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. 2023 Sep;22(3):579-589.
doi: 10.1007/s12663-023-01939-y. Epub 2023 Jun 27.

Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice

Darpan Bhargava  1   2   3 , Camilo Chávez Farías  1   4 , Ignacio Ardizone García  4 , Louis G Mercuri  5   6   7 , Suzie Bergman  1   8 , M Anthony Pogrel  9 , Andrew J Sidebottom  10 , Samer Srouji  11 , Mehmet Fatih Şentürk  12 , P Elavenil  13 , Kishore Moturi  1   14 , P Anantanarayanan  15 , Preeti G Bhargava  1   16 , Vankudoth Dal Singh  1   17
Affiliations

Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice

Darpan Bhargava et al. J Maxillofac Oral Surg. 2023 Sep.

Abstract

Background: 'Temporomandibular joint disorders (TMDs)' denote an umbrella term that includes arthritic, musculoskeletal and neuromuscular conditions involving the temporomandibular joint, the masticatory muscles, and the associated tissues. Occlusal devices are one of the common treatment modalities utilized in the conservative management of TMDs. The indications for the available 'oral splints' or 'oral orthotic occlusal devices' remain ambiguous.

Methods: A joint international consortium was formulated involving the subject experts at TMJ Foundation, to resolve the current ambiguity regarding the use of oral orthotic occlusal appliance therapy for the temporomandibular joint disorders based on the current scientific and clinical evidence.

Results: The recommendations and the conclusion of the clinical experts of the joint international consort has been summarized for understanding the indications of the various available oral orthotic occlusal appliances and to aid in the future research on oral occlusal orthotics.

Conclusion: The use of the oral orthotic occlusal appliances should be based on the current available scientific evidence, rather than the archaic protocols.

Keywords: Dental; Disk; Disorder; Joint diseases; Maxillofacial surgery; Night guard; Occlusal; Oral; Orthopedic; Orthosis; Orthotic; Orthotic device; Splint; TMJ; Temporomandibular; Temporomandibular joint.

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Conflict of interest statement

Conflict of interestNone. The authors have no relevant financial or non-financial interests to disclose.

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