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Related Experiment Video

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Long-term adherence to oral stabilization splints: does pain matter?

Galit Almoznino, Shiran Barsheshet, Sigal Mazor

    Quintessence International (Berlin, Germany : 1985)
    |October 1, 2021
    PubMed
    Summary

    Occlusal stabilization splints (OSSs) show good adherence in temporomandibular disorder (TMD) patients, especially for masticatory muscle disorders (MMD). Adherence is linked to pain reduction, with sleep issues being a common reason for non-use.

    Keywords:
    adherencemasticatory muscle disordersocclusal stabilization splinttemporomandibular disorders

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    Area of Science:

    • Dentistry
    • Orofacial Pain Management
    • Sleep Medicine

    Background:

    • Occlusal stabilization splints (OSSs) are a primary treatment for temporomandibular disorder (TMD) and sleep-related bruxism (SRB).
    • Understanding patient adherence to OSS therapy is crucial for optimizing treatment outcomes in chronic orofacial conditions.

    Purpose of the Study:

    • To quantify the adherence rates of patients using OSSs for TMD and non-painful conditions like bruxism.
    • To compare adherence rates between different diagnostic groups and identify factors influencing non-adherence.

    Main Methods:

    • A retrospective review of 99 patient records from an Orofacial Pain Clinic (2006-2014).
    • Telephone interviews were conducted to assess OSS usage duration and reasons for non-adherence.

    Main Results:

    • Overall adherence was assessed, with 58.6% using OSSs for over a year.
    • Patients with masticatory muscle disorders (MMD) showed a significantly higher adherence rate (71.4%) compared to those with SRB or other facial pain (P = .039).
    • Primary reasons for non-adherence included sleep difficulties with the device (31.6%) and perceived resolution of the condition (25%).

    Conclusions:

    • Higher adherence to OSS therapy is associated with mild to major pain reduction, rather than complete pain relief or no relief.
    • MMD patients demonstrate superior adherence rates compared to patients with other facial pain conditions and SRB.