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Effect of deprogramming splint and occlusal equilibration on condylar position of TMD patients - A CBCT assessment

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TAYLOR & FRANCIS LTD
DOI: 10.1080/08869634.2019.1650216

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CBCT; condylar position; deprogramming splint; occlusal equilibration; symptom severity score; temporomandibular disorder

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The study showed that TMD patients benefited from deprogramming splint therapy and occlusal equilibration with a reduction in clinical symptoms, increased mouth opening, and range of motion. Additionally, minor changes in condylar position were observed.
Objective: Assessment of clinical symptoms and condylar position of TMD patients using CBCT imaging with deprogramming splint therapy and occlusal equilibration. The hypothesis tested was the alleviation of symptoms of TMD with possible changes in condylar position occurs with this treatment. Methods: The condylar position of 12 TMD patients was observed from CBCT images, and clinically, symptom severity score, mouth opening, and range of motion were compared pre- and post-treatment. Results: All patients reported a statistically significant decrease in the symptom severity score and increase in mouth opening and range of motion (p < .05). A significant decrease was only achieved in the left anterior joint space (p < .05). Conclusion: Deprogramming splint therapy and occlusal equilibration benefitted patients with a reduction in clinical symptoms, and minor changes in condylar position were observed.

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