ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title A Full Coverage Appliance Outperforms The Partial Coverage NTI Appliance At Relieving TMD Symptoms Without Creating Complications Associated With The Use Of A Partial Coverage Appliance
Clinical Question When compared to a NTI, is a full coverage appliance more effective for treating TMD?
Clinical Bottom Line A full coverage appliance is more effective at relieving TMD symptoms than a NTI without causing additional complications.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 15129601Magnusson/2004Subjects with TMD symptoms.RCT
Key resultsOf 14 subjects with TMD symptoms using a full coverage appliance for 6 months, all showed either some or significant improvement, while of 10 subjects using a NTI, only 7 showed signs of improvement, while 2 showed no improvement and 1 had worse TMD symptoms.
Evidence Search "Temporomandibular Joint Disorders/therapy"[Mesh] AND (("splints"[MeSH Terms] OR "splint"[All Fields]) AND nti[All Fields])
Comments on
The Evidence
Subjects showing symptoms of TMD were selected for the RCT after being given a clinical examination and having their subjective symptoms recorded.
Applicability While both the NTI and full coverage appliances show to both be effective therapy for relieving the symptoms of TMD, the NTI is less effective, and puts the subject at risk of having occlusal changes, tooth mobility, and has a chance of being ingested or aspirated due to its small size.
Specialty/Discipline (General Dentistry)
Keywords Temporomandibular Joint Disorders, NTI
ID# 2412
Date of submission: 04/01/2013spacer
E-mail angwin@uthscsa.edu
Author Ryan Angwin
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Edward F. Wright, DDS, MS
Faculty mentor/Co-author e-mail WrightE2@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
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None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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