Splint therapy

To correct dysfunctions of the temporomandibular joint and correct the bite, dentistry uses a method of treatment with occlusal caps - removable polymer overlays. Orthodontic devices work in such a way that they affect the rows of teeth, changing the closure of teeth with each other.

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What is splint therapy?

Splint therapy is an advanced method of correcting temporomandibular joint (TMJ) disorders using a dental splint. It corrects dental defects and forms the correct closure of the dental arches. The therapy facilitates the work of the masticatory muscles, restores their tone and promotes rehabilitation.

What is splint therapy?

Indications and contraindications for splint therapy

Indications for therapy include:

  • Unpleasant joint sounds
  • Pain or discomfort
  • Increased wear of tooth enamel
  • Preparation for the installation of dentures
  • Snoring during sleep
  • Discomfort in the jaw and neck
  • Tinnitus
  • Difficulty opening the mouth

Contraindications are individual and are determined by the doctor after examination. These may be inflammations or systemic diseases (rheumatoid arthritis or systemic lupus erythematosus).

Splint therapy for TMJ dysfunction

Splint therapy for temporomandibular joint (TMJ) pathology is used to correct the malposition of the lower part of the face caused by tooth loss, tooth wear, or errors in the installation of dentures. The splint guides the movement of the jaw, prevents its displacement, and promotes proper closure of the dental arches. This stabilizes the bite, relaxes the muscles and stretches the tendons, alleviating the symptoms of TMJ disease. Before treatment, it is important to eliminate all existing pathologies to ensure effective therapy.

Types of Splints

A removable mouthguard combines several functions: it relaxes muscles, relieves pressure, stabilizes teeth, and corrects the position of the jaw. It is made to order. Sometimes patients are prescribed devices for permanent, virtually non-removable wear.

The technique involves the use of the following types of mouth guards:

  • relaxing Designed to reduce tension
  • decompressive Relieve pressure, reduce stress during bruxism
  • stabilizing Prevent tooth mobility
  • positioning Return the dentition to its original state, direct the jaw movement along the correct trajectory

General information about the procedure

Advantages and disadvantages of splint therapy

The advantages of splint therapy include:

  1. The ability to return to the original state of the bite, unlike such a method as grinding teeth
  2. Reduction in the severity of migraines immediately after the start of treatment
  3. Absence of discomfort during adaptation, easy installation and removal

Patients consider the duration of treatment to be the main disadvantage. To align the bite, it is necessary to wear splints for 6 months, then you can move on to therapy using braces. Sometimes severe pain occurs after the installation of structures. The reason is the wrong choice of mouthguard. This problem is solved by correction or the manufacture of another product.

Therapy effectiveness

The technique allows achieving the following results:

  • Correction of pathologies without surgical intervention
  • Elimination of creaking and clicking when opening the mouth
  • Elimination of painful sensations in the head and neck
  • Improved well-being after just a couple of weeks

The splint-tire not only helps in the treatment of teeth grinding, but also promotes face lifting by reducing muscle tension. In addition, it is necessary for preparation for orthodontic procedures and promotes dentin rehabilitation when using dentures. Prices for splint therapy in Moscow are available on the website and by phone.

Diagnostics

The process of preparation for therapy in dentistry consists of several stages:

  1. Clinical assessment. The dentist analyzes the position of the patient's face, head, neck and oral cavity, focusing on symmetry, activity of the lower part of the face
  2. Development of a treatment plan taking into account the individual needs and desires of the patient
  3. Conducting a computed tomography (CT) scan of the maxillofacial area to assess the relationship of the jaws and the condition of the teeth

Before installing an occlusal splint to correct the bite, it is necessary to treat caries, gum inflammation, and perform professional oral hygiene. If there is tooth mobility, they are strengthened. The splint creates a rigid structure that distributes chewing loads between all teeth. This prevents their excessive movement and reduces the risk of further damage.

Installation stages

Treatment of temporomandibular joint dysfunctions and diseases of the dentoalveolar system consists of the following stages:

  1. Making a splint and trying it on
  2. Adjusting the mouthguard to the shape of the teeth and oral cavity
  3. Repeatedly checking the correct positioning of the mouthguard in the mouth
  4. Recommendations for the correct putting on and taking off of the mouthguard

The standard period of using an unloading mouthguard varies from 3 to 12 months, depending on the severity of the clinical symptoms of temporomandibular joint dysfunction. The observation period after splint therapy depends on the specific condition of the patient and the goals of treatment. On average, it lasts from 3-4 weeks to 2-3 months.

Making Splints

The process of creation begins with taking impressions of the patient's jaw using an articulator. Then, models of the jaws are created, the number of which depends on the need for an accurate fit and the manufacturing technique. In the lab, a dental technician uses the impression data and computer analysis to create a model of the mouthguard. On the model, a wax plate is first formed, which is fixed to the base. Then an impression of the malpositioned teeth is made. At the final stage, the technician replaces the wax with a polymer, grinds and polishes the surface of the finished mouthguard.

Wearing and caring for the splint

When wearing a dental mouth guard, it is recommended to follow a number of rules:

  1. Wear the mouth guard as long as possible during the day, including night and day. Ideally - around the clock
  2. It is convenient to eat in the splint. If you have difficulty chewing, you can temporarily remove the mouth guard
  3. Do not fill or remove crowns while using the splint, as this may require replacing it
  4. Clean the splint regularly using a toothbrush and toothpaste
  5. Store the overlay in a special plastic container provided by your doctor
  6. If the splint gets dirty, rinse it in warm water

During the first 2-3 days of adaptation to the splint, increased salivation and discomfort in the oral cavity are possible. Unpleasant sensations in the area of the joints and muscles when using the splint are considered normal. Over time, they disappear on their own. Acute pain is considered unacceptable and requires an immediate visit to the doctor.

The opinion of K+31 specialists on the sequence of using splints and braces for TMJ pathologies

The opinion of K+31 specialists on the sequence of using splints and braces for TMJ pathologies

At the K+31 dental clinic, doctors are faced with the question of the optimal sequence of treatment for temporomandibular joint dysfunction, namely, whether to start with wearing a splint or installing braces. This question is relevant due to the fact that the dynamics of the TMJ can change during orthodontic treatment.

Splint therapy is the first step in dentistry in the presence of problems with the jaw joint. It helps stabilize the joint and reduce symptoms, which is important before installing braces. The splint relieves symptoms and prepares the jaw for subsequent orthodontic procedures.

Sometimes braces are installed first if it is expected that the correction of teeth and bite will help stabilize the joint. This method requires careful monitoring and caution, since there is a high probability of deterioration of the joint.

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
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Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
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Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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