0240 Assessment of Occlusal Splint Therapy and Selective Grinding on TMD
A. KESHVAD1, A. SHAHROKHI RAD2, H. HAJI MIRAGHA2, and T. HOOSHMAND3, 1 School of Clinical Dentistry, Shahed University, Tehran, Iran, 2 Faculty of Dentistry, Tehran University of Medical Sciences, Iran, 3 Dental Research Center / Research Center of Science & Technology in Medicine, Tehran University of Medical Sciences, Iran

Objectives: Treatment of TMD has included a number of approaches such as counseling, biofeedback, physical therapy and occlusal adjustment. There is no doubt that modification of occlusion in some ways is the most widely practiced approach to treatment of this problem. However there is still a need for continuing research on the effects of occlusal therapy on TMD using evidence-based methods. Objectives: A randomized controlled clinical trial was designed for assessment of the effect of occlusal splint therapy in patients with temporomandibular disorders and to investigate the effects of occlusal adjustment versus mock equilibration in treatment of these patients. Methods: A total of seventeen patients with temporomandibular disorders were selected for this study and were randomly divided into case and control groups. All patients completed a questionnaire regarding their stress level using HAD scale. The subjects filled in a separate questionnaire regarding their symptoms (Anamnestic Dysfunction Index), and then underwent a clinical examination by a blind examiner for estimating their Clinical Dysfunction Index. After eight weeks with occlusal splint therapy and evaluating their indices, according to their original randomized group, they received occlusal adjustment therapy, or mock equilibration. A month later, the results of this phase of treatment were extrapolated. Results: The results of this study showed significant difference between indices of mock equilibration and occlusal adjustment (P < 0.05), there was also a significant positive effect on indices following splint therapy (P < 0.05). Conclusions: Based on the results of this study it may be concluded that: 1) Occlusal splint therapy is an effective treatment modality for TMD patients. And 2) occlusal adjustment has a positive treatment effect on selected TMD patients.

Seq #25 - Prosthodontics Research
11:30 AM-1:00 PM, Friday, 27 August 2004 Crowne Plaza Hotel SEDEF II

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