Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial



Felipe J. Fernández-González1, 2, *, #, Jorge Cabero-López1, 3, *, #, Aritza Brizuela5, Ivan Suazo6, Esteban Pérez-Pevida5, Teresa Cobo1, Oier Montalban7, Markel Diéguez-Pereira3, David Chávarri-Prado8, Iker Bellanco de la Pinta7, Antonio Jiménez-Garrudo9
1 Department of Surgery and Medical-Surgical Specialties, Medical and Dental School, University of Oviedo, Instituto Asturiano de Odontologia, Oviedo, Spain
2 Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Chile
3 Faculty of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain
5 Department of Surgery, Gynecology and Obstetrics, Faculty of Sports and Health Sciences, University of Zaragoza, Huesca, Spain
6 Director de Postgrado e investigación, Universidad Autónoma de Chile, Chile
7 Faculty of Medicine and Health Sciences, University of Salamanca, Salamanca, Spain
8 Department of Stomatology I, Faculty of Medicine and Dentistry, University of the Basque Country, Leioa, Spain.
9 Department of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain


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© 2017 Fernández-González et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Surgery and Medical-Surgical Specialties, Medical and Dental School, University of Oviedo, Instituto Asturiano de Odontologia, Oviedo, Spain at the Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Chile; Tel: 679576889 E-mail: fjvazquezvega@gmail.com


Abstract

Background:

For patients whose centric relation (CR) has not been considered at the start and during treatment, the task of achieving an occlusal scheme that works together with the temporomandibular joint, the muscles, and the structures of the stomatognathic apparatus becomes a major concern.

Objective:

This study aims to describe a reproducible, predictable and to date unreported procedure of selective grinding guided by an occlusal splint and to analyze condylar position (CP) based on the skeletal pattern.

Methods:

A total of 72 symptomatic patients (38 females and 34 males) were classified into three groups: hyperdivergent, intermediate and hypodivergent. CP was quantified by mounted casts on a measures condyle displacement (MCD) device. Helkimo index was also performed in order to assess the severity of the temporomandibular joint (TMJ) disorders attending to clinical dysfunction, occlusal state and anamnestic dysfunction. Once the stability had been obtained, the splint was progressively reduced until the maximum intercuspation (MIC) was achieved.

Results:

The vertical displacement was found to be significantly different between the hyperdivergent and other two groups (p<0.01). Comparisons of MCD analysis before and after the selective grinding procedure identified a statistically significant difference in the horizontal and vertical CP (p<0.01) between the different groups whereas the Helkimo Index showed a clear improvement of TMJ disorders.

Conclusion:

All facial types, specially the hyperdivergent face type, showed a reduction in condylar displacement (CD) and less craniomandibular symptoms using this procedure, making it an excellent technique for clinicians.

Keywords: Occlusion, Selective grinding, Temporomandibular disorder, Occlusal splint.