THE RELEVANCE AND EFFECTIVENESS OF SPLINT THERAPY FOR TEMPOROMANDIBULAR DISORDER AND CONCOMITANT HEADACHE

Author:

Saleeva Gul'shat1,Shakirov Eduard1,Shakirova Liaisan2,Magasumov Emil1

Affiliation:

1. Kazan state medical university

2. Kazanskiĭ gosudarstvennyy medicinskiy universitet

Abstract

Introduction. Currently, there is an increased incidence of episodic headache, which patients often attribute to emotional overstrain and stress. However, headaches can be a complication of a more complex condition such as temporomandibular disorder (TMD), which patients may not even be aware of. The use of splint therapy can relieve the patient of pain and discomfort, thereby improving quality of life. The aim of study was to identify the effectiveness of splint therapy in the treatment of dysfunction of the temporomandibular complex, complicated by headache, followed by its relief. Materials and methods. When writing this review, articles published in foreign and domestic scientific publications over the past 19 years have been studied. The articles had certain requirements: compliance with the topic, relevance, the number of participants in the study is greater than or equal to 20, the article does not violate anyone's rights and does not pursue commercial interests. Analysis of the structure and content of the articles allowed selecting 22 articles, which best reveal the topic. Of the selected articles, 7 met the requirements. Results and Discussion. The use of splint therapy as the main method of rehabilitation of patients with dysfunction of the temporomandibular complex raises many questions and doubts, however, this attitude is caused more by the relative novelty of the presented method than by its objective results. There are a large number of studies that describe the high effectiveness of this type of rehabilitation. Splint therapy can be used as an additional method in the complex treatment of headaches, as well as as a main tool in the treatment of joint and muscle pathologies and bruxism. Conclusions. Treatment of patients with TMD and concomitant headache requires a comprehensive approach. Splint therapy appears to be an effective method for eliminating myalgia and headache, as well as pain in the TMJ.

Publisher

TIRAZH Publishing House

Reference22 articles.

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2. Yin Y., He S., Xu J., You W., Li Q., Long J., Luo L., Kemp G.J., Sweeney J.A., Li F., Chen S., Gong Q. The neuro-pathophysiology of temporomandibular disorders-related pain: a systematic review of structural and functional MRI studies // J Headache Pain. – 2020;21(1):78. doi: 10.1186/s10194-020-01131-4., Yin Y., He S., Xu J., You W., Li Q., Long J., Luo L., Kemp G.J., Sweeney J.A., Li F., Chen S., Gong Q. The neuro-pathophysiology of temporomandibular disorders-related pain: a systematic review of structural and functional MRI studies // J Headache Pain. – 2020;21(1):78. doi: 10.1186/s10194-020-01131-4.

3. Kang J.H. Effects on migraine, neck pain, and head and neck posture, of temporomandibular disorder treatment: Study of a retrospective cohort // Arch Oral Biol. – 2020;114:104718. doi: 10.1016/j.archoralbio.2020.104718., Kang J.H. Effects on migraine, neck pain, and head and neck posture, of temporomandibular disorder treatment: Study of a retrospective cohort // Arch Oral Biol. – 2020;114:104718. doi: 10.1016/j.archoralbio.2020.104718.

4. Piancino M.G., Dalmasso P., Borello F., Cinnella P., Crincoli V., Garagiola U., de Biase C., Tonni I., Matacena G., Deregibus A. Thoracic-lumbar-sacral spine sagittal alignment and cranio-mandibular morphology in adolescents // J Electromyogr Kinesiol. – 2019;48:169-175. doi: 10.1016/j.jelekin.2019.07.016., Piancino M.G., Dalmasso P., Borello F., Cinnella P., Crincoli V., Garagiola U., de Biase C., Tonni I., Matacena G., Deregibus A. Thoracic-lumbar-sacral spine sagittal alignment and cranio-mandibular morphology in adolescents // J Electromyogr Kinesiol. – 2019;48:169-175. doi: 10.1016/j.jelekin.2019.07.016.

5. Хватова В.А., Чикунов С.О. Окклюзионные шины (современное состояние проблемы). Москва : Медицинская книга. 2010:56. [V.A. Khvatova, S.O. Chikunov. Occlusal splint (current state of the problem). Moscow : Medical Book. 2010:56. (In Russ.)]. https://www.elibrary.ru/item.asp?id=19551528, Hvatova V.A., Chikunov S.O. Okklyuzionnye shiny (sovremennoe sostoyanie problemy). Moskva : Medicinskaya kniga. 2010:56. [V.A. Khvatova, S.O. Chikunov. Occlusal splint (current state of the problem). Moscow : Medical Book. 2010:56. (In Russ.)]. https://www.elibrary.ru/item.asp?id=19551528

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