My first Magazine | Page 80

SPLINTS IN TMJ DYSFUNCTION. HOW EFFECTIVE? A REVIEW
27. Lundh H, Westesson P-L, Koop S, Tillström B. Anterior repositioning splint in the treatment of temporomandibular joints with reciprocal clicking: comparison with flat occlusal splint and an untreated controlled group. Oral Surg Oral Med Oral Pathol. 1985; 60( 2): 131-136. 28. Wright E, Anderson G, Schulte J. A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain. J Orofac Pain. 1995; 9( 2): 192-199. 29. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 5th ed. St. Louis: Mosby; 2003:260. 30. Dylina TJ. A common-sense approach to splint therapy. J Prosthet Dent. 2001; 86( 5): 539-545. 31. Littner D, Perlman-Emodi A, Vinocuor E. Efficacy of treatment with hard and soft occlusal appliance in TMD. Refuat
Hapeh Vehashinayim( 1993). 2004; 21( 3): 52-58, 94. 32. Katyayan PA, Katyayan MK, Shah RJ, Patel G. J Indian Prosthodont Soc. 2014; 14( 3): 251-261. 33. Fricton J, Look JO, Wright E, Alencar FG Jr, Chen H, Lang M, Ouyang W, Velly AM. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. J Orofac Pain. 2010; 24( 3): 237-254. 34. Meyer GB, Bernhardt Q, Küppers A. Headache- an interdisciplinary problem. Aspects of functional dental diagnostics and therapy. Stoma Edu J. 2014; 1( 1): 33-40. 35. Meyer GB, Bernhardt O, Constantinescu MV. Fundamentals of occlusion and masticatory function. Stoma Edu J. 2014; 1( 2): 116-122.

CV

Prof. Dr. Mahesh Verma, BDS, MDS, MBA, FDSRCS( England), PhD( hc) has been serving as the Director- Principal of prestigious Maulana Azad Institute of Dental Sciences, New Delhi for the last 20 years. He is a Fellow of the American College of Dentists, American Academy of Implant Dentistry, Royal College of Surgeons of England, Edinburgh, Glasgow and International Medical Sciences Academy. He has authored over 150 published and oral communications, research grants and keynote presentations. He is currently serving as the Immediate Past President of Indian Dental Association, the largest professional body of dental professionals in Asia and Consultant of Armed Forces Dental Services in India.

Questions

Mahesh VERMA
MDS, MBA, PhD( hc), FDSRCS( Eng), FDSRCS( Edin), FDSRPSG( Glas) Professor, Director-Principal, Department of Prosthodontics
Maulana Azad Institute of Dental Sciences New Delhi, India
Permissive splints:
q a. Also reffered to as muscle deprogrammers; q b. Are designed to position mandible in a specific relationship to maxilla; q c. They align the condyle-disk assembelies; q d. Used when a centric relation should be corrected.
Occlusal splint therapy can be recommended for the following purposes except:
q a. To protect oral tissues in patients with oral parafunction; q b. To eliminate occlusal interferences; q c. To stabilize the unstable occlusion; q d. To test the effect of changes in occlusion on the TMJ and jaw muscle function before extensive restorative treatment.
A directive splint is contraindicated in following conditions except: q a. If condyle and disc can be aligned correctly;
q b. If discs can maintain their alignment with condyles during function; q c. If it unlocks occlusal incline contacts; q d. First two options.
Indications of centric stabilization splints are all except:
q a. TMJ arthralgia; q b. Myospasm or myositis; q c. Parafunctional activity; q d. Disc-interference disorders.

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