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Results for “Occlusal Splints”

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At least 397 records · Page 22Linked to original sources
PubMed1991

Administration of clonazepam in the treatment of TMD and associated myofascial pain: a double-blind pilot study.

A double-blind pilot study was undertaken to test the administration of low doses of the long-acting benzodiazepine drug clonazepam in the management of chronic intractable temporomandibular disorder/myofascial pain patients who were not responsive to occlusal splint, behavioral, and physical therapy. Clonazepam was selected for its long duration and its cholinergic/GABA-ergic/serotonergic, anxiolytic, muscle relaxant, and sedative properties. Clonazepam appears to be effective when compared to a placebo. However, caution must be observed with long-term administration of clonazepam because of potential side effects such as depression and liver dysfunction. Indiscriminate administration of clonazepam may be harmful to the patient.

Adolescent↗
PubMed1990

Comparative diagnosis of specific temporomandibular joint arthralgias by means of computerised tomography.

In general, it is not easy to make the correct clinical diagnosis of a specific internal derangement of the arthralgias. The ten types of internal derangements, with desynchronisation between the meniscus and the condyle, may present clinically with localised sounds, such as clicking, grating and grinding, or without any sounds. Computerised tomography is one of the few non-invasive aids used for obtaining a more accurate diagnosis of arthralgia or anatopathological problems of the joint. The sagittal and coronal alignment of the skull and joint in the gantry, the specific highlighting of the meniscus and use of different types of occlusal splints, are all necessary for the accurate diagnosis of an internal derangement. The examination of 118 such joints is presented in this paper.

Humans↗
PubMedDate not supplied

[One-stage procedure for bimaxillary correction of extremely severe malocclusions. Pretreatment, planning and operation methods with functionally stable fixation of upper and lower jaws].

The comprehensive treatment of extremely severe malocclusion, carried out up to now in more than 30 patients, is described step by step. After the removal of the third molars, orthodontic treatment is provided to align the arches. This is followed by 4 weeks of bite plane treatment to bring back the TMJ condyles into their physiologic position, which is usually lost because of the undefined occlusal relationship. Following cephalometric analysis the surgical treatment plan is established on the basis of lateral cephalometric films aimed at orthognathic repositioning of the mandible and the maxilla. In addition, the one-stage bimaxillary correction is simulated in the articulator for the construction of occlusal splints. The intraoperative use of these splints and the fixation of the condyles at the zygomatic bone via positioning plates allows, for the first time, the reproducible physiologic adjustment of the condyle during the entire length of the operation. This method also permits three-dimensional control of the position of the repositioned maxilla. The functionally stable fixation of maxilla and mandible makes long-term postoperative immobilization unnecessary.

Bone Plates↗
PubMed1990

[Occlusal rehabilitation in cranio-mandibular dysfunction syndrome with ceramometal restorations].

We present a clinical case of a temporo-mandibular joint dysfunction pain syndrome treated with occlusal rehabilitation consisting on ceramometalic prosthodontic restorations. The result obtained after five years of evolution is excellent, due to the use of adequate technical and clinical procedures together with suitable hygienic habits and the post-treatment establishment of an occlusal splint used exclusively at night.

Ceramics↗
PubMed1990

[Conservative treatment of perforated disks].

Stereognathographic recordings were taken of the mandibular movements of 11 patients who had undergone conservative treatment for unilateral disk perforation. The results showed a significant decrease in the condylar inclination angle of the affected joints. Based on these values the condylar inclinations were increased in a condyle positioning simulator (CPS). This allowed production of individually correct occlusal splints. In all cases studied this splinting therapy eliminated pain and crepitus.

Adult↗
PubMed1989

[A case of complete rupture of the righ TMJ disc].

A case of complete rupture of the right TMJ disc was described. A 43 year old woman visited our hospital with the chief complaint of a mild pain in the right TMJ. Initially, a conservative treatment using the occlusal splint (condylar repositioning appliance) was carried out. This was because she had reciprocal clicking of the right TMJ which had occurred not long before and it seemed that the symptoms were due to the trouble with the disc. In spite of this treatment, for 6 months no improvement was obtained and the reciprocal clicking changed into crepitation. Moreover the double contrast arthrotomographic image indicated a perforation or a wide rupture of the disc, and deformities of the articular bone. Then a right TMJ osteoarthrosis with wide (complete) disc rupture was diagnosed, and a discectomy was performed. The symptoms were greatly reduced by this treatment. It was conceivable that the steroid which she had used for a long time to treat bronchial asthma caused a remarkable inhibition of the tissue repairing, and an internal derangement of the TMJ rapidly progressed to osteoarthrosis.

Adrenal Cortex Hormones↗
PubMed1989

Possibilities of shortening intermaxillary fixation by closed treatment of mandibular fractures.

The author's own method, making it possible to shorten substantially intermaxillary fixation while preserving all its principal advantages, was used to treat 252 patients with fractures of the dentulous mandible. After two weeks' intermaxillary fixation 134 fractures of the mandibular body and angle were fixed with a combination of Sauer's and occlusal splints, lingual splints or periangular wires according to Petz. This method shortened the treatment of the selected group of patients by the mean one week.

Adolescent↗
PubMedDate not supplied

[Mandibular dysfunction syndrome: relation to orthodontics].

The authors, on the basis of a neuro-muscular and occlusal examination of the mandibular dysfunctional syndrome, take in account the malocclusions which may favour the uprisal of such a syndrome. The authors then describe their own therapeutic approach through the use of an occlusal splint which takes advantage of the periodontium started inhibitory reflexes.

Humans↗
PubMedDate not supplied

[Antelocation of mandibular disc. 2. Clinical examination of patients with reverse clicks].

119 sick who revealed clicks in mandibular joint during shifting downwords and adduction of mandible i.e. so called reverse dicks. It was possible to eliminate the clicks in the mandibular joint in a new therapeutic positioning of the mandible in 52 patients among these sick. These sick have been examined in details and treated. Algetic syndrome of dysfunction symptoms has also been found in 31 sick (60%) beside reverse clicks in the mandibular joint. The roentgenograms of mandibular joint have demonstrated various kinds of disturbances in the positioning of mandibular condyles in the greatest nodulation of the teeth in 50 sick (96.2%). The initial treatment by means of occlusion splints and/or temporary partial dentures in a new three-dimensional position of the mandible eliminating clicks in mandibular joint has been performed in all 52 sick. Follow-up examinations performed in 38 sick after 3-9 months of using the splints or temporary prosthetic restoration have demonstrated that complete elimination of the clicks in the mandibular joint has been gained in 29 persons under examination (75.3%) and in case of the remaining 9 sick (33.7%) these clicks have only significantly been diminished. From the examinations performed it follows that performing of initial prosthetic treatment is necessary in the sick with reverse clicks.

Humans↗
PubMed1989

Non-invasive measurement of the deep temperature of the temporomandibular joint region.

This study was carried out to non-invasively measure the deep temperature of the temporomandibular joint (TMJ) region at rest and after 100 opening and closing movements of the mandible. Using a transcutaneous probe, we performed deep thermometry by the zero-heat-flow method. A RAM-Pack recording system was employed, and the data were processed by and stored in a microcomputer. In 20 normal male subjects, no differences were observed in the deep temperature of the right and left TMJ regions at rest and after exercise. However, in patients with temporomandibular disorders, the deep temperature of the symptomatic joint was higher than that of the asymptomatic joint. The difference, however, gradually decreased to normal with occlusal splint therapy. Thus, it is clear that the deep temperature of the TMJ region provides useful information about inflammation of the TMJ.

Adult↗
PubMed1989

Combined maxillary and mandibular osteotomies.

In certain patient categories single-jaw surgery will not result in the optimal outcome that can be achieved through bimaxillary surgery. These include patients with asymmetrical facial deformities (usually mid and lower face), long face deformity with vertical maxillary excess and significant mandibular retrognathism, and bimaxillary protrusion or retrusion. To correct such deformities a well-planned and orchestrated orthodontic preparation followed by bimaxillary orthognathic surgery is necessary. An interim occlusal splint will guide the surgeon in moving the maxilla, and the final splint will position the mandible. Precise attention to detail throughout the operative course is essential to an optimal outcome. Rigid fixation will minimize the need for traditional intermaxillary wiring.

Facial Asymmetry↗
PubMed1987

[EEG studies in bruxism with headache patients].

EEG-investigations before and after long-term-treatment with occlusal-splints were carried out in 36 bruxism patients suffering from unilateral headache. The results of the latter group were compared to those of 41 patients with classical migraine and to those of a healthy control-group. 20 (56%) of our patients showed pathological EEG-pattern in which focal abnormalities (39%) were dominating. After a long-term-treatment, mentioned before, there was a significant decrease of pathological EEG-pattern combined with a distinct improvement of all clinical symptoms. In patients with classical migraine a higher number of pathological EEG-recordings were seen during attack as well as during interval. Comparing the EEG-findings of bruxism after treatment to those of the healthy controls, no significant differences were found anymore.

Adolescent↗
PubMed1988

Nocturnal bruxism and temporomandibular disorders.

This chapter has discussed the important aspects of nocturnal bruxism and its relation to disorders of the masticatory system and headaches. Bruxism is believed to be a stress-related sleep disorder, occurring in both men and women, in children, and in adults. In most patients, bruxism results only in minor tooth wear; however, it can become extremely severe with damage occurring in essentially every part of the masticatory apparatus. Nocturnal bruxism should not be overlooked as an etiologic factor in muscular headaches. Short-term acute therapy may involve physical therapy, nocturnal electromyographic biofeedback, and medication to relieve anxiety and improve sleep. Long-term management usually includes some form of stress reduction, change in lifestyle, and an occlusal splint or nightguard to protect the teeth and masticatory system.

Adolescent↗
PubMed1987

[EEG changes in symptomatic headache caused by bruxism].

EEG recordings were carried out on 36 patients with the verified diagnosis of bruxism and unilateral headache. Occlusal splints were applied in the long-term management of these patients. Initial EEG recordings showed pathological changes in 56% of the patients. The EEG recordings were repeated two and six weeks later in these patients and following improvement in the clinical symptomatology pathological EEG patterns were detected in only 22% of all cases. This decrease is of statistical significance.

Bruxism↗
PubMed1985

Oral galvanism and mandibular dysfunction.

Sixty-two patients were referred to the university dental clinics in Göteborg for examination and treatment of presumed oral galvanism. Thirty of the patients, with an average age of 47 years, were found to suffer from various degrees of mandibular dysfunction. In these 30 patients the most commonly reported symptom was headache, which was present in 67 per cent of the individuals, while mandibular dysfunction was the most common diagnosis. Nineteen patients improved or recovered completely after counselling and/or treatment. Occlusal splints, alone or in combination with other therapeutic methods, were given to 80 per cent of the patients. It is emphasised that patients with putative oral galvanism must be given proper care, including examination of the masticatory system and treatment of diagnosed functional disturbances.

Adult↗
PubMed1993

Treatment of craniomandibular disorders in children and young adults.

A group of 99 children and young adults referred to a Swedish oral health sciences center were retrospectively evaluated regarding symptoms, signs, diagnoses, treatment, and treatment outcome. The most common symptoms in this patient group were headaches (52%), temporomandibular joint clicking (49%), pain at chewing (47%), and pain at wide mouth opening (46%). Common diagnoses were anterior disc displacement (32%) and craniomandibular disorders of muscular origin (16%). After treatment, 91% of the children and young adults reported themselves to be better or free of symptoms. A treatment modality often used was the occlusal splint, and it was concluded that using conservative methods led to good treatment outcomes in this patient group.

Adolescent↗