Comparative evaluation of soft and hard splints in treatment of clenching disorder
Abstract
Introduction: The aim of this study was to compare the efficiency of soft and hard splints in treating patients with clenching. Materials and Methods: In this clinical study, 26 patients with clenching disorder randomly divided to two equal group of treatment: hard and soft splint. The amount of masticatory muscle pain and maximum mouth opening were measured at the delivery time and 3, 6, 9, and 12 weeks later by a blind examiner. Data were analyzed by independent T and repeated measure ANOVA tests with significance level of p=0.05. Results: Hard and soft splints were resulted in significant reduction of masticatory muscle pain (hard: P<0.001, Soft: p<0.001) and increase in maximum opening (hard P<0.001, Soft p<0.003), but there was no significant difference between them in pain relieving (P=0.848) and maximum opening (P=0.622). Conclusion: This study showed that efficacy of hard and soft splints in treating patients with clenching is same. Keywords: Masticatory muscle; Maximum mouth opening; Occlusal splint; Pain.
1- OKeson JP: Management of temporomandibular disorders and occlusion .7th ed.St.Louis:C V Mosby Co,2012.
2- Alqutaibi AY, Aboalrejal AN. Types of occlusal splint in management of temporomandibular disorders (TMD). J Arthritis. 2015 Nov;4(176):2.
3- Glickman I: Clinical periodontology.6th ed.Philadelphia:W.B.Sunders Company,1984.
4- Hupp JR,Ellis E,Tucker M:contemporary oral and maxillofacial surgery.6th ed.St.louis:Mosby,2013.
5- Rashid R. Soft occlusal splint therapy in the management of myofascial pain dysfunction syndrome: A follow-up study in Kashmiri population. International Journal of Applied Dental Sciences 2017; 3(4): 82-88.
6- Clark GT:A critical evaluation of orthopedic interocclusal appliance therapy,design,theory and overall effectivenss.J Am Dent Assoc 1984;108(3):359-64.
7- Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009 Feb 1;107(2):212-23.
8- Stock still JW,BowleyJF,Dunning D,Spalding P,Stafford K,Erickson L:Prevalence of temporomandibular disorders (TMD) in children base on physical signs.J dent child 1998;65(6):459-67.
9- The Academy of prosthodontics:The Glossary of prosthodontic terms.J Prosthet Dent 1999;81:41-110.
10- nelson SJ:Principles of Stabilization bite splint therapy.Dent Clin North Am 1995;39:403-21.
11- Hicks NA:An efficient method for constructing a soft interocclusal splint.J Prosthet Dent 1989;61:48-50.
12- Pettengill GA,Growney JR,Schoff R,Kenworthy CR:A pilot study comparing the efficacy of hard and soft stabilization appliances in treating patients with temporomandibular disorders.J Prosthet Dent 1998;79(2):165-68.
13- Ash MM,Ramfjord SP: An introduction to functional
14- Amin A, Meshramkar R, Lekha K. Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain. The Journal of the Indian Prosthodontic Society. 2016 Apr;16(2):176.
15- Edward F Wright: Manual of Temporomandibular Disorders.1rd ed.Blackwell publishing Co,2005.
16- Cruz-Reyes RA, Martínez-Aragón I, Guerrero-Arias RE, García-Zura DA, González-Sánchez LE. Influence of occlusal stabilization splints and soft occlusal splints on the electromyographic pattern, in basal state and at the end of six weeks treatment in patients with bruxism. Acta odontologica latinoamericana: AOL. 2011;24(1):66-74.
17- Meshramkar RD, Guttal K, Roque AL, Nadiger RK, Lekha K. Comparative Evaluation of Clinical Performance of Different Kind of Occlusal Splint Therapy in the Management of Myofascial Pain. Journal of Dental and Medical Sciences. 2015;14(8):54-7.
18- Okeson JP:The effect of hard and soft occlusal splints on nocturnal bruxism. JADA 1987;114:788-91.
19-Al Quran FA,Lyons MF:The immediate effect of hard and soft splints on the EMG activity of the masseter and temporalis muscles.J Oral Rehabil 1999;26(7):559-63.
20- Seifeldin SA, Elhayes KA. Soft versus hard occlusal splint therapy in the management of temporomandibular disorders (TMDs). The Saudi dental journal. 2015 Oct 1;27(4):208-14.
21- Algabri RS, Alqutaibi AY, Keshk AM, Alsourori A, Swedan M, El Khadem AH, Kaddah AF. Effect of hard versus soft occlusal splint on the management of myofascial pain: Systematic review and meta-analysis. Indian J Sci Technol. 2017 Apr;10:10-6.
2- Alqutaibi AY, Aboalrejal AN. Types of occlusal splint in management of temporomandibular disorders (TMD). J Arthritis. 2015 Nov;4(176):2.
3- Glickman I: Clinical periodontology.6th ed.Philadelphia:W.B.Sunders Company,1984.
4- Hupp JR,Ellis E,Tucker M:contemporary oral and maxillofacial surgery.6th ed.St.louis:Mosby,2013.
5- Rashid R. Soft occlusal splint therapy in the management of myofascial pain dysfunction syndrome: A follow-up study in Kashmiri population. International Journal of Applied Dental Sciences 2017; 3(4): 82-88.
6- Clark GT:A critical evaluation of orthopedic interocclusal appliance therapy,design,theory and overall effectivenss.J Am Dent Assoc 1984;108(3):359-64.
7- Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009 Feb 1;107(2):212-23.
8- Stock still JW,BowleyJF,Dunning D,Spalding P,Stafford K,Erickson L:Prevalence of temporomandibular disorders (TMD) in children base on physical signs.J dent child 1998;65(6):459-67.
9- The Academy of prosthodontics:The Glossary of prosthodontic terms.J Prosthet Dent 1999;81:41-110.
10- nelson SJ:Principles of Stabilization bite splint therapy.Dent Clin North Am 1995;39:403-21.
11- Hicks NA:An efficient method for constructing a soft interocclusal splint.J Prosthet Dent 1989;61:48-50.
12- Pettengill GA,Growney JR,Schoff R,Kenworthy CR:A pilot study comparing the efficacy of hard and soft stabilization appliances in treating patients with temporomandibular disorders.J Prosthet Dent 1998;79(2):165-68.
13- Ash MM,Ramfjord SP: An introduction to functional
14- Amin A, Meshramkar R, Lekha K. Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain. The Journal of the Indian Prosthodontic Society. 2016 Apr;16(2):176.
15- Edward F Wright: Manual of Temporomandibular Disorders.1rd ed.Blackwell publishing Co,2005.
16- Cruz-Reyes RA, Martínez-Aragón I, Guerrero-Arias RE, García-Zura DA, González-Sánchez LE. Influence of occlusal stabilization splints and soft occlusal splints on the electromyographic pattern, in basal state and at the end of six weeks treatment in patients with bruxism. Acta odontologica latinoamericana: AOL. 2011;24(1):66-74.
17- Meshramkar RD, Guttal K, Roque AL, Nadiger RK, Lekha K. Comparative Evaluation of Clinical Performance of Different Kind of Occlusal Splint Therapy in the Management of Myofascial Pain. Journal of Dental and Medical Sciences. 2015;14(8):54-7.
18- Okeson JP:The effect of hard and soft occlusal splints on nocturnal bruxism. JADA 1987;114:788-91.
19-Al Quran FA,Lyons MF:The immediate effect of hard and soft splints on the EMG activity of the masseter and temporalis muscles.J Oral Rehabil 1999;26(7):559-63.
20- Seifeldin SA, Elhayes KA. Soft versus hard occlusal splint therapy in the management of temporomandibular disorders (TMDs). The Saudi dental journal. 2015 Oct 1;27(4):208-14.
21- Algabri RS, Alqutaibi AY, Keshk AM, Alsourori A, Swedan M, El Khadem AH, Kaddah AF. Effect of hard versus soft occlusal splint on the management of myofascial pain: Systematic review and meta-analysis. Indian J Sci Technol. 2017 Apr;10:10-6.
| Files | ||
| Issue | Vol 7, No 3 (Summer 2020) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v7i3.5285 | |
| Keywords | ||
| Masticatory muscle; Maximum mouth opening; Occlusal splint; Pain. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Sahebi M, Hajimahmoudi M, Atri F. Comparative evaluation of soft and hard splints in treatment of clenching disorder. J Craniomaxillofac Res. 2020;7(3):145-151.
