{"title":"Prevalence and comparison of temporomandibular disorders according to axis I in RDC/TMD and DC/TMD: a cross-sectional study.","authors":"Merve Çakir, Gül Merve Yalçin Ülker, Özgür Erdoğan","doi":"10.3290/j.qi.b5938256","DOIUrl":"https://doi.org/10.3290/j.qi.b5938256","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the prevalence of different temporomandibular Disorder (TMD) diagnoses according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and to compare the diagnoses according to both guidelines.</p><p><strong>Method and materials: </strong>Clinical examinations of 218 patients with TMD complaints were conducted according to both guidelines. Descriptive statistics were performed to analyze the frequency of diagnoses and differences between the guidelines.</p><p><strong>Results: </strong>Most patients diagnosed with TMD were women and middle-aged. The number of patients in the myofascial pain class was significantly lower for the RDC/TMD classification than for the DC/TMD classification (p=0.045). The number of patients in the disc displacement with reduction (DDWR) category was significantly higher for the RDC/TMD classification than for the DC/TMD classification (p<0.001). Other categories did not exhibit differences between the classifications.</p><p><strong>Conclusion: </strong>Women and middle-aged individuals are more affected by TMDs. Pain-related TMDs were the most common diagnosis, followed by DDWR according to DC/TMD. According to the RDC/TMD classification, myofascial pain, arthralgia, and DDWR were the most commonly observed diagnoses, respectively. Significant differences were observed between the pain-related TMD and DDWR groups.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term changes in gingival recessions and their impact on oral health-related quality of life in patients under supportive periodontal therapy: a bidirectional cohort study.","authors":"Sarah K Sonnenschein, Philipp Ziegler, Ti-Sun Kim","doi":"10.3290/j.qi.b5933592","DOIUrl":"https://doi.org/10.3290/j.qi.b5933592","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate changes in gingival recessions (GR) in periodontitis patients over ten years of supportive periodontal therapy (SPT) and to assess the impact of GR on oral health-related quality of life (OHRQoL).</p><p><strong>Materials and methods: </strong>Fifty-one patients with over ten years of SPT were followed up (V1) with complete periodontal status including periodontal probing depth (PPD) and clinical attachment level (CAL) at 6 sites/tooth, oral hygiene indices, and recession status. Patient anamnesis, oral hygiene habits, and orthodontic history were assessed. Data were compared with records from 10-11.5 years prior (V0). GR changes were analyzed at patient level, and for all teeth with deep GR ≥3mm at tooth and site level (mid-buccal site). OHRQoL was assessed at V1 (OHIP-G14 questionnaire). Possible risk factors for GR progression and the associations between the number of deep GR and OHRQoL were tested (linear mixed-effects models, linear regression).</p><p><strong>Results: </strong>The analysis included 45 patients (stage III/IV periodontitis). Patients retained most teeth (V0: 23.87±4.38; V1: 22.53±4.78), with stable mean overall PPD (V0: 2.34±0.35mm; V1: 2.39±0.26mm) and CAL (V0: 3.56±0.94mm; V1: 3.56±0.89mm). Teeth with deep GR showed overall only minimal mean GR progression (0.16±0.97 mm). The mean increase at the mid-buccal sites was 0.66±1.58mm. 10% of patients had >1mm GR progression at the mid-buccal site. Molars showed less GR progression than anterior teeth. The number of deep GR did not significantly impact OHRQoL.</p><p><strong>Conclusions: </strong>Periodontitis patients on regular SPT showed high periodontal stability with minimal GR progression. The number of deep GR was not associated with OHRQoL.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamil A Shibli, Viviane Naddeo, Khalila C Cotrim, Eduardo C Kalil, Erica Dorigatti de Avila, Fernanda Faot, Leonardo P Faverani, João Gabriel G Souza, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes
{"title":"Osteoporosis' effects on dental implants osseointegration and survival rate: a systematic review of clinical studies.","authors":"Jamil A Shibli, Viviane Naddeo, Khalila C Cotrim, Eduardo C Kalil, Erica Dorigatti de Avila, Fernanda Faot, Leonardo P Faverani, João Gabriel G Souza, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes","doi":"10.3290/j.qi.b5927487","DOIUrl":"https://doi.org/10.3290/j.qi.b5927487","url":null,"abstract":"<p><strong>Objectives: </strong>The goal of this systematic review was to critically appraise the existing evidence evaluating osteoporosis' effects on dental implant osseointegration and survival rate.</p><p><strong>Data source: </strong>A search was conducted in two databases, PubMed/MEDLINE and Scopus, until October 2024, using the keywords 'osteoporosis,' 'osteopenia,' 'osseointegration,' and 'dental implants'. The inclusion criteria were clinical studies that evaluated the implant placement, complications, and osseointegration results in patients with osteoporosis; literature reviews and clinical studies addressing the outcome were considered; and articles written in English and published since 2000. Descriptive data analysis included author, year of publication, study design, number of patients, osteoporosis assessment, follow-up, and main findings. JBI quality assessment was performed. 24 articles were included with a total of 2,102 patients; 5954 dental implants were considered and evaluated. Most studies evaluated bone density for osteoporosis by dual-energy x-ray technology. The follow-up ranged from 1 month to 25 years. Four studies evaluated implants with over 10 years of follow-up. All studies' survival rate was higher than 90%, even for osteoporotic patients. Most studies indicated no differences between osteoporotic and healthy patients regarding marginal bone loss (MBL), bone-to-implant contact, cytokine levels, and mineral bone density. A prospective cohort study found a small MBL (-0.34 mm) in osteoporotic female patients, but there was insufficient evidence to prove any causal relationship between MBL and osteoporosis. Another study showed no clinical differences between implants placed in osteoporotic and healthy individuals. In contrast, other studies showed lower stability scores for implants placed in osteoporotic sites and a higher risk of failure for implant placement. Osteoporosis status was not a risk factor for dental implant failure, which was also confirmed by histological studies. Three studies had a medium risk of bias and 21 a low risk.</p><p><strong>Conclusion: </strong>Osteoporosis is not a contraindication for dental implant placement. Osseointegration in patients with osteoporosis is feasible; however, planning must be cautious and personalized for the installation of dental implants.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nehil Saran, Rameshwari Singhal, Abbas Ali Mahdi, Deepak Bhaghchandani, Pavitra Rastogi, Nand Lal, Shivani Pandey, Supriya Bhalerao
{"title":"Antioxidant, antibacterial, and systemic efficacy of sesame oil-pulling in periodontitis and diabetes management.","authors":"Nehil Saran, Rameshwari Singhal, Abbas Ali Mahdi, Deepak Bhaghchandani, Pavitra Rastogi, Nand Lal, Shivani Pandey, Supriya Bhalerao","doi":"10.3290/j.qi.b5923875","DOIUrl":"https://doi.org/10.3290/j.qi.b5923875","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the efficacy of sesame oil-pulling in periodontitis with/without Type2 Diabetes Mellitus (T2DM), compared to Chlorhexidine, for its oral and systemic health benefits.</p><p><strong>Material and methods: </strong>Total of 120 periodontitis patients, without (Group A; 60)/with (Group B; 60) T2DM, underwent control (chlorhexidine 0.12%; Group A1 & B1) and test (sesame oil-pulling; Group A2 & B2) interventions. Plaque index, pocket depth, salivary total antioxidant capacity (T-AOC) enzyme-linked-immunosorbent-assay (ELISA), subgingival plaque BANA test, and serum CRP were evaluated at baseline and 30 days post-intervention using analysis of variance (ANOVA) with a significant p-value set at 0.05. Group B serum samples also analyzed for Fructosamine and lipid profile.</p><p><strong>Results: </strong>Both treatment regimens were equivalent in reduction of plaque, pocket depth, red complex periodontopathogens in Group A & B. Significant increase in salivary T-AOC post-intervention observed in Group B with both interventions (p<0.01). Sesame oil-pulling significantly decreased systemic CRP and triglyceride levels, with no difference observed with Chlorhexidine in Group B.</p><p><strong>Conclusion: </strong>Sesame oil-pulling is equivalent to Chlorhexidine for anti-plaque, antibacterial, and antioxidant effects in periodontitis patients with/without T2DM. Systemic anti-inflammatory, cardio-protective benefits (reduction of CRP and triglycerides) make it better adjunct to Chlorhexidine in periodontitis with T2DM.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimizing axial inclination with clear aligner orthodontic treatment to address recession defects: a case series.","authors":"Shmuel Einy, Anahat Khehra, Liran Levin","doi":"10.3290/j.qi.b5923896","DOIUrl":"https://doi.org/10.3290/j.qi.b5923896","url":null,"abstract":"<p><p>Proper alignment of the teeth not only aids in functional occlusion but also promotes harmonious gingival contours, potentially reducing the risk of inflammation and gingival recession. This case series aimed to evaluate the effectiveness of optimizing axial inclination through clear aligner orthodontic treatment in addressing gingival recession defects. This case series included nine patients, aged 20-36 years, who presented with varying degrees of gingival recession on 12 mandibular incisors. All patients had undergone orthodontic treatment during childhood and were maintained with a fixed stainless-steel canine-to-canine retainer. The exhibited gingival recessions were potentially caused by inadvertent torque discrepancies in the teeth induced by the retention wire. Prior to treatment, a comprehensive radiographic and periodontal evaluation was performed, and clear aligner orthodontic treatment was used to correct the axial inclination of the affected teeth. Following the completion of the orthodontic treatment, patients were re-evaluated to assess changes in recession depth and width; those with remaining recession were considered for soft tissue grafting. The average treatment duration was 21.6 ± 3.7 months, ranging from 18 to 29 months. Root torque adjustments averaged 12 ± 9 degrees, ranging from a correction of 14 degrees lingually to 33 degrees labially, while bucco-lingual crown movement averaged 1.7 ± 1.2 mm, with a range from 3.4 mm lingually to 0.6 mm labially. All cases showed improvement in gingival recession, with complete recovery in one tooth and an average of 58 ± 21% reduction in recession depth and width for the remaining 11 teeth. Surgical intervention, consisting of soft tissue grafting, was required in four cases, while the remaining 8 teeth showed sufficient improvement and were monitored with follow-up care. Correcting axial inclination with clear aligner orthodontic treatment positively impacts both tooth alignment and gingival recession. These findings propose a new approach: initiating orthodontic treatment before periodontal surgery to streamline treatment and reduce the need for invasive procedures. Orthodontists, general dentists, and patients should be aware of the potential complications of fixed retainers and their possible orthodontic adjustments correction.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Corvin, Sandra Freitag-Wolf, Christof Dörfer, Guido Heine
{"title":"Allergies in dentistry and potential cofactors: a case-control study.","authors":"Lisa Corvin, Sandra Freitag-Wolf, Christof Dörfer, Guido Heine","doi":"10.3290/j.qi.b5907068","DOIUrl":"https://doi.org/10.3290/j.qi.b5907068","url":null,"abstract":"<p><strong>Objective: </strong>Allergic reactions during dental procedures are suspected frequently. Still, data on the confirmed allergens are rare. This study aims to identify allergens in dentistry and potential cofactors in sensitization.</p><p><strong>Method and materials: </strong>Patients with suspected allergic reactions in context of dental (study group) or surgical (control group) procedures were analyzed in a monocentric 3-year retrospective and 2-year prospective file chart analysis between 2018 to 2023. Descriptive statistics and multiple logistic regression analysis were performed.</p><p><strong>Results: </strong>129 patients were allocated to the study group and 123 to the control group. Confirmed allergy was less frequent in study group (10%) than in control group (28%, P < .001). Local anesthetics (LA) triggered most dental reactions, but rarely confirmed allergic (1 of 55 cases). Dental materials (DM) and implant material (IM) in the control group were confirmed in 16% and 15% clinically relevant sensitizations, respectively. Multiple logistic regression identified reactions to LA or DM/IM with 33.33 or 2.63-fold lower risk of sensitization. A concomitant immune disease was associated with higher risk for a confirmed allergic reaction in dentistry in our cohort (OR 9.12, 95% CI 2.4-35.1).</p><p><strong>Conclusion: </strong>Allergy to dentally administered drugs is rare. Most LA triggered reactions were unspecific. Reactions to dental materials resulting in objective symptoms require allergy diagnostics.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mel Mupparapu, Anwar A Almuzaini, Derek J Hong, Brad M Hong, Steven R Singer, Irene H Kim
{"title":"Diagnostic image legend quality in the oral and maxillofacial radiology published literature: a pilot study.","authors":"Mel Mupparapu, Anwar A Almuzaini, Derek J Hong, Brad M Hong, Steven R Singer, Irene H Kim","doi":"10.3290/j.qi.b5907061","DOIUrl":"https://doi.org/10.3290/j.qi.b5907061","url":null,"abstract":"<p><p>This pilot study aimed to evaluate the quality of legends associated with diagnostic images in the published oral and maxillofacial radiology literature using a novel rating scale. Images and their corresponding legends were randomly selected from published manuscripts over the last ten years in the Oral Radiology journals, namely Dentomaxillofacial Radiology, Imaging Science in Dentistry, Oral Radiology, and Oral Surgery Oral Medicine Oral Pathology Oral Radiology. An Image Legend Quality Scale (ILQS) was introduced to assess the quality of the legends associated with images. A program was developed for the rating scale form using Google Apps Script API to gather and analyze the data. The rating scale ranged from 1 to 5, with 5 as the highest rating. The highest average IQRS rating for one journal was 3.04. The overall IQRS rating average across all four journals was 2.87, which is a 2.13 rating score lower than the ideal score of 5. There is room for improvement in the legends that accompany diagnostic images and figures in the oral and maxillofacial radiology literature. A proper legend provides an excellent diagnostic teaching opportunity for the reader and enhances the quality of a publication.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of ethinyl estradiol/norethisterone acetate with and without scaling on periodontal status and high-sensitivity C-reactive protein levels in women with polycystic ovary syndrome having gingivitis: a randomized controlled trial.","authors":"Richa Verma, Shikha Tewari, Savita Rani Singhal, Aditi Sangwan","doi":"10.3290/j.qi.b5751228","DOIUrl":"10.3290/j.qi.b5751228","url":null,"abstract":"<p><strong>Objectives: </strong>Combined oral contraceptives are used for the management of hyperandrogenism and menstrual abnormalities in polycystic ovary syndrome (PCOS). There is a dearth of literature addressing the effect of ethinyl estradiol/norethisterone acetate (EE/NETA) on gingival and systemic inflammation in these patients. This randomized trial aimed to evaluate the effect of EE/NETA with and without scaling on periodontium and high-sensitivity C-reactive protein (hsCRP) levels in women with PCOS having gingivitis.</p><p><strong>Method and materials: </strong>Women having PCOS along with gingivitis were randomly divided into two groups: test group (n = 30) received EE/NETA + scaling with oral hygiene instructions, and control group 1 (n = 30) received EE/NETA with oral hygiene instructions. Another control group (control group 2, n = 30) consisting of systemically healthy females having gingivitis and who were age- and BMI-matched with the test group participants received scaling along with oral hygiene instructions. Periodontal and anthropometric parameters were measured at baseline, and 3 months and 6 months follow-up. Serum hsCRP levels were also estimated.</p><p><strong>Results: </strong>Serum hsCRP levels and periodontal parameters were significantly decreased in all the groups after 6 months (P ≤ .05). The decrease in hsCRP levels was similar among the groups (P > .05). Significantly more reduction in gingival inflammation was observed in the test group compared to control group 1 (P ≤ .05).</p><p><strong>Conclusion: </strong>EE/NETA used alone and with scaling showed no detrimental effect on gingiva and could reduce systemic and gingival inflammation in women with PCOS having gingivitis.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"792-802"},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louisa Geuke, Joelle Carisch, Jens C Türp, Nadja Rohr
{"title":"Establishing a CAD/CAM workflow for stabilization appliances (Michigan splints).","authors":"Louisa Geuke, Joelle Carisch, Jens C Türp, Nadja Rohr","doi":"10.3290/j.qi.b5751226","DOIUrl":"10.3290/j.qi.b5751226","url":null,"abstract":"<p><p>Stabilization appliances (Michigan splints) are well studied and widely adopted for managing bruxism and temporomandibular disorders (TMDs). Traditionally, these appliances have been fabricated by wax modeling and pressing resin onto casts made from irreversible hydrocolloid or silicone impressions. This article provides a detailed description of an all-digital workflow that uses intraoral scanning and computer-aided design (CAD) software to design a stabilization splint on a digital cast that can be manufactured autonomously by a computer-aided manufacturing (CAM) grinding machine in a subtractive procedure. The workflow is applicable to both dental practitioners and technicians. Special attention is given to aspects and procedures that are important for the successful fabrication of the splint. Working without a cast can save time and money, and the use of CAD/CAM technology provides a homogenous splint material quality.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"846-852"},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of added splint therapy after arthrocentesis vs arthrocentesis alone in the management of temporomandibular joint disorders: a systematic review and meta-analysis.","authors":"Sumin Wang, Zeshen Wang, Gehong Zhou","doi":"10.3290/j.qi.b5785077","DOIUrl":"10.3290/j.qi.b5785077","url":null,"abstract":"<p><strong>Objective: </strong>Occlusal splints are commonly used in the management of temporomandibular joint disorders. However, it is unclear if it should be used after a second-line therapy like arthrocentesis. The evidence on the efficacy of post-arthrocentesis splint therapy in the management of temporomandibular joint disorders was systematically reviewed.</p><p><strong>Method and materials: </strong>PubMed, Embase, Scopus, Web of Science, CENTRAL, and Google Scholar were searched for studies published until 5 August 2024. The outcomes assessed were pain and maximal mouth opening.</p><p><strong>Results: </strong>Eight studies were included. Five studies reported data for the meta-analysis. The pooled analysis found that there was no statistically significant difference in pain scores in the arthrocentesis + splint group vs arthrocentesis group at 1 month (mean difference [MD] -0.01, 95% CI -0.46 to 0.44), 3 months (MS -0.02, 95% CI -0.67 to 0.63), and 6 months (MD 0.06, 95% CI -0.25 to 0.37). The pooled analysis also showed that splint therapy after arthrocentesis may not significantly improve maximal mouth opening as compared to no splint therapy at 1 month (MD 0.08, 95% CI -2.11 to 2.27), 3 months (MD 0.76, 95% CI -0.84 to 2.35), and 6 months (MD 0.56, 95% CI -0.65 to 1.78). Descriptive analysis of three studies showed that two supported the use of splints while one found no added improvement in outcomes.</p><p><strong>Conclusions: </strong>Limited evidence from low-quality studies shows that the use of splint therapy after arthrocentesis may not improve pain and maximal mouth opening in patients with temporomandibular joint disorders. High-quality randomized controlled trials are needed to improve evidence.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"824-833"},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}