How does a splint work? A systematic review
Authors
Raul E. Frugone-Zambra , Leonor Alonzo Echeverría, Andrea Berzaghi, Luis Ledesma Amarilla, Daniel Arriagada Arriagada, Sergio Bortolini
Abstract
Objective: The mechanisms of action of the interocclusal devices have not yet been well studied and the real effectiveness of these devices currently remains controversial. To determine how the interocclusal device’s function, in dentate or partially dentate subjects with TMD with or without bruxism associated, a systematic review was conducted.
Method: The structure of the review followed the requirements of the guidelines reported by PRISMA statement. PubMed, EBSCO, SCOPUS and Web of Sciences database were included. Quality of the evidence was evaluated using the GRADE scale.
Results: 881 articles were identified and 203 duplicated were removed. 49 articles were finally analyzed in this systematic review. 21 of them were clinical controlled trials and 28 clinical trials. Studies included aspects of systemic and neurophysiological responses and biomechanic activity. They also assessed the activity of mandibular advancement devices in patients with apnea. After define quality of evidence, all studies were analyzed.
Conclusion: The use of interocclusal splints can be highly recommended for all patients suffering from some type of temporomandibular pathology, bruxism and some mild sleep disorders.
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