World journal of orthodontics
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Randomized Controlled Trial Comparative Study
A clinical, MRI, and EMG analysis comparing the efficacy of twin blocks and flat occlusal splints in the management of disc displacements with reduction.
Internal derangement of the temporomandibular joint (TMJ) is characterized by an abnormal disc-condyle relationship. Of all the various treatment modalities used in the management of disc displacements, flat occlusal and anterior repositioning splints are the most commonly used. ⋯ The sample consisted of 20 subjects between 12 and 20 years of age, who were randomly divided into two groups of 10 patients each: Group 1 was treated with twin blocks, while group 2 was treated using maxillary flat occlusal splints. The twin block is more effective in relieving joint pain, diminishing joint dysfunction, reducing joint clicking, and eliminating muscle tenderness in patients with anterior disc displacement with reduction as compared to the occlusal splint.