergisi. 2011;5(3):913-2.