Comparison of the efficacy of occlusal splint and botulinum toxin therapies in patients with temporomandibular disorders with sleep bruxism
Purpose This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB). Materials and methods A retrospective cohort study was conducted based o...
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Published in | Journal of orofacial orthopedics Vol. 85; no. Suppl 1; pp. 102 - 108 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Heidelberg
Springer Medizin
01.05.2024
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Abstract | Purpose
This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB).
Materials and methods
A retrospective cohort study was conducted based on clinical record reviews of patients with TMD symptoms (e.g., temporomandibular joint [TMJ] pain, masticatory muscle pain, TMJ internal derangements, joint sounds, and limited mouth opening) and SB. The patients were divided into two groups: occlusal splint group and BTX group. Maximum unassisted mouth opening (MMO) and pain score on a visual analogue scale (VAS) before treatment and at 1‑, 3‑, and 6‑month follow-up were analyzed to evaluate the clinical outcomes.
Results
A total of 60 patients (49 women and 11 men, mean age 34.63 ± 11.85 years) were enrolled. Each group had 30 patients. The comparisons of the groups at 1 and 3 months after treatment indicated that the BTX group had higher MMO values (
P
= 0.013 and 0.034, respectively) and lower VAS scores than the occlusal splint group (
P
= 0.000 and 0.001, respectively). No difference between the two groups was observed 6 months after treatment (
P
> 0.05).
Conclusions
Both occlusal splint and BTX treatment methods were successful in treating TMD with SB. BTX provided patients with rapid relief in the early period; therefore, BTX can be recommended as a primary treatment option in patients with greater pain. |
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AbstractList | This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB).
A retrospective cohort study was conducted based on clinical record reviews of patients with TMD symptoms (e.g., temporomandibular joint [TMJ] pain, masticatory muscle pain, TMJ internal derangements, joint sounds, and limited mouth opening) and SB. The patients were divided into two groups: occlusal splint group and BTX group. Maximum unassisted mouth opening (MMO) and pain score on a visual analogue scale (VAS) before treatment and at 1‑, 3‑, and 6‑month follow-up were analyzed to evaluate the clinical outcomes.
A total of 60 patients (49 women and 11 men, mean age 34.63 ± 11.85 years) were enrolled. Each group had 30 patients. The comparisons of the groups at 1 and 3 months after treatment indicated that the BTX group had higher MMO values (P = 0.013 and 0.034, respectively) and lower VAS scores than the occlusal splint group (P = 0.000 and 0.001, respectively). No difference between the two groups was observed 6 months after treatment (P > 0.05).
Both occlusal splint and BTX treatment methods were successful in treating TMD with SB. BTX provided patients with rapid relief in the early period; therefore, BTX can be recommended as a primary treatment option in patients with greater pain. PURPOSEThis study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB).MATERIALS AND METHODSA retrospective cohort study was conducted based on clinical record reviews of patients with TMD symptoms (e.g., temporomandibular joint [TMJ] pain, masticatory muscle pain, TMJ internal derangements, joint sounds, and limited mouth opening) and SB. The patients were divided into two groups: occlusal splint group and BTX group. Maximum unassisted mouth opening (MMO) and pain score on a visual analogue scale (VAS) before treatment and at 1‑, 3‑, and 6‑month follow-up were analyzed to evaluate the clinical outcomes.RESULTSA total of 60 patients (49 women and 11 men, mean age 34.63 ± 11.85 years) were enrolled. Each group had 30 patients. The comparisons of the groups at 1 and 3 months after treatment indicated that the BTX group had higher MMO values (P = 0.013 and 0.034, respectively) and lower VAS scores than the occlusal splint group (P = 0.000 and 0.001, respectively). No difference between the two groups was observed 6 months after treatment (P > 0.05).CONCLUSIONSBoth occlusal splint and BTX treatment methods were successful in treating TMD with SB. BTX provided patients with rapid relief in the early period; therefore, BTX can be recommended as a primary treatment option in patients with greater pain. Purpose This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB). Materials and methods A retrospective cohort study was conducted based on clinical record reviews of patients with TMD symptoms (e.g., temporomandibular joint [TMJ] pain, masticatory muscle pain, TMJ internal derangements, joint sounds, and limited mouth opening) and SB. The patients were divided into two groups: occlusal splint group and BTX group. Maximum unassisted mouth opening (MMO) and pain score on a visual analogue scale (VAS) before treatment and at 1‑, 3‑, and 6‑month follow-up were analyzed to evaluate the clinical outcomes. Results A total of 60 patients (49 women and 11 men, mean age 34.63 ± 11.85 years) were enrolled. Each group had 30 patients. The comparisons of the groups at 1 and 3 months after treatment indicated that the BTX group had higher MMO values ( P = 0.013 and 0.034, respectively) and lower VAS scores than the occlusal splint group ( P = 0.000 and 0.001, respectively). No difference between the two groups was observed 6 months after treatment ( P > 0.05). Conclusions Both occlusal splint and BTX treatment methods were successful in treating TMD with SB. BTX provided patients with rapid relief in the early period; therefore, BTX can be recommended as a primary treatment option in patients with greater pain. |
Author | Altindis, Sezen Hosgor, Hatice Sen, Esengul |
Author_xml | – sequence: 1 givenname: Hatice orcidid: 0000-0002-6925-9526 surname: Hosgor fullname: Hosgor, Hatice email: drhaticehosgor@yahoo.com organization: Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kocaeli University – sequence: 2 givenname: Sezen surname: Altindis fullname: Altindis, Sezen organization: Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kocaeli University – sequence: 3 givenname: Esengul surname: Sen fullname: Sen, Esengul organization: Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Tokat Gaziosmanpasa University |
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Cites_doi | 10.1177/0022034519875053 10.1111/joor.12801 10.1111/joor.12011 10.1002/j.0022-0337.2005.69.11.tb04023.x 10.1136/jnnp.53.6.530 10.1111/joor.12172 10.1177/154405910308200408 10.1016/j.jbmt.2008.12.002 10.3758/BRM.41.4.1149 10.1016/j.joms.2019.06.005 10.1016/j.cden.2018.06.003 10.1111/j.1365-2842.2005.01584.x 10.14219/jada.archive.2000.0149 10.1007/s00056-015-0293-5 10.5664/jcsm.3532 10.1016/j.jdent.2007.04.010 10.1136/jnnp.2003.034702 10.1097/PHM.0b013e3181bc0c78 10.1016/B0-72-160797-7/50086-0 10.1016/j.joms.2016.12.047 10.1007/s00784-020-03710-w 10.12968/denu.2018.45.10.912 10.1016/j.jormas.2018.10.007 10.1111/joor.12322 10.1212/WNL.0000000000004951 10.11607/ijp.5210 10.1111/j.1365-2842.2004.01432.x 10.11607/jop.1151 10.1007/s00784-017-2092-4 10.5125/jkaoms.2020.46.5.335 10.1080/00016357.2016.1247465 10.1111/joor.12238 |
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DocumentTitleAlternate | Vergleich der Wirksamkeit von Aufbissschienen- und Botulinumtoxin-Therapien bei Patienten mit temporomandibulärer Dysfunktion und schlafbezogenem Bruxismus |
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Keywords | Pain score Maximale ununterstützte Mundöffnung Craniomandibular disorders Kiefergelenkstörungen Schmerz-Score Maximum unassisted mouth opening Temporomandibular joint disorders Orthotic devices Kraniomandibuläre Dysfunktion Orthetische Apparaturen |
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This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in... This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients... PURPOSEThis study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in... |
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SubjectTerms | Adult Botulinum Toxins - therapeutic use Botulinum Toxins, Type A - therapeutic use Cohort Studies Dentistry Female Humans Male Medicine Middle Aged Neuromuscular Agents - therapeutic use Occlusal Splints Oral and Maxillofacial Surgery Original Article Pain Measurement Retrospective Studies Sleep Bruxism - drug therapy Sleep Bruxism - therapy Temporomandibular Joint Disorders - drug therapy Temporomandibular Joint Disorders - therapy Treatment Outcome |
Title | Comparison of the efficacy of occlusal splint and botulinum toxin therapies in patients with temporomandibular disorders with sleep bruxism |
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