TODENTJ-25-03-2019_TODENTJ-12-501
1553507412
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
7
31
2018
12
1
The Effect of Flat Dual-Cure Stabilizer Occlusal Splint in Pain Relief of Individuals Suffering from Migraine Headaches
Majid
Sahebi
Somayeh
Zeighami
Mohammadreza
Hajimahmoudi
Background:
No study on the effect of dual-cure stabilizer splint without canine ramp in migraine patients is present.
Objective:
This study was conducted to determine the effects of maxillary flat dual-cure stabilizer occlusal splint on severity, frequency and episodes of headaches in individuals suffering from a migraine.
Methods:
In this interventional clinical trial, 30 eligible patients were divided into 2 groups (case and control); each group consisted of 8 men and 7 women. Dual-cure stabilizer splint was made for patients in the case group and they used the adjusted splint 20 hours a day for 6 weeks. The severity, frequency and episodes of migraine attacks before and after using the splint were determined. For grading pain, severity visual analogue scale was used. The data were analyzed using SPSS 20 and Kolmogorov-Smirnov test and paired t-test.
Results:
The severity, frequency, and episodes of migraine attacks before and after using the splint were reduced by 56%, 68%, and 72%, respectively. The reduction was statistically significant (p < 0.05).
Discussion:
Despite the effect of occlusal devices on the migraine disorder is controversial, the most researchers agree that using these appliances can be effective in reducing headache in migraine patients.
Conclusion:
Given the favorable effects of dual-cure stabilizer splint on reducing the severity, frequency and episodes of migraine headaches, the device can be used as an effective alternative therapy besides common pain-relieving methods.
7
31
2018
501
509
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1
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opendentistryjournal.com
benthamopen.com
true
Peer Reviewed
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2018-4-1
2018-6-29
2018-7-11
2018-7-31
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601812010501
1553507412
https://opendentistryjournal.com/VOLUME/12/PAGE/501/
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https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-501/TODENTJ-12-501.pdf
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Headache
Lipton R.B.
47
S2
2007
10.1111/j.1526-4610.2007.00671.x
Lipton RB, Bigal ME.
Ten lessons on the epidemiology of migraine.
Headache
2007;
47
(1)
(Suppl. 1)
: S2-9.
Neurology
Lipton R.B.
84
688
2015
10.1212/WNL.0000000000001256
Lipton RB, Fanning KM, Serrano D, Reed ML, Cady R, Buse DC.
Ineffective acute treatment of episodic migraine is associated with new-onset chronic migraine.
Neurology
2015;
84
(7)
: 688-95.
Headache
van Boxtel A.
24
259
1984
10.1111/j.1526-4610.1984.hed2405259.x
van Boxtel A, Goudswaard P.
Absolute and proportional resting EMG levels in chronic headache patients in relation to the state of headache.
Headache
1984;
24
(5)
: 259-65.
Headache
Tfelt-Hansen P.
21
49
1981
10.1111/j.1526-4610.1981.hed2102049.x
Tfelt-Hansen P, Lous I, Olesen J.
Prevalence and significance of muscle tenderness during common migraine attacks.
Headache
1981;
21
(2)
: 49-54.
Headache
Bakal D.A.
17
208
1977
10.1111/j.1526-4610.1977.hed1705208.x
Bakal DA, Kaganov JA.
Muscle contraction and migraine headache: Psychophysiologic comparison.
Headache
1977;
17
(5)
: 208-15.
Proc. Finn. Dent. Soc.
Forssell H.
80
217
1984
Forssell H, Kangasniemi P.
Mandibular dysfunction in patients with migraine.
Proc Finn Dent Soc
1984;
80
(5-6)
: 217-22.
Pain
Lous I.
12
385
1982
10.1016/0304-3959(82)90183-X
Lous I, Olesen J.
Evaluation of pericranial tenderness and oral function in patients with common migraine, muscle contraction headache and ‘combination headache’.
Pain
1982;
12
(4)
: 385-93.
Br. Dent. J.
Barnes M.F.
200
283
2006
10.1038/sj.bdj.4813311
Barnes MF, Geary JL, Clifford TJ, Lamey PJ.
Fitting acrylic occlusal splints and an experimental laminated appliance used in migraine prevention therapy.
Br Dent J
2006;
200
(5)
: 283-6.
Cranio
Lapeer G.L.
38
311
1980
Lapeer GL.
Reduction of the painful sequelae of migraine headache by use of the occlusal diagnostic splint: An hypothesis.
Cranio
1980;
38
(5)
: 311-20.
Acta Odontol. Scand.
Magnusson T.
38
311
1980
10.3109/00016358009033598
Magnusson T, Carlsson GE.
Changes in recurrent headaches and mandibular dysfunction after various types of dental treatment.
Acta Odontol Scand
1980;
38
(5)
: 311-20.
J. Prosthet. Dent.
Magnusson T.
49
398
1983
10.1016/0022-3913(83)90285-8
Magnusson T, Carlsson GEA.
A 21/2-year follow-up of changes in headache and mandibular dysfunction after stomatognathic treatment.
J Prosthet Dent
1983;
49
(3)
: 398-402.
Acta Odontol. Scand.
Forssell H.
45
77
1987
10.3109/00016358709098360
Forssell H, Kirveskari P, Kangasniemi P.
Response to occlusal treatment in headache patients previously treated by mock occlusal adjustment.
Acta Odontol Scand
1987;
45
(2)
: 77-80.
Cephalalgia
Forssell H.
5
229
1985
10.1046/j.1468-2982.1985.0504229.x
Forssell H, Kirveskari P, Kangasniemi P.
Changes in headache after treatment of mandibular dysfunction.
Cephalalgia
1985;
5
(4)
: 229-36.
J. Prosthet. Dent.
Kemper J.T.
49
702
1983
10.1016/0022-3913(83)90400-6
Kemper JT Jr, Okeson JP.
Craniomandibular disorders and headaches.
J Prosthet Dent
1983;
49
(5)
: 702-5.
Headache
Ahlin J.H.
24
216
1984
10.1111/j.1526-4610.1984.hed2404216.x
Ahlin JH, Atkins G.
A screening procedure for differentiating temporomandibular joint related headache.
Headache
1984;
24
(2)
: 216-21.
Cranio
Shankland W.E.
19
269
2001
10.1080/08869634.2001.11746178
Shankland WE II.
Migraine and tension-type headache reduction through pericranial muscular suppression: A preliminary report.
Cranio
2001;
19
(4)
: 269-78.
J. Am. Dent. Assoc.
Mitrirattanakul S.
137
1267
2006
10.14219/jada.archive.2006.0385
Mitrirattanakul S, Merrill RL.
Headache impact in patients with orofacial pain.
J Am Dent Assoc
2006;
137
(9)
: 1267-74.
J. Orofac. Pain
Wright E.
9
192
1995
Wright E, Anderson G, Schulte J.
A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain.
J Orofac Pain
1995;
9
(2)
: 192-9.
J. Bodyw. Mov. Ther.
Juehring D.D.
15
538
2011
10.1016/j.jbmt.2011.01.019
Juehring DD, Barber MR.
A case study utilizing Vojta/Dynamic Neuromuscular stabilization therapy to control symptoms of a chronic migraine sufferer.
J Bodyw Mov Ther
2011;
15
(4)
: 538-41.
J. Oral Rehabil.
Glaros A.G.
34
97
2007
10.1111/j.1365-2842.2006.01660.x
Glaros AG, Owais Z, Lausten L.
Reduction in parafunctional activity: A potential mechanism for the effectiveness of splint therapy.
J Oral Rehabil
2007;
34
(2)
: 97-104.
J. Am. Med. Dir. Assoc.
Warden V.
4
9
2003
10.1097/01.JAM.0000043422.31640.F7
Warden V, Hurley AC, Volicer L.
Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale.
J Am Med Dir Assoc
2003;
4
(1)
: 9-15.
Dawson P.
Functional occlusion from TMJ to smile design 1st ed.
2007.
J. Orofac. Pain
Ekberg E.
17
133
2003
Ekberg E, Vallon D, Nilner M.
The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial.
J Orofac Pain
2003;
17
(2)
: 133-9.
Int. J. Prosthodont.
Ekberg E.
15
564
2002
Ekberg E, Nilner M.
A 6- and 12-month follow-up of appliance therapy in TMD patients: A follow-up of a controlled trial.
Int J Prosthodont
2002;
15
(6)
: 564-70.
Clin. Oral Investig.
Türp J.C.
8
179
2004
10.1007/s00784-004-0265-4
Türp JC, Komine F, Hugger A.
Efficacy of stabilization splints for the management of patients with masticatory muscle pain: A qualitative systematic review.
Clin Oral Investig
2004;
8
(4)
: 179-95.
J. Am. Dent. Assoc.
Kreiner M.
132
770
2001
10.14219/jada.archive.2001.0274
Kreiner M, Betancor E, Clark GT.
Occlusal stabilization appliances. Evidence of their efficacy.
J Am Dent Assoc
2001;
132
(6)
: 770-7.
Acta Odontol. Scand.
Linde C.
53
92
1995
10.3109/00016359509005953
Linde C, Isacsson G, Jonsson BG.
Outcome of 6-week treatment with transcutaneous electric nerve stimulation compared with splint on symptomatic temporomandibular joint disk displacement without reduction.
Acta Odontol Scand
1995;
53
(2)
: 92-8.
Oral Surg. Oral Med. Oral Pathol.
Lundh H.
73
655
1992
10.1016/0030-4220(92)90003-9
Lundh H, Westesson PL, Eriksson L, Brooks SL.
Temporomandibular joint disk displacement without reduction. Treatment with flat occlusal splint versus no treatment.
Oral Surg Oral Med Oral Pathol
1992;
73
(6)
: 655-8.
J. Prosthet. Dent.
Dylina T.J.
86
539
2001
10.1067/mpr.2001.118878
Dylina TJ.
A common-sense approach to splint therapy.
J Prosthet Dent
2001;
86
(5)
: 539-45.
J. Dent. Res.
Dubé C.
83
398
2004
10.1177/154405910408300509
Dubé C, Rompré PH, Manzini C, Guitard F, de Grandmont P, Lavigne GJ.
Quantitative polygraphic controlled study on efficacy and safety of oral splint devices in tooth-grinding subjects.
J Dent Res
2004;
83
(5)
: 398-403.
J. Am. Dent. Assoc.
Clark G.T.
99
607
1979
10.14219/jada.archive.1979.0348
Clark GT, Beemsterboer PL, Solberg WK, Rugh JD.
Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy.
J Am Dent Assoc
1979;
99
(4)
: 607-11.
J. Prosthet. Dent.
Carraro J.J.
40
563
1978
10.1016/0022-3913(78)90094-X
Carraro JJ, Caffesse RG.
Effect of occlusal splints on TMJ symptomatology.
J Prosthet Dent
1978;
40
(5)
: 563-6.
Pain
Dao T.T.
56
85
1994
10.1016/0304-3959(94)90153-8
Dao TT, Lavigne GJ, Charbonneau A, Feine JS, Lund JP.
The efficacy of oral splints in the treatment of myofascial pain of the jaw muscles: A controlled clinical trial.
Pain
1994;
56
(1)
: 85-94.
Acta Odontol. Scand.
Jokstad A.
63
218
2005
10.1080/00016350510019982
Jokstad A, Mo A, Krogstad BS.
Clinical comparison between two different splint designs for temporomandibular disorder therapy.
Acta Odontol Scand
2005;
63
(4)
: 218-26.
Scott. Med. J.
Lamey P.J.
32
11
1987
10.1177/003693308703200105
Lamey PJ, Barclay SC.
Clinical effectiveness of occlusal splint therapy in patients with classical migraine.
Scott Med J
1987;
32
(1)
: 11-2.
J. Prosthet. Dent.
Tallents R.H.
63
336
1990
10.1016/0022-3913(90)90208-T
Tallents RH, Katzberg RW, Macher DJ, Roberts CA.
Use of protrusive splint therapy in anterior disk displacement of the temporomandibular joint: A 1- to 3-year follow-up.
J Prosthet Dent
1990;
63
(3)
: 336-41.
J. Dent.
Quayle A.A.
18
123
1990
10.1016/0300-5712(90)90048-J
Quayle AA, Gray RJ, Metcalfe RJ, Guthrie E, Wastell D.
Soft occlusal splint therapy in the treatment of migraine and other headaches.
J Dent
1990;
18
(3)
: 123-9.
Br. Dent. J.
Lamey P.J.
180
137
1996
10.1038/sj.bdj.4809001
Lamey PJ, Steele JG, Aitchison T.
Migraine: the effect of acrylic appliance design on clinical response.
Br Dent J
1996;
180
(4)
: 137-40.