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Quintessence Publishing: Journals: JOP
Journal of Orofacial Pain

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
and the European, Australian, Asian, and Ibero-Latin Academies of Craniomandibular Disorders

ISSN 1064-6655

Publication:
Spring 1995
Volume 9 , Issue 2

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A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain

Wright/Anderson/Schulte

Pages: 192-199
PMID: 7488989

Thirty subjects seeking treatment for masticatory muscle pain at a university based TMJ clinic were randomly assigned to soft-splint, palliative-treatment, and no-treatment groups. After 4 to 11 weeks of treatment, subjects were evaluated for changes from their baselinelevels of symptoms, maximum pain-free opening, pain thresholds measured by a pressure algometer, and occlusal contacts. With the use of the multivariate analysis of variance and analysis of covariance, the results suggest that the soft-splint group had statistically significant improvement (p<.01), the palliative-treatment group had improvement that was not statistically significant, and the no-treatment group had a slight aggravation of symptoms. The soft-splint group had fewer occlusal contact changes assessed with shimstock sompared to the palliative-treatment and no-treatment groups. The findings of this study suggest that the soft splint is an effective short-term treatment for reducing the signs and symptoms of masticatory muscle pain in patients, and the soft splint does not cause occlusal changes.

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