RSS-Feed abonnieren

DOI: 10.1055/s-0045-1809915
Treatment Outcomes of Temporomandibular Disorders Using Stabilization Splint Supported by the T-scan System

Abstract
Objective
This study aims to evaluate the treatment outcomes of temporomandibular disorders (TMD) using stabilization splints (SS) supported by the T-scan system at Hanoi Medical University Hospital.
Materials and Methods
A clinical, non-controlled intervention study was conducted from May 2023 to October 2024. A total of 36 patients (7 male, 29 female) diagnosed with TMD according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were included. All patients received treatment with stabilization splints, and the T-scan system (Tekscan, Norwood, MA, USA) was employed to assist in adjusting occlusal contacts and force distribution of the SS. Clinical outcomes, including pain scores (visual analog scale, VAS), mouth opening range (maximum comfortable opening, MCO), occlusal time (OT), and disocclusion time (DT), were recorded and compared at 1 and 3 months.
Results
Significant improvements in pain reduction and mouth opening were observed at both 1 and 3 months of treatment. The T-scan data showed a reduction in both OT and DT after 1 month.
Conclusion
The use of stabilization splints supported by the T-scan system appears to be an effective treatment for TMD, significantly reducing pain and improving mouth opening range (MCO). Although the T-scan system provides valuable insights into occlusal contacts and force distribution, further controlled studies are needed to fully assess its role in optimizing occlusal adjustments during SS treatment.
Ethical Approval
This study was approved by the Institutional Review Board for Ethics in Biomedical Research, Hanoi Medical University (No. 177/QD-VDTRHM). All patients were fully informed about the nature of the study, the procedures involved, and their right to withdraw at any time. Written informed consent was obtained from all participants before inclusion in the study. Confidentiality and anonymity were maintained for all collected data.
Disclosure Statement
Part of the data presented in this manuscript was previously published in: Nguyen, A. T., Hoàng, V. H., Hoàng, K. L., & Đinh, H. A. (2025). Kết quả điều trị rối loạn thái dương hàm bằng máng nhai ổn định có sử dụng T-scan hỗ trợ. Tạp chí Y học Việt Nam, 546(3). Permission has been obtained from Tạp chí Y học Việt Nam.
Publikationsverlauf
Artikel online veröffentlicht:
15. Juli 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med 2008; 359 (25) 2693-2705
- 2 Chang CL, Wang DH, Yang MC, Hsu WE, Hsu ML. Functional disorders of the temporomandibular joints: internal derangement of the temporomandibular joint. Kaohsiung J Med Sci 2018; 34 (04) 223-230
- 3 Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci 2012; 9 (07) 539-544
- 4 Manfredini D, Lombardo L, Siciliani G. Temporomandibular disorders and dental occlusion. A systematic review of association studies: end of an era?. J Oral Rehabil 2017; 44 (11) 908-923
- 5 List T, Axelsson S. Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil 2010; 37 (06) 430-451
- 6 Gray RJ, Davies SJ. Occlusal splints and temporomandibular disorders: why, when, how?. Dent Update 2001; 28 (04) 194-199
- 7 Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM. Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. Int J Oral Maxillofac Implants 2020; 49 (08) 1042-1056
- 8 Zhang SH, He KX, Lin CJ. et al. Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontol Scand 2020; 78 (08) 580-589
- 9 Kerstein RB, Radke J. Clinician accuracy when subjectively interpreting articulating paper markings. Cranio 2014; 32 (01) 13-23
- 10 Cerna M, Ferreira R, Zaror C, Navarro P, Sandoval P. Validity and reliability of the T-Scan(®) III for measuring force under laboratory conditions. J Oral Rehabil 2015; 42 (07) 544-551
- 11 Li Z, Liu L, Bai Q. et al. Evaluation of the effect of T-Scan™ as an adjunct to stabilization splint in the treatment of temporomandibular joint disorders. Cranio 2022; 1-10 . Epub ahead of print
- 12 Kuć J, Szarejko KD, Gołębiewska M. Comparative evaluation of occlusion before and after soft tissue mobilization in patients with temporomandibular disorder-myofascial pain with referral. Int J Environ Res Public Health 2021; 18 (12) 6568
- 13 Bhattacharjee B, Bera RN, Verma A, Soni R, Bhatnagar A. Efficacy of arthrocentesis and stabilization splints in treatment of temporomandibular joint disc displacement disorder without reduction: a systematic review and meta-analysis. J Maxillofac Oral Surg 2023; 22 (01) 83-93
- 14 de Leeuw R, Klasser GD, Pain AAO. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 5th ed. Quintessence Publishing Co Inc.; 2013
- 15 Thumati P, Thumati RP. The effect of disocclusion time-reduction therapy to treat chronic myofascial pain: a single group interventional study with 3 year follow-up of 100 cases. J Indian Prosthodont Soc 2016; 16 (03) 234-241
- 16 Thumati P, Poovani S, Bharathi B, A M, Kerstein R, Radke J. A disclusion time reduction randomized controlled occlusal adjustment trial. Adv Dent Tech 2020; 1-23
- 17 Schiffman E, Ohrbach R, Truelove E. et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 2014; 28 (01) 6-27
- 18 Ferrando M, Andreu Y, Galdón MJ, Durá E, Poveda R, Bagán JV. Psychological variables and temporomandibular disorders: distress, coping, and personality. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98 (02) 153-160
- 19 Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 2007; 12 (04) E292-E298
- 20 Schmitter M, Rammelsberg P, Hassel A. The prevalence of signs and symptoms of temporomandibular disorders in very old subjects. J Oral Rehabil 2005; 32 (07) 467-473
- 21 Albagieh H, Alomran I, Binakresh A. et al. Occlusal splints-types and effectiveness in temporomandibular disorder management. Saudi Dent J 2023; 35 (01) 70-79
- 22 Sousa BM, López-Valverde N, López-Valverde A. et al. Different treatments in patients with temporomandibular joint disorders: a comparative randomized study. Medicina (Kaunas) 2020; 56 (03) 113
- 23 Qvintus V, Suominen AL, Huttunen J, Raustia A, Ylöstalo P, Sipilä K. Efficacy of stabilisation splint treatment on facial pain—1-year follow-up. J Oral Rehabil 2015; 42 (06) 439-446
- 24 Droter JR. T-Scan as an Education Tool, in Handbook of Research on Clinical Applications of Computerized Occlusal Analysis in Dental Medicine. IGI Global; 2020: 1316-1356
- 25 Kerstein RB, Grundset K. Obtaining measurable bilateral simultaneous occlusal contacts with computer-analyzed and guided occlusal adjustments. Quintessence Int 2001; 32 (01) 7-18