Clinical and Laboratory Justification for the Use of Occlusal Splints in the Treatment of Patients with Pathological Tooth Wear (Literature Review)
DOI:
https://doi.org/10.33295/1992-576X-2025-2-22Keywords:
pathological tooth wear, temporomandibular joints, occlusal splints, occlusal relationships, electromyography, magnetic resonance imaging, cone-beam computed tomography, prosthetic dentistryAbstract
Abstract. Pathological tooth wear (PTW) is one of the most common forms of non-carious dental hard tissue lesions [4, 6], characterized by excessive loss of enamel and dentin due to abrasive, erosive, attritional, and functional factors. This condition is frequently associated with temporomandibular joint (TMJ) dysfunction [6, 9], neuromuscular imbalance, and disruption of occlusal relationships. These factors significantly affect patients’ quality of life. Nowadays, in prosthetic dentistry, occlusal splints are used as both therapeutic and diagnostic devices in the management of such patients.
The purpose of this work is to analyze and evaluate existing data on the effectiveness of the use of occlusal splints in the treatment of patients with pathological tooth abrasion based on the study of world scientific sources recently, which identify the disadvantages and advantages of the use of splint therapy in restoring the functional balance of the dento-maxillary apparatus.
Materials and methods. A search for scientific publications was conducted in the PubMed database for the period from 2016 to 2025.
Research results and conclusions. Pathological tooth attrition is a multifactorial condition that results from the combined influence of both local and systemic factors. Clinical studies confirm the effectiveness of using occlusal splints in reducing muscle hypertonicity, eliminating temporomandibular joint dysfunctions, and reducing the intensity of further tooth attrition. Modern diagnostic methods, particularly magnetic resonance imaging, teleradiography, and cone-beam computed tomography, enable an objective assessment of morpho-functional changes associated with PSZ. An interdisciplinary approach to treating patients with PSZ is of key importance. The most effective are occlusal splints, which are made considering the characteristics of occlusal relationships, muscle activity, and TMJ function of patients. The widespread use of standard splints without considering the individual parameters of each patient is less effective and may lead to complications.
The clinical and laboratory use of occlusal splints is a scientifically sound, effective, and safe method of treating patients with PSS.
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References
Mariano Rocabado. (1983). Biomechanical Relationship of the Cranial, Cervical, and Hyoid Regions. Journal of Craniomandibular Practice, 1(3), 61-66. https://doi.org/10.1080/07345410.1983.11677834
Lin L., Zhao T., Qin D., Hua F. (2022). The impact of mouth breathing on dentofacial development: A concise review. Public Health, 10, 929165. DOI: https://doi.org/10.3389/fpubh.2022.929165
Peng H., Liu W., Yang L., Yan P., Zhong W., Gao X., Song J. (2024). Craniocervical posture in patients with skeletal malocclusion and its correlation with craniofacial morphology during different growth periods. Sci Rep, 14(1), 5218. DOI: https://doi.org/10.1038/s41598-024-55840-w
Ambra Michelotti, Giorgio Iodice, Stefano Vollaro, Michel H Steenks, Mauro Farella. (2012). Evaluation of the short-term effectiveness of education versus an occlusal splint for the treatment of myofascial pain of the jaw muscles. J Am Dent Assoc, 143(1), 47-53. DOI: https://doi.org/10.14219/jada.archive.2012.0018
Fernando C Brito, Daniel P Brunetto, Matilde C G Nojima. (2019). Three-dimensional study of the upper airway in different skeletal Class II malocclusion patterns. Angle Orthod, 89(1), 93–101. DOI: https://doi.org/10.2319/112117-806.1
Okeson J. P. (2019). Management of Temporomandibular Disorders and Occlusion. 8th ed. St. Louis, Elsevier, eBook ISBN: 9780323611725
Klasser G. D., Greene C. S. (2009). The changing field of temporomandibular disorders: what dentists need to know. J Can Dent Assoc, 75(1), 49–54. PMID: 19239744
Cláudia Maria De Felício 1, Cláudia Lúcia Pimenta Ferreira, Ana Paula Magalhães Medeiros, Marco Antonio M Rodrigues Da Silva, Gianluca M Tartaglia, Chiarella Sforza. (2012). Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: A correlation study. J Electromyogr Kinesiol, 22(2), 266–72. DOI: https://doi.org/10.1016/j.jelekin.2011.11.013
Sylwia Orzeszek, Marta Waliszewska-Prosol, Dominik Ettlin, Piotr Seweryn, Marcin Straburzynski, Paolo Martelletti, Andrej Jenca Jr, Mieszko Wieckiewicz. (2023). Efficiency of occlusal splint therapy on orofacial muscle pain reduction: a systematic review. BMC Oral Health, 23, 180. DOI: https://doi.org/10.1186/s12903-023-02897-0
Baldini A, Beraldi A, Nota A, et al. (2012). Gnathological postural treatment in a professional basketball player: a case report and an overview of the role of dental occlusion on performance. Ann Stomatol (Roma),3(2), 51-8. PMCID: PMC3476490
C C Beard, J A Clayton. (1980). Effects of occlusal splint therapy on TMJ dysfunction. J Prosthet Dent, 44(3), 324–35. DOI: https://doi.org/10.1016/0022-3913(80)90021-9
Daniele Manfredini, Ephraim Winocur, Luca Guarda-Nardini, Daniel Paesani, Frank Lobbezoo. (2013). Epidemiology of bruxism in adults: A systematic review. J Orofac Pain, 27(2), 99–110. DOI: https://doi.org/10.11607/jop.921
Festa P, Mansi N, Varricchio AM, Savoia F, Calì C, Marraudino C, De Vincentiis GC, Galeotti A. (2021). Association between upper airway obstruction and malocclusion in mouth-breathing children. Acta Otorhinolaryngol Ital, 41(5), 436–442. DOI: https://doi.org/10.14639/0392-100X-N1225
Antonino Cuccia, Carola Caradonna. (2009). The relationship between the stomatognathic system and body posture. Clinics (São Paulo), 64(1), 61–6. DOI: https://doi.org/10.1590/s1807-59322009000100011
Anja Profozić, Antonia Plazibat, et al. (2017). Position of Mandibular Condyles during Stabilization Splint Wearing. Acta Clinica Croatica, 56(4), 594-599. DOI: https://doi.org/10.20471/acc.2017.56.04.03
D F Goldstein, S L Kraus, W B Williams, M Glasheen-Wray. (1984). Influence of cervical posture on mandibular movement. J Prosthet Dent, 52(5), 421–6. DOI: https://doi.org/10.1016/0022-3913(84)90460-8
Valerio P., et al. (2019). Cephalometric evaluation of postural and mandibular changes in patients with TMD. Cranio, 37(3),179–187.
Hamad Albagieh, Ibrahim Alomran, Abdulrahman Binakresh, Nawaf Alhatarisha, Meteb Almeteb, Yousef Khalaf, Abdulrahman Alqublan, Mohammad Alqahatany. (2023). Occlusal splints-types and effectiveness in temporomandibular disorder management. Saudi Dent J, 35(1),70–79. DOI: https://doi.org/10.1016/j.sdentj.2022.12.013
Ferrario V. F., Sforza C., et al. (2007). Electromyographic activity in bruxism: relationship with pain. J Oral Rehabil, 34(3),161–168.
Grymak A., Aarts J. M., Ma S., Waddell J. N., Choi J. J. E. (2022). Wear Behavior of Occlusal Splint Materials: A Review. J Prosthodont, 31(6),472–487. DOI: https://doi.org/10.1111/jopr.13432
Oleszek-Lista I., et al. (2023). The long-term effect of occlusal splints on muscle activity: A randomized trial. Clin Oral Investig.
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