Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study

This study aimed at evaluating the effectiveness of partial use of anterior repositioning appliances in the management of TMJ pain and dysfunction when compared to stabilization splints and a control group in a one-year follow-up. Sample was initially constituted by 60 patients, randomly divided int...

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Detalles Bibliográficos
Autores: CONTI, Paulo César Rodrigues, MIRANDA, João Evandro da Silva, CONTI, Ana Cláudia de Castro Ferreira, PAGORARO, Luiz Fernando, ARAUJO, Carlos dos Reis Pereira de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2005
País:Brasil
Institución:Universidade Federal do Pará (UFPA)
Repositorio:Repositório Institucional da UFPA
Idioma:inglés
OAI Identifier:oai:repositorio.ufpa.br:2011/6967
Acceso en línea:http://repositorio.ufpa.br/jspui/handle/2011/6967
Access Level:acceso abierto
Palabra clave:Ortodontia
Placas oclusais
Oclusão dentária
Articulação temporomandibular
Descripción
Sumario:This study aimed at evaluating the effectiveness of partial use of anterior repositioning appliances in the management of TMJ pain and dysfunction when compared to stabilization splints and a control group in a one-year follow-up. Sample was initially constituted by 60 patients, randomly divided into three groups: I- stabilization splints, II- repositioning splints and III- no treatment. The whole sample was evaluated by means of TMJ and muscle palpation, mandibular AROM, analysis of occlusal contacts, joint sounds inspection and Visual Analogue Scale (VAS) for one year; 52 patients composed the final sample. A significant (after 15 days) improvement in pain report (VAS) and palpation index was found for group II (p≤0.01). The occurrence of occlusal alterations as posterior open bite or gross interferences after the splint therapy and increased muscle tenderness were not problems in this study. Similar results in joint noises reduction were observed for the entire sample. It was concluded that controlled partial use of repositioning splints is a beneficial tool in the management of intra-articular pain and dysfunction, with no risks of irreversible occlusal changes.