Temporomandibular.info
was devised by
Dr Stephen J Davies
BDS , M.D.Sc., D.G.D.P.(UK)
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Treatment - Splint therapy
Counselling | Physiotherapy | Pharmacotherapy | Splint therapy
- Soft Bite Guard (S.B.G)
First line of treatment for PDS - Localised Occlusal Interference
Splint (L.O.I.S)
For clenching and/or bruxism - Stabilisation Splint (S.S)
Determines whether occlusion contributes to patient's TMD by providing an 'ideal occlusion'. - Anterior Bite Plane (A.B.P)
Emergency short term treatment for acute muscle spasm. - Anterior Repositioning Splint
(A.R.P.S)
Treatment of internal derangement of the temporomandibular disc with reduction on opening.
Soft Bite Guard (S.B.G)
This should be the first line of treatment for PDS (pain dysfunction syndrome). Should be warn at night, and in some cases during the day, for up to 3 months. Ideal for bruxism, though in severe cases can make bruxism worse as it just gives the patient something new to clench and grind on.
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Localised Occlusal Interference Splint (L.O.I.S)
Aka 'Interceptor'. This is designed so that only 4 teeth touch during closure. The proprioceptive fibres in those 4 teeth are 'overloaded', sending a message to the brain, reminding the patient not to grind or clench their teeth.
Stabilisation Splint (S.S)
Removeable ideal occlusion. This is used for:
- PDS
- Should be warn at night
- Should be used for 3 months
- Slowly weaned off
- Establishing CR (Centric relation) before major restorative work
- Providing balanced adjustable occlusion in patients with major bone pathology
This is made by taking:
- Upper Impression
- Lower Impression
- Centric Relation Registration
- Face Bow record
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Anterior Repositioning Splint (A.R.P.S)
Very important splint in the treatment of Disc displacement with reduction. The earlier the click in the opening cycle, the easier it will be to treat using this method and the greater the chance of success. This splint is made by taking:
- Upper impression
- Lower impression
- Protrusive bite registration (if click has been eliminated - see diagnosis of disc displacement with reduction)
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To ensure healing and reattachment of the disc to the condyle, the splint must be warn 24 hours a day for 3 months, then slowly the patient should be weaned off.
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