Occlusal Splint Therapy Combined with Cranio-Temporomandibular Kinesiotherapy in Patients with Temporomandibular Disorders-A CBCT Study

Occlusal splints are used as a non-invasive treatment for patients diagnosed with temporomandibular disorders (TMD). Another non-invasive treatment option for TMD patients is kinesiotherapy, which may be used alone or in conjunction with occlusal splint therapy. The aim of this study was to evaluate...

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Bibliographic Details
Published in:Life (Basel, Switzerland) Switzerland), 2022-12, Vol.12 (12), p.2143
Main Authors: Tăut, Manuela, Buduru, Smaranda Dana, Tălmăceanu, Daniel, Ban, Alina, Roman, Raluca, Leucuța, Daniel, Barbur, Ioan, Ilea, Aranka
Format: Article
Language:English
Subjects:
Applied kinesiology
Care and treatment
CBCT
Computed tomography
condylar ratio
Disorders
Health aspects
kinesiotherapy
Manipulative therapy
Medical imaging
Medical research
Medicine, Experimental
Methods
occlusal splint
Pain
Physical therapy
Registration
Splints
Splints (Surgery)
Statistical analysis
Temporomandibular joint
Temporomandibular joint disorders
Testing
Therapeutics, Physiological
Therapy
TMD
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Summary:Occlusal splints are used as a non-invasive treatment for patients diagnosed with temporomandibular disorders (TMD). Another non-invasive treatment option for TMD patients is kinesiotherapy, which may be used alone or in conjunction with occlusal splint therapy. The aim of this study was to evaluate the changes in the intra-articular spaces of the temporomandibular joint (TMJ) after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients. Twenty-four patients ( = 24) diagnosed with TMD according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were included. Cone beam computed tomography (CBCT) images were taken before and after treatment. The anterior, superior, posterior, and medial joint spaces were measured on the CBCT images, and the condylar ratio was calculated using Pullinger and Hollender's formula. Additionally, the thickness of the glenoid fossa (GFT), condylar medio-lateral widths (MLW), and condylar height (HCo) were measured. The condylar ratio was significantly higher after treatment ( = 0.049). The changes in dimensions of the anterior, superior, posterior and medial joint spaces were not statistically significant after treatment. No statistically significant differences were found in the dimensions of the GFT, MLW, and HCo post treatment. The condylar position did not shift anteriorly in a statistically significant way after occlusal splint therapy combined with cranio-temporomandibular kinesiotherapy in TMD patients.
ISSN:2075-1729
2075-1729
DOI:10.3390/life12122143