医学
夜磨牙症
夹板
随机对照试验
闭塞
物理疗法
牙合
安慰剂
批判性评价
分级(工程)
牙科
临床试验
口腔正畸科
物理医学与康复
肌电图
外科
替代医学
内科学
土木工程
病理
工程类
作者
Ana Cristina Scremin Denardin,Luíza Pereira do Nascimento,Lígia Figueiredo Valesan,Cecília Doebber Da,Patrícia Pauletto,Roberto Ramos Garanhani,Eduardo Januzzi,Leandro Augusto Hilgert,Beatriz Dulcinéia Mendes de Souza
标识
DOI:10.1016/j.oooo.2022.07.009
摘要
To determine the best disocclusion guidance in occlusal splints (OSs) to manage and treat temporomandibular disorder (TMD) and sleep bruxism (SB).The research was conducted on 7 major electronic databases and 3 gray literature sources. We included randomized trials, nonrandomized clinical trials, and before-and-after studies. The risk of bias (RoB) was assessed by Joanna Briggs Institute of Critical Appraisal Tools. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to grade the certainty of evidence.Qualitative synthesis included 16 surveys reporting data from 620 participants. Canine guidance (CG) was widely searched. Bilateral balanced occlusion (BBO) and CG significantly decreased pain levels compared with the placebo splint. Comparing between OS and absence of therapy, only CG was assessed and showed significant improvements on mouth opening, pain, sleep quality, and muscle activity. When compared different guide types among themselves, no significant improvement was founded in any evaluated outcome. Three studies presented high RoB, 7 presented moderate RoB, and 6 presented low RoB.It is suggested there is not enough evidence to support that there are any specific kind of guidance responsible for improving evaluated outcomes on TMD and SB.
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