The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 20 , ISSUE 5 ( May, 2019 ) > List of Articles

ORIGINAL RESEARCH

Effects of Treatment with Nociceptive Trigeminal Inhibition Splints on Electromyography in Temporomandibular Joint Disorder Patients

Jehad M Kara Boulad, Rabab A Al-Sabbagh, Ahmad S Burhan, Chaza N Kouchaji, Fehmieh R Nawaya

Keywords : Electromyography, Masseter, Splints, Temporalis, Temporomandibular joint disorders

Citation Information : Boulad JM, Al-Sabbagh RA, Burhan AS, Kouchaji CN, Nawaya FR. Effects of Treatment with Nociceptive Trigeminal Inhibition Splints on Electromyography in Temporomandibular Joint Disorder Patients. J Contemp Dent Pract 2019; 20 (5):598-602.

DOI: 10.5005/jp-journals-10024-2565

License: CC BY-NC 4.0

Published Online: 01-08-2015

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: This research aimed at evaluating the effects of the nociceptive trigeminal inhibition splint (NTIS) on electromyography (EMG) for masseter and temporalis muscles in patients with temporomandibular joint disorders (TMDs), and at detecting the discomfort degree originating from this splint. Materials and methods: The sample consisted of 15 patients having TMDs of muscular origin to be treated by NTIS. The activity degree of masseter and temporalis muscles was measured using the EMG two times: before the treatment and after 6 months. Besides, patients’ discomfort was assessed after the start of treatment four times: 1 day, 2 weeks, 1 month, and 6 months. Results: After the treatment, there was a significant decrease in masseter and temporalis muscles’ activity in both right and left sides (p < 0.001). No significant differences were observed in the electrical muscular activity mean change between the masseter muscles (-43.87 ± 26.82) and the temporalis muscles (-54.91 ± 21.16) (p = 0.082), or between the right muscles (-51.97 ± 26.30) and the left muscles (-46.81 ± 22.90) (p = 0.422). In addition, the discomfort degree gradually decreased after 2 weeks (p < 0.01). Conclusion: The use of NTIS is associated with reduction in the masseter and temporalis muscles’ activity. Also, the patients’ discomfort degree from NTIS progressively decreases after 2 weeks of treatment. Clinical significance: The NTIS is an effective therapeutic approach for patients having TMDs of muscular origin.


PDF Share
  1. Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporo-mandibular joint. Ann Otol Rhinol Laryngol 1934 Mar;43(1):1–15.
  2. Dworkin SF. Temporomandibular disorder (TMD) pain-related disability found related to depression, nonspecific physical symptoms, and pain duration at 3 international sites. J Evid Based Dent Pract 2011 Sep;11(3):143–144. DOI: 10.1016/j.jebdp.2011.06.002.
  3. McNamara Jr JA, Seligman DA, et al. Occlusion, orthodontic treatment, and temporomandibular disorders: a review. J Orofac Pain 1995 Winter;9(1):73–90.
  4. Coskun Benlidayi I, Salimov F, et al. Kinesio taping for temporomandibular disorders: single-blind, randomized, controlled trial of effectiveness. J Back Musculoskelet Rehabil 2016 Apr;29(2): 373–380. DOI: 10.3233/BMR-160683.
  5. Ferreira FM, Cézar Simamoto-Júnior P, et al. Effect of occlusal splints on the stress distribution on the temporomandibular joint disc. Braz Dent J 2017 May–Jun;28(3):324–329. DOI: 10.1590/0103- 6440201601459.
  6. Ommerborn MA, Taghavi J, et al. Therapies most frequently used for the management of bruxism by a sample of German dentists. J Prosthet Dent 2011 Mar;105(3):194–202. DOI: 10.1016/S0022- 3913(11)60029-2.
  7. Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Feb;107(2):212–223. DOI: 10.1016/j.tripleo.2008.10.007.
  8. Gray R, Davies S, et al. A clinical approach to temporomandibular disorders. 6 splint therapy. Br Dent J 1994 Aug;177(4):135–142.
  9. Dalewski B, Chruœciel-Nogalska M, et al. Occlusal splint versus modified nociceptive trigeminal inhibition splint in bruxism therapy: a randomized, controlled trial using surface electromyography. Aust Dent J 2015 Dec;60(4):445–454. DOI: 10.1111/adj.12259.
  10. Conti PCR, De Alencar E, et al. Behavioural changes and occlusal splints are effective in the management of masticatory myofascial pain: a short-term evaluation. J Oral Rehabil 2012 Oct;39(10):754–760. DOI: 10.1111/j.1365-2842.2012.02327.x.
  11. Stapelmann H, Türp JC. The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache–where do we stand? A qualitative systematic review of the literature. BMC Oral Health 2008 Jul;8(1):22. DOI: 10.1186/1472-6831-8-22.
  12. Choi K-H, Kwon OS, et al. Development of electromyographic indicators for the diagnosis of temporomandibular disorders: a protocol for an assessor-blinded cross-sectional study. Integr Med Res 2017 Mar;6(1):97–104. DOI: 10.1016/j.imr.2017.01.003.
  13. Shankland WE. Nociceptive trigeminal inhibition–tension suppression system: a method of preventing migraine and tension headaches. Compend Contin Educ Dent 2001 Dec;22(12):1075–1080, 1082; quiz 1084.
  14. Bumann A, Lotzmann U. Color atlas of dental medicine: tmj disorders and orofacial pain, the role of dentistry in a multidisciplinary diagnostic approach. 1st ed. New York: Thieme, 2002; p. 53.
  15. Magnusson T, Adiels A-M, et al. Treatment effect on signs and symptoms of temporomandibular disorders–comparison between stabilisation splint and a new type of splint (NTI). A pilot study. Swed Dent J 2004;28(1):11–20.
  16. Abou-Atme YS, Chedid N, et al. Clinical measurement of normal maximum mouth opening in children. Cranio 2008 Jul;26(3):191–196. DOI: 10.1179/crn.2008.025.
  17. Koc D, Dogan A, et al. Effects of increasing the jaw opening on the maximum bite force and electromyographic activities of jaw muscles. J Dent Sci 2012 Mar;7(1):14–19.
  18. Lodetti G, Marano G, et al. Surface electromyography and magnetic resonance imaging of the masticatory muscles in patients with arthrogenous temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol 2014 Aug;118(2):248–256. DOI: 10.1016/j.oooo.2014.05.005.
  19. Hickman DM, Cramer R, et al. The effect of four jaw relations on electromyographic activity in human masticatory muscles. Arch Oral Biol 1993 Mar;38(3):261–264.
  20. Forssell H, Kalso E. Application of principles of evidence-based medicine to occlusal treatment for temporomandibular disorders: are there lessons to be learned? J Orofac Pain 2004 Winter;18(1):9–22.
  21. Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism. J Am Dent Assoc 1987 Jun;114(6):788–791.
  22. Aksakalli S, Temucin F, et al. Effectiveness of two different splints to treat temporomandibular disorders. J Orofac Orthop 2015 Jul;76(4):318–327. DOI: 10.1007/s00056-015-0294-4.
  23. Baad-Hansen L, Jadidi F, et al. Effect of a nociceptive trigeminal inhibitory splint on electromyographic activity in jaw closing muscles during sleep. J Oral Rehabil 2007 Feb;34(2):105–111. DOI: 10.1111/j.1365-2842.2006.01717.x.
  24. Becker I, Tarantola G, et al. Effect of a prefabricated anterior bite stop on electromyographic activity of masticatory muscles. J Prosthet Dent 1999;82(1):22–26.
  25. Conti PCR, Corrêa AS, et al. Management of painful temporomandibular joint clicking with different intraoral devices and counseling: a controlled study. J Appl Oral Sci 2015;23(5):529–535. DOI: 10.1590/1678-775720140438.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.