Occlusal appliance and TMJ disorder

[Anonymous]

Pain and dysfunction from temporomandibular disorders
(TMJD) is a significant clinical problem for which many
diverse treatments have been used. Numerous articles
evaluating success/failure of these TMJD treatments have
been published with a wide range of success rates and
methods to evaluate outcomes.1-6 Nearly all of these
treatments have been evaluated for efficacy using the highest
level of research evidence from randomized controlled trials
(RCTs). With this available literature, clinicians are faced
with the challenge of reviewing the methods and results of
each study to make evidence-based clinical decisions. This
process is further compounded by considerable variability
with regard to their study designs, treatment techniques, and
outcome measures.
The Guidelines Committee for the American Academy of
Orofacial Pain conducted an evidence-based literature review
to systematically search and review the literature for all
randomized clinical trials for TMJD treatment using methods
derived from the Cochrane Collaboration (www.cochrane.org);
the Oxford Centre for Evidence-based Medicine,
(www.cebm.net); and the Centre for Reviews and Dissemination,
University of York, United Kingdom (www.york.ac.uk/
inst/crd/index.htm). Trials in which placebo, no treatment, or
other treatments were used in the control group were
included as were trials in which postrandomization exclusions
occurred since there was no evidence that these
occurred preferentially in one or other arm of the trials.

        

[Drsumitra]

TMD Symptoms to Look For:

Frequent headaches or neck pain
Jaw pain and tired jaw muscles more prevalent in the morning or late afternoon
Clicking noise when you open or close your mouth
Difficultly opening and closing
Jaw pain when chewing or yawning; jaws have locked up
Earaches or ringing in the ears without infection or other cause
Clenching and grinding (increases with stress)
Sensitive, broken, or worn teeth when no dental problems exist
Teeth do not fit together

Treatment for TMJ Disorders:

Occlusal splint – allows joint to seat into proper position relaxing muscles
Occlusal equilibration – conservative procedure in which the teeth are reshaped to correct a mild malocclusion. By eliminating certain interferences, a more ideal fit of the teeth can be achieved.
Orthodontics – braces may be an option to permanently reposition teeth for a more stable bite.
Restorative procedures – crowns or bridges may be necessary to restore teeth that are worn and replace missing teeth for improved occlusion.
Joint surgery – in severe TMD cases, surgical correction may be required.

        

[Drsumitra]

images

        

[Anonymous]

what s the mechanism whn splint s used for sometime in mouth . hw s this permantly correct the problem , some one explain ?

        

[Anonymous]

definitely there is no permanent relief any stress can again revert back the mechanism
the basic mechanism is that it reduces the overload on these muscles of mastication by providing a relaxation to these muscles.

        

[Author]

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