A novel vibratory stimulation-based occlusal splint for alleviation of TMD painful symptoms: a pilot study

J Oral Rehabil. 2013 Mar;40(3):179-84. doi: 10.1111/joor.12026. Epub 2013 Jan 2.

Abstract

This pilot study introduces a novel vibratory stimulation-based occlusal splint (VibOS) for management of pain related to temporomandibular disorders (TMD). The study sample consisted of 10 patients (mean age: 40·5 ± 13·7 years, male/female: 3/7) who were using stabilisation splints for more than 2 months prior to the study onset and still complained of pain. Patients utilised the active and inactive VibOS during 15 days in a crossover designed clinical trial. The analysed variables were self-reported VAS pain levels and number of painful sites to palpation (PSP). Statistical analysis was performed with repeated measures anova. At baseline, mean VAS pain levels for group I and II were 45·6 ± 21·0 mm and 37·4 ± 16·3 mm, respectively. Comparison between these baseline values showed no statistical difference (P > 0·05, unpaired t-test). In group I, the inactive VibOS caused a slight increase in VAS pain levels, whereas the active VibOS promoted a significant decrease in VAS pain levels and PSP (P < 0·01). In group II, which received the active VibOS first, a significant decrease in VAS levels (P < 0·05) and in PSP (P < 0·01) was observed. No significant decrease in VAS pain levels or PSP (P > 0·05) was observed with the use of the inactive VibOS. In conclusion, this study demonstrated a good tendency of this novel VibOS in the alleviation of painful symptoms related to TMD after a 15-day management period compared to control VibOS.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Arthralgia / etiology
  • Arthralgia / therapy*
  • Cross-Over Studies
  • Facial Pain / etiology
  • Facial Pain / therapy*
  • Female
  • Humans
  • Joint Dislocations / complications
  • Male
  • Middle Aged
  • Occlusal Splints*
  • Pain Measurement
  • Pilot Projects
  • Temporomandibular Joint Disc / injuries
  • Temporomandibular Joint Dysfunction Syndrome / complications
  • Temporomandibular Joint Dysfunction Syndrome / therapy*
  • Treatment Outcome
  • Vibration / therapeutic use*