Evaluation of this temporomandibular joint space when using different occlusal splints by cone beam computerized tomography : a case report

• Autor(a) principal: Januzzi, Eduardo
• Data de Publicação: 2017
• Outros Autores: Ferreira, Luciano Ambrosio, Duarte, Juliana da Silva, Ribondi, Carla Rodrigues, Corrêa, Cira Valéria Almeida, Alvarenga, Mariana Guimarães Jorge de, Gonçalves, Rafael Tardin Rosa Ferraz, Almeida, André Mariz de, Maurício, Paulo João Bela Teiga de Durão
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.26/29322
• topic: Temporomandibular disorders; Intra-articular space; Occlusal splints; Cone beam computed tomography scans

Introduction: An occlusal splint is a removable, reversible, non-invasive device made of acrylic, used to promote a harmonious occlusal contact. It is part of an arsenal of therapeutic modalities used in the treatment of Temporomandibular Joint (TMJ) Disorders. However, its mechanisms of action remain controversial. Several hypotheses have been proposed to explain its efficiency, such as: repositioning of the condyle or disk; reduction of the masticatory electromyographic activity; change of harmful oral habits; increase of the intra-articular space reducing the overload on the TMJ. Case presentation: This case report aims to demonstrate the changes in TMJ spaces, assessed by Cone Beam Computed Tomography (CBTC) scans, in a patient with indication to use occlusal splints. She was submitted to occlusal splints of 1 and 3 mm which were used during CBTC acquisition. The measures of the joint spaces with and without splints were compared by image software that shows an alteration of the upper, anterior, posterior, medial and lateral joint spaces. The 3 mm plate promoted an initial translation of condyle. Conclusion: The thicknesses of 3 and 1 mm promoted different joint space variations. The use of different thicknesses enables the individualization of the treatment for different pathologies affecting the TMJ.