Effects of occlusal splint guidance on treatment for bruxism and temporomandibular disorders


This review assessing the effect of disocclusion guidance on occlusal splints for sleep bruxism (SB) and temporomandibular disorders (TMD) included 15 studies. The included studies provided very low certainty evidence for most of the evaluated outcomes.

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Occlusal splints for the management of temporomandibular disorders


This network meta-analysis assessing the effectiveness of various types of occlusal splint in the management of temporomandibular disorders (TMDs) included 48 RCTs suggesting that a hard stabilisation splint achieves superior results in patients with myogenous TMDs. However, many of the included studies are small so teh quality of the evidence is low.

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Sleep bruxism: little evidence for management


The review of sleep bruxism was only able to identify 12 small low quality RCTs covering a range of treatments. Most evidence was available for oral appliances but there is no sufficient evidence to state that the occlusal splint is effective for treating sleep bruxism.

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Review suggests that face-bow transfer not essential for good outcomes in denture construction


The use of the face-bow record during complete denture construction is recommended in most prosthodontic text books and taught in many UK and US dental schools.  The aim of this review was to compare the outcomes of the construction of dental prostheses and occlusal splints with and without the use of face-bow transfer. Searches were [read the full story…]

Paucity of evidence for the effectiveness of treatments for temporomandibular joint osteoarthritis

Logo of The Cochrane Collaboration

The temporomandibular joint (TMJ) as with many of the other joints, can be affected by osteoarthritis (OA).  This is characterized by progressive destruction of the internal surfaces of the joint which can result in debilitating pain and joint noises.  Osteoarthritis (OA) is the most common form of arthritis affecting the TMJ.  The aim of this [read the full story…]

Botulinum toxin for bruxism


Bruxism can be classified as primary (idiopatic) or secondary (iatrogenic).  While secondary bruxism is associated with medical conditions (e.g. neurologic, psychiatric, sleep disorders medication), primary bruxism ( which includes clenching and sleep bruxism ) is not. Dental treatments for bruxism include occlusion adjustment, tooth surface restoration, and orthodontic treatment. These interventions are extensive and irreversible [read the full story…]

Nociceptive Trigeminal Inhibition tension suppression system and temporomandibular disorders

shutterstock_40397512-Jaw ache

This recently published critical summary of a systematic review was prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry.  The review  summarised aimed to assess the effectiveness of the NTI-tss (Nociceptive Trigeminal Inhibition tension suppression system) device for the treatment of bruxism, headache and temporomandibular disorders was originally published in 2008. [read the full story…]

Oral appliances for treating headache in patients with myofascial pain


The aim of this trial  was to compare the short- and long-term effectiveness of a prefabricated occlusal appliance with that of a stabilization appliance when treating headache in patients with myofascial pain. A group of 66 patients attending two centres for Stomatognathic Physiology in Sweden and Finland 94% of whom suffered concomitantly from headache were [read the full story…]

Evidence from systematic reviews and meta-analyses for the management of TMD (temporomandibular disorders)

shutterstock_48486751 stomatologist shows x-ray

This aim of this review was to assess the methodological quality of published systematic reviews in the management of temporomandibular disorders (TMD). Medline, the Cochrane Library and Bandolier were searched for systematic reviews that focused on TMD management published in English, Swedish, or German. Two investigators evaluated the methodological quality of each identified systematic review using [read the full story…]

Exercise or splints for temporomandibular disorders


This randomised controlled trial looked at the efficacy of an occlusal splint or joint mobilization self-exercise for confirmed anterior disc displacement without reduction (ADDwoR). Fifty-two individuals with ADDwoR were randomised to a splint or a joint mobilization self-exercise treatment group.  Four outcome variables were evaluated: maximum mouth opening range without pain maximum mouth opening range [read the full story…]