The Journal of the American Dental Association
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Randomized Controlled Trial Comparative Study
The treatment of painful temporomandibular joint clicking with oral splints: a randomized clinical trial.
The authors compared the efficacy of bilateral balanced and canine guidance (occlusal) splints in the treatment of temporomandibular joint (TMJ) pain in subjects who experienced joint clicking with a nonoccluding splint in a double-blind, controlled randomized clinical trial. ⋯ The type of lateral guidance did not influence the subjects' improvement. All of the subjects had a general improvement on the VAS, though subjects in the occlusal splint groups had better results that did subjects in the nonoccluding splint group.
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Randomized Controlled Trial Comparative Study
The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial.
Treatment recommendations for patients with painful temporomandibular disorders (TMDs) range from conservative treatments such as physiotherapy to aggressive and irreversible treatments such as restorative reconstruction and joint surgery. ⋯ These findings suggest that clinicians who treat patients with TMD should consider prescribing low-cost nonsplint self-care therapy for most patients.