Oral splints for temporomandibular disorder or bruxism: a systematic review.
Journal
British dental journal
ISSN: 1476-5373
Titre abrégé: Br Dent J
Pays: England
ID NLM: 7513219
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
entrez:
16
2
2020
pubmed:
16
2
2020
medline:
1
7
2020
Statut:
ppublish
Résumé
Objectives To evaluate the clinical-effectiveness of oral splints for patients with TMD or bruxism for the primary outcomes: pain (TMD) and tooth wear (bruxism).Data sources Four databases including MEDLINE and EMBASE were searched from inception until 1 October 2018.Data selection and extraction Randomised controlled trials comparing all types of splints versus no/minimal treatment for patients with TMD or bruxism were eligible. Standard Cochrane review methods were used. Standardised mean differences (SMD) were pooled for the primary outcome of pain, using random effects models in TMD patients.Data synthesis Thirty-seven trials were included and the evidence identified was of very low certainty using GRADE assessments. When all subtypes of TMD were pooled into one global TMD group, there was no evidence that splints reduced pain: SMD (up to 3 months) -0.18 (95% CI -0.42 to 0.06); 13 trials, 1,076 participants. There was no evidence that any other outcomes improved when using splints. There was no evidence of adverse events associated with splints, but reporting was poor regarding this outcome. No trials measured tooth wear in patients with bruxism. There was a large variation in diagnostic criteria, splint types and outcome measures used and reported. Sensitivity analyses based on these factors did not indicate a reduction in pain.Conclusions The very low-certainty evidence identified did not demonstrate that splints reduced pain in TMD as a group of conditions. There is insufficient evidence to determine whether splints reduce tooth wear in patients with bruxism.
Identifiants
pubmed: 32060462
doi: 10.1038/s41415-020-1250-2
pii: 10.1038/s41415-020-1250-2
pmc: PMC7718146
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
191-197Subventions
Organisme : Department of Health
ID : 16/146/06
Pays : United Kingdom
Organisme : Department of Health
ID : HTA/16/146/06
Pays : United Kingdom
Organisme : Department of Health
ID : NIHR-CS-011-003
Pays : United Kingdom
Commentaires et corrections
Type : CommentIn
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