Open Journal Systems

Cover Image

Aesthetic bite for the management of temporomandibular disorders: A case series review

Giacomo Derchi, Vincenzo Marchio, Letizia Bolognesi, Elisabetta Carli, Maria Rita Giuca, Mutlu Özcan, Mario Bosco

Abstract


Background: Oral appliances (OA) are the most widely used treatment approach for temporomandibular disorders (TMDs): They are designed to relieve or prevent degenerative forces on the joint, the articular disk, and dentition. Classical OAs, however, are cumbersome and esthetically unpleasing: A more esthetic and functional appliance might improve treatment efficacy and shorten treatment time. Aim: The aim of this case series is to introduce an esthetical device for the management of TMD. Methodology: Three adults between 43 and 60 years old with a diagnosis of intra-articular TMD were included and were instructed to apply the device throughout the day and night. The patients were recruited at the same private dental clinic and each one signed an informed consent for both treatment and inclusion in the study. We evaluated and compared four clinical parameters (mandibular excursion, mandibular opening pattern, muscular and articular pain, and TMJ noises) between time 0 (T0) and 1, 2, 3, 6, and 12 months of using the device following the protocol of diagnostic criteria for temporomandibular joint disorders (DC/TMD). A magnetic resonance imaging exam was conducted to investigate tissue changes between T0 and 3 and 12 months of therapy. Conclusions: For all four parameters, we observed considerable improvements in all patients, who noticed the positive effects of the therapy themselves. The results suggest that this esthetic device was an effective treatment to manage TMD in the described cases, also increasing patients’ quality of life. However, studies on a larger scale are required to prove the effectiveness of this device. Clinical Significance: This case series aims to highlight the potentiality of an esthetic device used for the management of TMDs. This is because a more esthetically pleasant and comfortable device increases the time of usage, thus improving the positive effects of the device on the TMD.

Keywords


Dental esthetics; dental occlusion; dentistry; orthodontic appliances; temporomandibular joint disorders; temporomandibular joint

Full Text:

ABSTRACT PDF

References


Shaffer SM, Brismée JM, Sizer PS, Courtney CA.Temporomandibular disorders. Part 1: Anatomy and examination/diagnosis. J Man Manip Ther 2014;22:2-12.

Ingervall B, Mohlin B, Thailander B. Prevalence of symptoms of function disturbances of the masticatory system in Swedish men. J Oral Rehabil 1980;7:185-97.

Nilner M, Lassing SA. Prevalence of functional disturbances and diseases of stomatognatic system in 7-14 years old. Swed Dent J 1981;5:173-87.

Wright EF, North SL. Management and treatment of temporomandibular disorders: A clinical perspective. J Man Manip Ther 2009;17:247-54.

Tvrdy P. Methods of imaging in the diagnosis of temporomandibular joint disorders. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2007;151:133-6.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network and orofacial pain special interest group. J Oral Facial Pain Headache 2014;28:6-27.

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-55.

Network Symposium to be Presented at IADR. Diagnostic Criteria for TMD (DC/TMD): A New Version of the RDC/ TMD. Spain: Barcelona, Network Symposium to be Presented at IADR; 2010.

Gray RJ, Quayle AA, Hall CA, Schofield MA. Physiotherapy in the treatment of temporomandibular joint disorders: A comparative study of four treatment methods. Br Dent J 1994;176:257-61.

Dao TT, Lavigne GJ, Charbonneau A. The efficacy of oral splints in the treatment of myofascial pain of the jaw muscles: A controlled clinical trial. Pain 1994;56:85-94.

Stohler CS, Zarb GA. On the management of temporomandibular disorders. A plea for a low-tech high-prudence approach. J Orofac Pain 1999;13:255-61.

De Leeuw R, Boering G, Stegenga B, de Bont LG. Clinical signs of temporomandibular joint osteoarthritis and internal derangement 30 years after non-surgical treatment. J Orofac Pain 1994;8:12-8.

Williamson EH, Rosenzweig BJ. The treatment of temporomandibular disorders through repositioning splint therapy: A follow-up study. Cranio 1998;16:222-5.

National Institutes of Health Technology Assessment Conference Statement. Management of temporomandibular disorders. JADA 1996;127:1595-600.

Conti PC, De Alencar EN, Da Mota Corrêa AS, Lauris JR, Porporatti AL, Costa YM. Behavioural changes and occlusal splints are effective in the management of masticatory myofascial pain: A short-term evaluation. J Oral Rehabil 2012;39:754-60.

Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:212-23.

Badel T, Simonić-Kocijan S, Lajnert V, Dulčić N, Zadravec D. Michigan splint and treatment of temporomandibular joint. Med Fluminensis 2013;49:112-20.

Ramfjord SP, Ash M. Reflections on the Michigan occlusal splint. J Oral Rehabil 1994;21:491-500.

Liechtung M. The snap-on smile removable appliance a non-invasive, affordable smile enhancement. Inside Dent 2010;6:96-7.

Linsen SS, Stark H, Matthias A. Changes in condylar position using different types of splints with and without a chinstrap: A case-control study. Cranio 2012;30:25-31.

Roth RH. Gnathologic considerations for orthodontic therapy. In: McNeil C, editor. Science and Practice of Occlusion. Chicago, IL: Quintessence Publishing Co Inc.; 1997. p. 506-7.

Wood D, Elliott RW. Reproducibility of the centric relation bite registration technique. Angle Orthod 1994;64:211-20.

Schmitt M, Kulbersh A, Freeland T, Bever K, Pink FE. Reproducibility of the roth power centric in determining centric relation. Semin Orthod 2003;9:102-8.

Jank S, Zangerl A, Kloss F, Laimer K, Missmann M, Schroeder D, et al. High resolution ultrasound investigation of the temporomandibular joint in patients with chronic polyarthritis. Int J Oral Maxillofac Surg 2011;40:45-9.

Tasaki MM, Westesson PL. Temporomandibular Joint: Diagnostic accuracy with sagittal and coronal MR imaging. Radiology 1993;186:723-9.

Arnett FC, Edworthy SM, Bloch DA, Mcshane DJ, Fries JF, Cooper NS, et al. The American rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988;31:315-24.

Hatala MP, Westesson PL, Tallents RH, Katzberg RW. TMJ disc displacement in asymptomatic volunteers detected by MR imaging. J Dent Res 1991;70:278-81.

Bonnett RE, Carpentier P, Yung JP, Defrennes D, Pharaboz C. Clinical diagnosis compared with magnetic resonance in 242 patients with internal derangement of the TMJ. J Orofac Pain 1995;9:244-53.

Orsini MG, Kuboki T, Terada S, Matsuka Y, Yamashita A, Clark GT. Diagnostic value of 4 criteria to interpret temporomandibular normal joint disc position on magnetic resonance images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:489-97.

Held P, Moritz M, Fellner C, Behr M, Gmeinwieser J. Magnetic resonance of the disk of the temporomandibular joint. RM imaging protocol. Clin Imaging 1996;20:204-11.

Bumann A, Lotzmann U. Funktionsdiagnostik und therapieprinzipien. In: Rateitschak KH, Wolf HF, edtiors. Farbatlanten der Zahnmedizin. Vol. 12. Stuttgart: Thieme; 2000.

Bumann A, Vargas-Pereira MR. Metric TMJ analysis for standardized evaluation of magnetic resonance images. J Dent Res 1997;76:237.

Vargas-Pereira MR. Quantitative Auswertungen Bildgebender Verfahren und Entwicklung Einer Neuen Metrischen Analyse fur Kiefergelenkstrukturen im Magnetresonanztomogramm. Germany: University Kiel; 1997.

Ruf S, Wüsten B, Pancherz H. Temporomandibular joint effects of activator treatment: A prospective longitudinal magnetic resonance imaging and clinical study. Angle Orthod 2002;72:527-40.

Wetselaar P, Lobbezoo F. The tooth wear evaluation system: A modular clinical guideline for the diagnosis and management planning of worn dentitions. J Oral Rehabil 2016;43:69-80.

López-Frías F, Castellanos-Cosano L, Martín-González J, Llamas-Carreras JM, Segura-Egea JJ. Clinical measurement of tooth wear: Tooth wear indices. J Clin Exp Dent 2012;4:e48-53.

Smith BG, Knight JK. An index for measuring the wear of teeth. Br Dent J 1984;156:435-8.

Kurita H, Ohtsuka A, Kurashina K, Kopp S. A study of factors for successful splint capture of anteriorly displaced temporomandibular joint disc with disc repositioning appliance. J Oral Rehabil 2001;28:651-7.

Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. J Oral Sci 2011;53:349-54.


Refbacks

  • There are currently no refbacks.
x
Message