Comparative Evaluation of the Efficacy of Occlusal Splints Fabricated in Different Temporomandibular Positions for Treatment in Temporomandibular Disorder Patients Sabu Ipe1, Saranya S.K.2,*, Mathew Anil3, Subash Pramod4, Janakiram Chandrashekar5 1Reader, Department of Prosthodontics and Crown and Bridge, PSM College of Dental Sciences and Research, Thrissur, Kerala, 2Assistant Professor, Department of Prosthodontics and Crown and Bridge, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi, Kerala, India 3Professor and Head, Department of Prosthodontics and Crown and Bridge, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi, Kerala, India 4Professor, Oral & Maxillofacial Surgery, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi, Kerala, India 5Professor, Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi, Kerala, India *Corresponding Author: Saranya S.K. Assistant Professor, Department of Prosthodontics and Crown and Bridge, Amrita School of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ponekkara, Kochi-682041, Kerala, India, e-mail: saranyask.manu@gmail.com Mobile No.: 9048020550
Online published on 31 March, 2020. Abstract The purpose of this randomized control trial was to compare the efficacy of splints fabricated in maximum intercuspation position and bite plane induced occlusal position with splints fabricated in centric relation (control group) in the treatment of temporomandibular disorders. 30 patients with Temporomandibular disorder (TMD), were randomized into three groups by computer generated random sequence. Thus, 10 patients were allocated to any of the three groups-Splints fabricated in biteplate induced occlusal position, splints fabricated in maximum intercuspation and splints fabricated in centric relation. The variables-pain, head position and amplitude of mandibular movements were measured before insertion of splints and later after one week, one month and three months of treatment. There was statistically significant reduction in pain (p<0.05) after three months of treatment, statistically significant improvement in maximum mouth opening and head position within the three splint groups. The splints fabricated in three different mandibular positions were equally effective in reducing the symptoms in temporomandibular disorder patients. Top Keywords Temporomandibular disorder, occlusal splints, centric relation, maximum intercuspation. Top |