Splint therapy for TMJ

Splint therapy in dentistry is a correction method temporomandibular joint (TMJ). It is used for displacement of the lower jaw, arising due to various dental problems.
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The essence of the technique

The essence of splint therapy is the use of a special dental splint. This device compensates for defects in the chewing elements and restores proper closure of the dentition.

The use of a splint eases the load on the masticatory muscles, normalizes their tone and promotes the restoration of the TMJ. This is due to the fact that the occlusal splint splint (orthotic) ensures uniform and tight closure of the upper and lower jaws.

Dental Splint is made individually for each patient.

The essence of the technique
General information about the procedure

Indications

Splint therapy is carried out against the background of inflammatory processes. It is also prescribed in the presence of any other dysfunctions of the temporomandibular joint caused by malocclusion. Other indications:

  • Bruxism
  • Clicking, crunching and pain in the jaw when opening or closing the mouth
  • Wear of tooth enamel
  • Problems with full opening of the jaws
  • Blocking the jaws
  • Headaches and accompanying noises or ringing in the ears

In addition, wearing splints (alignments) is an important step in preparing patients with TMJ pathology for complex orthodontic treatment or for complete restoration of the dentition with the help of dentures. This is due to the fact that such designs reduce the load on the implants, promote facial alignment and speed up bite correction.

Limitations of splint therapy

A split system in dentistry is usually suitable for most patients, but there are certain cases where it is not recommended. In particular, such therapy is not used against the background of:

  • Multiple missing teeth
  • Acute toothache
  • TMJ dislocation
  • Inflammatory processes in the oral cavity

In these situations, before starting splint therapy, it is necessary to eliminate the underlying problem.

After installing the splint, the patient may experience slight discomfort and temporary changes in diction. After 2 weeks, complete adaptation occurs and the discomfort disappears.

Diagnostic features

The first stage is condylography - this method allows you to analyze the movements of the lower jaw. Then, in order to study the facial skeleton, a teleradiogram is performed. Next, in order to check the correct closure of the jaws, an occlusiogram is prescribed.

Additionally, MRI and CT are performed. This allows the doctor to fully assess the condition of the TMJ and choose the optimal treatment plan.

Types of splints, the process of modeling and manufacturing a splint, wearing rules

Types of splints in dentistry

Depending on therapeutic purposes, dental splints are divided into several main types. In particular, they are:

  • Repositioning. These devices set a new direction for the movement of the lower jaw. At first, the changed trajectory seems foreign to the muscles. However, over time, the muscles adapt
  • Miorelaxation. They are aimed at reducing tension in the chewing muscles. These devices prevent the teeth from closing together. In particular, relaxation splints help loosen muscles and improve the functioning of the TMJ. Ultimately, the correct movement of the lower jaw is formed, pain is reduced
  • Stabilizing. Their task is to fix the chewing elements with high muscle tone, but with improper closure. Occlusal splints of this type help to maintain the lower jaw in adequate position

There are also centering, decompression, retention and combined splint splints for teeth.



The process of modeling and manufacturing, rules for wearing a splint

Based on diagnostic data, a virtual model of the patient’s dental system is developed. The further stages of manufacturing and installing the splint look like this:

  1. Sending data to the dental laboratory
  2. Production of splints according to individual parameters from high-quality silicones and polymers
  3. Initial fitting of the splint by the patient
  4. Manufacture and installation of a permanent structure

The entire process of creating a splint is focused on exact compliance with the anatomical features of the patient’s jaws. This ensures maximum wearing comfort and treatment effectiveness.

To speed up the effect of therapy, it is recommended to wear the splint constantly (24/7) throughout the entire course of treatment. The exception is special cases - for example, treatment of nocturnal bruxism. The structure should only be removed when performing daily hygiene and while eating.

The duration of therapy depends on the specific TMJ problems. Treatment usually takes from 1 to 4 months. In complex clinical cases, therapy can last up to six months.

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Evgenia Nikolaevna
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