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The effect of specially designed and managed occlusal devices on patient symptoms and pain: a cohort study.

Abstract
There is limited data regarding the benefit of using an occlusal device to help patients resolve a variety of symptoms involving temporomandibular disorder, as well as head, neck, and shoulder pain. The purpose of this study was to evaluate the effect of a carefully adjusted occlusal device on 12 symptoms to determine if there was enough evidence to justify a randomized control trial of this methodology. Splints were designed to ensure a stable, reproducible, mandibular position in a cohort of 157 dental patients with mixed histories of the following 12 symptoms: temporomandibular joint "pop," "click," and lock; jaw, neck, shoulder, and mouth-opening pain; headache; earache; tinnitus; and clenching and grinding of teeth. The results showed significant improvement (P < 0.001) in 11 of the 12 symptoms.
AuthorsWayne O Sletten, L Parnell Taylor, Charles J Goodacre, Thomas D Dumont
JournalGeneral dentistry (Gen Dent) 2015 Mar-Apr Vol. 63 Issue 2 Pg. 46-52 ISSN: 0363-6771 [Print] United States
PMID25734286 (Publication Type: Clinical Trial, Journal Article)
Topics
  • Adolescent
  • Adult
  • Aged
  • Arthralgia (etiology, therapy)
  • Facial Pain (etiology, therapy)
  • Female
  • Headache (etiology, therapy)
  • Humans
  • Male
  • Middle Aged
  • Occlusal Splints
  • Temporomandibular Joint Disorders (complications, therapy)
  • Tinnitus (etiology, therapy)
  • Treatment Outcome
  • Young Adult

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