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Review
. 2017 Jun 30:11:301-311.
doi: 10.2174/1874210601711010301. eCollection 2017.

Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

Felipe J Fernández-González  1   2 , Jorge Cabero-López  1   3 , Aritza Brizuela  4 , Ivan Suazo  5 , Esteban Pérez-Pevida  4 , Teresa Cobo  1 , Oier Montalban  6 , Markel Diéguez-Pereira  3 , David Chávarri-Prado  7 , Iker Bellanco de la Pinta  6 , Antonio Jiménez-Garrudo  8
Affiliations
Review

Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

Felipe J Fernández-González et al. Open Dent J. .

Abstract

Background: For patients whose centric relation (CR) has not been considered at the start and during treatment, the task of achieving an occlusal scheme that works together with the temporomandibular joint, the muscles, and the structures of the stomatognathic apparatus becomes a major concern.

Objective: This study aims to describe a reproducible, predictable and to date unreported procedure of selective grinding guided by an occlusal splint and to analyze condylar position (CP) based on the skeletal pattern.

Methods: A total of 72 symptomatic patients (38 females and 34 males) were classified into three groups: hyperdivergent, intermediate and hypodivergent. CP was quantified by mounted casts on a measures condyle displacement (MCD) device. Helkimo index was also performed in order to assess the severity of the temporomandibular joint (TMJ) disorders attending to clinical dysfunction, occlusal state and anamnestic dysfunction. Once the stability had been obtained, the splint was progressively reduced until the maximum intercuspation (MIC) was achieved.

Results: The vertical displacement was found to be significantly different between the hyperdivergent and other two groups (p<0.01). Comparisons of MCD analysis before and after the selective grinding procedure identified a statistically significant difference in the horizontal and vertical CP (p<0.01) between the different groups whereas the Helkimo Index showed a clear improvement of TMJ disorders.

Conclusion: All facial types, specially the hyperdivergent face type, showed a reduction in condylar displacement (CD) and less craniomandibular symptoms using this procedure, making it an excellent technique for clinicians.

Keywords: Occlusal splint; Occlusion; Selective grinding; Temporomandibular disorder.

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Figures

Fig. (1)
Fig. (1)
Study casts mounted in centric relation on a Ad2 measures condyle displacement device.
Fig. (2)
Fig. (2)
A mandibular position indicator registration. The red and black dots represent the centric relation and maximum intercuspation, respectively. The axial displacements are as follows: for the right condyle, -0.9 mm in XX' and +1.1 mm in YY'; and for the left condyle, -0.9 mm in XX' and +0.8 mm in YY'.
Fig. (3)
Fig. (3)
Flow chart showing the subject inclusion process.
Fig. (4)
Fig. (4)
Occlusal adjustment with the splint positioned on the teeth.
Fig. (5)
Fig. (5)
The selective grinding process guided by an occlusal splint.
See this image and copyright information in PMC

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