Daniela Del Sorbo, Tessa Bijelic, Birgitta Häggman-Henrikson, Thomas List, Ambrosina Michelotti, Rosaria Bucci
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引用次数: 0
Abstract
Background and aim: Occlusal splints are commonly used to manage temporomandibular disorders (TMDs), yet their efficacy remains controversial. This study aimed to summarise and assess the methodological quality of available systematic reviews (SRs) regarding occlusal splint therapy in TMD patients.
Materials and methods: Following a PROSPERO-registered protocol (CRD42021276856), a comprehensive search was conducted across PubMed, Scopus, Lilacs, and Cochrane. SRs focused on TMD management with occlusal splints were included. Two independent operators performed the review process, and the risk of bias was assessed using AMSTAR-2. Primary outcomes were pain intensity and maximum mouth opening (MMO).
Results: After screening of 1740 abstracts followed by full text assessment, 21 SRs were included with diverse methodological quality ranging from critically low (5 SRs) to high (4 SRs). The majority of the included SRs (12) compared occlusal splint with other conservative treatments, with four of these reporting effective reduction in pain intensity, while three SRs did not. Furthermore, five SRs concluded that there was insufficient evidence for or against occlusal splint therapy over other active interventions for TMD treatment. Only one SR compared the effect of occlusal splint versus no treatment, supporting no differences in pain reduction in the jaw joint area. One SR compared the effects of different occlusal splint designs. Three SRs assessed the effects of occlusal splint in specific treatment settings or populations (in adolescents, compared to arthrocentesis, compared to jaw exercises).
Conclusion: The majority of findings from the existing SRs report small beneficial or neutral effects following OS therapy in TMD patients.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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