Effects of Occlusal Splints on Spinal Posture in Patients with Temporomandibular Disorders: A Systematic Review
There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and...
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| Published in | Healthcare (Basel) Vol. 10; no. 4; p. 739 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Switzerland
MDPI AG
15.04.2022
MDPI |
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| Online Access | Get full text |
| ISSN | 2227-9032 2227-9032 |
| DOI | 10.3390/healthcare10040739 |
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| Abstract | There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and Scopus were systematically searched from inception until 5 January 2022 to identify observational studies with a longitudinal study design presenting: patients with diagnosis of TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); occlusal splint therapy as intervention; postural assessment as outcome. Out of 133 records identified, 104 were suitable for data screening, and only 7 articles were included satisfying the eligibility criteria. We found that occlusal splints might have a positive effect on posture in TMD patients, albeit there is little evidence of appropriate investigation for postural assessment. This systematic review suggested that the occlusal splint might be considered a non-invasive therapeutic approach for patients with TMD. However, the low number of studies with high-quality methodology in these patients showed an urgent need for further research using combined force platform stabilometry and kinematic evaluation of the spine to investigate the impact of occlusal splints on posture. |
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| AbstractList | There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and Scopus were systematically searched from inception until 5 January 2022 to identify observational studies with a longitudinal study design presenting: patients with diagnosis of TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); occlusal splint therapy as intervention; postural assessment as outcome. Out of 133 records identified, 104 were suitable for data screening, and only 7 articles were included satisfying the eligibility criteria. We found that occlusal splints might have a positive effect on posture in TMD patients, albeit there is little evidence of appropriate investigation for postural assessment. This systematic review suggested that the occlusal splint might be considered a non-invasive therapeutic approach for patients with TMD. However, the low number of studies with high-quality methodology in these patients showed an urgent need for further research using combined force platform stabilometry and kinematic evaluation of the spine to investigate the impact of occlusal splints on posture. There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and Scopus were systematically searched from inception until 5 January 2022 to identify observational studies with a longitudinal study design presenting: patients with diagnosis of TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); occlusal splint therapy as intervention; postural assessment as outcome. Out of 133 records identified, 104 were suitable for data screening, and only 7 articles were included satisfying the eligibility criteria. We found that occlusal splints might have a positive effect on posture in TMD patients, albeit there is little evidence of appropriate investigation for postural assessment. This systematic review suggested that the occlusal splint might be considered a non-invasive therapeutic approach for patients with TMD. However, the low number of studies with high-quality methodology in these patients showed an urgent need for further research using combined force platform stabilometry and kinematic evaluation of the spine to investigate the impact of occlusal splints on posture.There is still a gap in the scientific knowledge on the linkage between craniofacial structure and spinal postural control in temporomandibular disorder (TMD) patients. This systematic review aimed to assess the role of occlusal splints on spinal posture of TMD patients. PubMed, Web of Science, and Scopus were systematically searched from inception until 5 January 2022 to identify observational studies with a longitudinal study design presenting: patients with diagnosis of TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); occlusal splint therapy as intervention; postural assessment as outcome. Out of 133 records identified, 104 were suitable for data screening, and only 7 articles were included satisfying the eligibility criteria. We found that occlusal splints might have a positive effect on posture in TMD patients, albeit there is little evidence of appropriate investigation for postural assessment. This systematic review suggested that the occlusal splint might be considered a non-invasive therapeutic approach for patients with TMD. However, the low number of studies with high-quality methodology in these patients showed an urgent need for further research using combined force platform stabilometry and kinematic evaluation of the spine to investigate the impact of occlusal splints on posture. |
| Author | Giudice, Amerigo de Sire, Alessandro Calafiore, Dario Fortunato, Leonzio Marotta, Nicola Ferrillo, Martina Curci, Claudio Ammendolia, Antonio |
| AuthorAffiliation | 3 Physical Medicine and Rehabilitation Unit, Department of Neurosciences, ASST Carlo Poma, 46100 Mantova, Italy; dario.calafiore@asst-mantova.it (D.C.); claudio.curci@asst-mantova.it (C.C.) 2 Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy; ammendolia@unicz.it (A.A.); alessandro.desire@unicz.it (A.d.S.) 1 Dentistry Unit, Department of Health Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy; martinaferrillo@hotmail.it (M.F.); a.giudice@unicz.it (A.G.); leo@unicz.it (L.F.) |
| AuthorAffiliation_xml | – name: 1 Dentistry Unit, Department of Health Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy; martinaferrillo@hotmail.it (M.F.); a.giudice@unicz.it (A.G.); leo@unicz.it (L.F.) – name: 2 Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy; ammendolia@unicz.it (A.A.); alessandro.desire@unicz.it (A.d.S.) – name: 3 Physical Medicine and Rehabilitation Unit, Department of Neurosciences, ASST Carlo Poma, 46100 Mantova, Italy; dario.calafiore@asst-mantova.it (D.C.); claudio.curci@asst-mantova.it (C.C.) |
| Author_xml | – sequence: 1 givenname: Martina orcidid: 0000-0003-1878-4694 surname: Ferrillo fullname: Ferrillo, Martina – sequence: 2 givenname: Nicola orcidid: 0000-0002-5568-7909 surname: Marotta fullname: Marotta, Nicola – sequence: 3 givenname: Amerigo orcidid: 0000-0001-9374-0566 surname: Giudice fullname: Giudice, Amerigo – sequence: 4 givenname: Dario orcidid: 0000-0001-9221-2497 surname: Calafiore fullname: Calafiore, Dario – sequence: 5 givenname: Claudio surname: Curci fullname: Curci, Claudio – sequence: 6 givenname: Leonzio orcidid: 0000-0001-8701-5018 surname: Fortunato fullname: Fortunato, Leonzio – sequence: 7 givenname: Antonio orcidid: 0000-0002-2828-2455 surname: Ammendolia fullname: Ammendolia, Antonio – sequence: 8 givenname: Alessandro orcidid: 0000-0002-5541-8346 surname: de Sire fullname: de Sire, Alessandro |
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| Keywords | occlusal splints stabilometry temporomandibular joint disorders posture body posture splints stabilization splints temporomandibular disorders |
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| Title | Effects of Occlusal Splints on Spinal Posture in Patients with Temporomandibular Disorders: A Systematic Review |
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