Benedictus, F. (2009) Splinttherapie bij bruxisme : Een review naar ontwerp en naamgeving van een splint als mogelijke therapie bij bruxisme. thesis, Dentistry.
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Abstract
Background Bruxism, the parafunction of grinding or gnashing the teeth, can be the cause of toothwear. In general practice splinttherapy is often used to oppose (the effects of) bruxism. However, consensus about splintdesign has not been reached. In this review an overview of splintdesign described in recent literature has been given and conclusions on desired splintdesign in the otherwise healthy subject have been acquired. Also nomenclature of splinttherapy has been described. Methods Published research on splinttherapy in bruxing patients has been collected. The medical databases PubMed and the Cochrane Library have been searched between 02/12/2009 and 02/15/2009, using the terms "bruxism", "occlusal splint", "occlusal appliance", "dental splint", "design" en "fabrication". Cross-checking of references has taken place. Inclusion criteria: Publication in the last ten years, publication in English, Dutch, German, Norwegian, Swedish or Danish, research on healthy grown-up human subjects, diagnosis 'bruxism' based on clinical examination in combination with self-report of bruxism or polysomnography. Only quality-assessed RCT's and systematic reviews were included. Results Six RCT's and three reviews were included. In the RCT's splints of different design are compared to one another and other forms of therapy. In five articles, splinttherapy is advocated as therapy of choice, because of the protecting character of the splint for the dental tissues. All splints described were made out of a hard material. The intended increase of vertical dimension by the splint was named in six RCT's and varied from 1 to 3 mm, measured at different sites. The amount of coverage by the splint also differed in the articles, but in only one article the splint was placed in the mandible. The splints mentioned in the trials were made in central relation and made anterior guidance possible. Various names have been given to the different splints in the included reviews and RCT's. Conclusion and recommendations Because of its protecting function against toothwear, splinttherapy is the therapy of choice when fighting bruxism. These splints should be made out of a hard material and can be positioned in central relation or maximal intercuspation. Placement of the splint in the upper jaw has advantages over placement in the lower jaw. The needed amount of coverage and increase in vertical dimension are unclear. Well-designed randomized and blind research on the differences between splintdesigns is needed. Also clear nomenclature in articles is needed. To clarify details on splintdesign, the following terms could be used to designate the amount and sort of coverage by the splint: palatal (contradistinction: U-formed) and/or
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Kalk, Prof.dr. W. and Sectie Orale functieleer, Prothetische Tandheelkunde en Biom and Centrum voor Tandheelkunde en Mondzorgkunde and Universitair Medisch Centrum Groningen and Rijksuniversiteit Groningen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:02 |
| Last Modified: | 25 Jun 2020 11:02 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2212 |
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