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Results for “Occlusal Splints”

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At least 1,117 records · Page 62Linked to original sources
PubMed1995

Trauma from occlusion. Restorative concerns.

Trauma from occlusion and restorative concerns may affect the tooth itself, the supporting structures inside and around the tooth's immediate structures, and the total articulating system, which includes the neuromuscular system, the temporomandibular joints, and other systems such as the impairment of hearing or vision and many other peripheral conditions. A thorough examination and a differential diagnosis procedure is essential to restore the health of the articulating system and reverse peripheral condition. This includes the ability to restore the individual tooth in its best anatomic position as a complement to the articulating system using all individual disciplines of dentistry in the finest abilities of treatment and the ability to share and distinguish the possible parafunctional habits and the need for behavioral understanding, support, and management to limit or lessen the wear and destruction of the individual tissues and to restore a healthier physical support.

Bruxism↗
PubMed1995

Occlusal principles in orthodontics.

Morphologic and functional requirements of the orthodontically treated occlusion are discussed in this article. In the past, orthodontic treatment has been viewed as both a cause and a cure for temporomandibular disorders. This article reviews the literature, orthodontic implications of occlusal appliance therapy, and case reports.

Adult↗
PubMed1995

[Treatment of obstructive sleep apnea with anterior mandibular positioning device].

The efficacy of the anterior mandibular positioning (AMP) device in obstructive sleep apnea syndrome was assessed. This device advances the mandible anteriorly by approximately 5-7 mm. 29 patients were examined and questioned about temporomandibular (TM) and facial pain before and after treatment with the device. Polysomnographic sleep studies were performed on all before, and 2 weeks after continuous use of the AMP device. 10 of the patients also underwent polysomnographic follow-up after 1 year. The mean apnea index (AI) before treatment was 40.1, which decreased to 24.3 (p < 0.0001) after 14.3 days of treatment with the AMP device. O2 saturation also increased, from 84.2% before, to 89.2% after treatment (p < 0.002). In 10 patients the mean AI after 1 year was 24.9, not different from that after only 2 weeks of treatment, but significantly different from their mean AI before treatment (39.8). Use of the AMP device did not change blood saturation levels; neither did it affect dental status, action of the masticatory muscles, nor did it cause TM joint dysfunction. 21 patients (72.4%) have now been fitted with an AMP device, and the mean follow-up is 13.4 months (range 2-22); 3 have been using the AMP only intermittently for TM joint pain or discomfort. We conclude that the AMP device helps the majority of patients and is an alternative, nonsurgical method for treating obstructive sleep apnea syndrome.

Follow-Up Studies↗
PubMed1994

Effectiveness of conservative treatment for craniomandibular disorders: a 2-year longitudinal study.

The severity of symptoms of craniomandibular disorders was studied during a 2-year period in 195 patients treated with conservative therapeutic schemes. Results revealed a continuing improvement and a statistically significant tendency for the great majority of patients to become asymptomatic or show a decrease in the severity of symptoms. By the end of the 2 years, 66.7% of the patients were symptom free, 25.6% presented with slight symptomatology, and 3.1% were recorded with a fluctuating recurrence of symptoms. This investigation provided the data to develop an exponential model for the hypothesis that stabilization of effectiveness of conservative treatment is achieved between 6 months and 1 year after the initiation of treatment.

Adolescent↗
PubMed1994

Effects of conservative treatment in patients who later will be candidates for TMJ surgery.

In an attempt to evaluate the effect of conservative treatment in 33 patients with longstanding symptoms from the joint and later subjected to temporomandibular joint surgery, a retrospective study was made based on careful case records and personal follow-up. The treatment period varied widely between the patients but was on average 2.5 years. The result of the conservative treatment in these patients was, however, very slight and limited to a minor increase in mouth-opening capacity. All TMJ-patients, including those with the diagnosis ADD and suspected ankylosis, ought to have a strict treatment and follow-up programme in order to reduce doctor's delay if and when surgical intervention should be necessary. Efforts should be focused on development of diagnostic methods to support the selection of patients for TMJ surgery earlier so as to avoid prolonged unsuccessful conservative treatment.

Adolescent↗
PubMed1995

Comment on TMD.

Explore the source record for details and available documents.

Bruxism↗
PubMed1994

[Osteotomy of the median tubercule as a consequence of bilateral complete labio-maxillo-palatal cleft].

In the bilateral total labio-maxillary cleft the premaxilla is sometimes very protrusive at the completion of facial growth. This kind of malposition cannot be treated by orthodontics. Surgical repositioning of the premaxilla with simultaneous bilateral alveolar maxillary bone graft is done before the revision of lip and nose. Its goal is the reconstruction of a solid and harmonious dental and maxillary arch, closure of bucconasal fistulas, improvement of facial profile by closure of nasolabial angle. The authors describe the operation technique and illustrate it by two cases.

Adolescent↗