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Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain

View Article: PubMed Central - PubMed

ABSTRACT

Purpose:: To determine the efficacy of hard, liquid, and soft splints in the management of myofascial pain dysfunction syndrome.

Materials and methods:: In this randomized clinical trial, 45 patients with myofascial pain were diagnosed and were randomly assigned into three groups of 15 patients each. Group 1 - subjects were given hard splint, Group 2 - soft splint, and Group 3 - liquid oral splint for 3 months. Subjective pain analysis using Modified Symptom Severity Index (Mod-SSI) and objective pain analysis muscle palpation was performed at 7 days, 1 month, 2 months, and 3 months after splint insertion. The changes in mean pain value by both methods, in all three groups, were analyzed with Tukey test and Kruskal–Wallis H-test, respectively (P < 0.05).

Results:: Both Mod-SSI and palpation scores showed statistically significant reduction in pain for all three groups at the end of 3 months. However, the hard splints proved to be very effective in a shorter period of time, followed by liquid splints and finally soft splints.

Conclusion:: The result of this study advocates the use of any one of the three types of the occlusal splints in the therapeutic management of myofascial pain due to temporomandibular disorders.

No MeSH data available.


Related in: MedlinePlus

Soft splint inserted in patient's mouth
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Figure 2: Soft splint inserted in patient's mouth

Mentions: A soft occlusal splint was fabricated from a 3 mm thick, soft polyvinyl sheet. The fabrication was done in a vacuum former, pressure-molding device (BIOSTARĀ® SCHEU-DENTAL GmbH, Iserlohn, Germany) with a thermally controlled infrared heater over the mandibular cast and occlusal contacts were neutralized [Figure 2].


Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain
Soft splint inserted in patient's mouth
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837781&req=5

Figure 2: Soft splint inserted in patient's mouth
Mentions: A soft occlusal splint was fabricated from a 3 mm thick, soft polyvinyl sheet. The fabrication was done in a vacuum former, pressure-molding device (BIOSTARĀ® SCHEU-DENTAL GmbH, Iserlohn, Germany) with a thermally controlled infrared heater over the mandibular cast and occlusal contacts were neutralized [Figure 2].

View Article: PubMed Central - PubMed

ABSTRACT

Purpose:: To determine the efficacy of hard, liquid, and soft splints in the management of myofascial pain dysfunction syndrome.

Materials and methods:: In this randomized clinical trial, 45 patients with myofascial pain were diagnosed and were randomly assigned into three groups of 15 patients each. Group 1 - subjects were given hard splint, Group 2 - soft splint, and Group 3 - liquid oral splint for 3 months. Subjective pain analysis using Modified Symptom Severity Index (Mod-SSI) and objective pain analysis muscle palpation was performed at 7 days, 1 month, 2 months, and 3 months after splint insertion. The changes in mean pain value by both methods, in all three groups, were analyzed with Tukey test and Kruskal–Wallis H-test, respectively (P < 0.05).

Results:: Both Mod-SSI and palpation scores showed statistically significant reduction in pain for all three groups at the end of 3 months. However, the hard splints proved to be very effective in a shorter period of time, followed by liquid splints and finally soft splints.

Conclusion:: The result of this study advocates the use of any one of the three types of the occlusal splints in the therapeutic management of myofascial pain due to temporomandibular disorders.

No MeSH data available.


Related in: MedlinePlus