Treatment FAQ

how does tmj splint treatment work

by Earnest Gaylord Published 2 years ago Updated 1 year ago
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How TMJ splints

Splint

A splint is defined as “a rigid or flexible device that maintains in position a displaced or movable part; also used to keep in place and protect an injured part” or as “a rigid or flexible material used to protect, immobilize, or restrict motion in a part.” Splints can be used for injuries that are not sever…

work depends largely on the exact splint. As stated before, stabilization splints prevent the teeth from grinding together. This occurs in two fashions: anterior guidance and canine guidance. With anterior guidance, it makes sure that when your jaw slides forward, your front teeth are the only ones touching.

The splint works by providing your tight, tense muscles the ability to relax. As they relax, the TMJ splint helps to guide them toward a more natural position. This also helps your jaws travel in a more efficient way, helping to prevent further wear on your teeth.Oct 8, 2014

Full Answer

Do splints or Nightguards help with TMJ?

The TMJ night guard can help prevent further wearing of the teeth, as well. A night guard is only one of many splints available for helping patients with TMJ disorder. One alternative is an anterior repositioning appliance (ARA) that locks the jaw in a forward position to take pressure off the jaw and help reposition disks.

Do mouth guards really work for TMJ?

The short answer is: Yes. In some cases, particularly with corrective bite splints, you can realign your bite over the course of time and eliminate those painful TMJ symptoms. In other cases, mouth guards can relieve your symptoms to the point where you feel very little pain or discomfort at all.

What can you do to help TMJ?

You may wish to:

  • eat a soft diet to allow the TMJ to relax
  • avoid chewing gum
  • avoid biting your nails
  • avoid biting your lower lip
  • practice good posture
  • limit large jaw movements, such as yawning and singing

Can a splint make TMJ worse?

Research shows that flat plane splints don't stop bruxism. Instead, they can make it worse. They don't prevent the contact of your back teeth together during sleeping, and they can lead to worse displacement of the jaw joint. What is the purpose of a TMJ splint?

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How long does it take for a TMJ splint to work?

It can take several weeks to have a proper splint constructed, but once it is, you should see relief in 1-2 months. For some patients, mouth reconstruction is necessary to achieve long-term relief from TMJ. This may require several months to complete.

How does splint therapy work for TMJ?

When worn, splints allow jaw muscles and ligaments to relax, therefore preventing the occurrence of teeth grinding, clenching or other jaw reactions that may trigger TMJ pain and discomfort. Aside from teeth grinding, or bruxism, it's hypothesized that TMJ disorder can also stem from either an underbite or an overbite.

How effective is a TMJ splint?

Splint therapy also reduced the frequency of painful episodes for patients with TMJ clicking. No publication bias was observed, as determined with Egger's test for all outcomes. On the basis of this evidence, we recommend the use of splints for the treatment and control of TMD in adults.

Does splint cure TMJ?

Understanding Splint Therapy and How It's Used To Treat TMJ The way that this device helps in the resolution of discomfort from TMD include: Splints allow the ligaments and muscles in the jaw to relax. This aids in preventing clenching, grinding, and other unconscious jaw habits that can trigger TMJ pain.

How do you eat with a TMJ splint?

Avoid foods requiring wide opening and hard chewing such as steak, raw vegetables, apples, hard-crusted breads and bagels, chew candy such as gum, taffy, caramel, Tootsie Rolls, gummy bears, Starbursts. Cut all foods into small bite-sized pieces and avoid opening your mouth wider than the thickness of your thumb.

Can a splint realign your jaw?

Initial-stage TMJ treatment with an oral splint may take three months or more depending on the extent and cause of your condition. When designed correctly, TMJ splints gently work to begin realigning your jaw, a process that can relieve a number of TMJ symptoms including: Chronic headaches. Jaw clicking and popping.

Can an occlusal splint make TMJ worse?

A regular acrylic processed or thermoformed upper bite splint that allows lower posterior teeth to occlude on the plastic will usually worsen a patient's symptoms, especially if they have popping and clicking or more chronic TMJ problems.

What's the difference between a night guard and a splint?

In general, both types have the same goal – to stabilize and support the joints and muscles to prevent malocclusion or the incorrect positing of the teeth when the jaws are closed. TMJ splints provide more vertical support than night guards and move the lower jaw, guiding it to a more comfortable natural position.

What's the difference between a mouth guard and a splint?

Simply put, a mouthguard protects your teeth while a splint holds your teeth together to prevent harmful movement. Before getting yourself the one that is right for you, however, it is always best to check in with your dentist.

What are TMJ Splints?

A TMJ splint is known by many names such as a dental splint, bite guard, night guard, bite splint, oral splint, or occlusal splint. The splint is designed to minimize the pressure on your jaw joints and teeth and reposition the jaw for ideal alignment.

What Are the Most Common TMD Symptoms?

The best way to identify a TMJ disorder is by understanding what the symptoms feel like. Some of the most common TMD symptoms p atients suffering from TMD are likely to experience the following symptoms:

What are the different Types of Splints?

To effectively treat your TMJ disorder, it is important to find the right splint for your condition. There are two types of splints that your dentist can recommend – Permissive and non-permissive. Each type of TMJ splint therapy has distinct features for patients with unique needs.

What Can I expect from My TMJ Consultation?

At your appointment, your dentist will thoroughly inspect the jaw to see any signs of irritation or inflammation.

Do TMJ Splits Work?

Depending on the severity of the TMD, dental appliances do work by gently moving your TMJ into its natural position, where the joint isn’t fully engaged. In fact, the use of splint therapy is the most common dental treatment for TMJD. However, there are some severe cases where TMJ splints are ineffective for TMJ treatment.

Whats the Benefit to Splint Therapy?

Wearing a TMJ splint can improve jaw alignment, reduce tension on the facial muscles and provide some relief from discomfort by cushioning your teeth. You may have to get used to wearing it at first but eventually you will experience these benefits:

How Much Does A Splint for TMJ Cost?

The cost will vary depending on the treatment. However, forgoing TMJ treatment to save money will typically cost more in the long run if the conditions worsen.

What are splints used for?

While splints can be either hard or soft and cover either all of the teeth or just a few of them, there are two general types of splints that do the job. These are: 1 Stabilization splints, which are worn to prevent teeth grinding and clenching. These types of splints cover all of the teeth and are typically just worn at night. 2 Repositioning splints, which are splints designed to correct bite occlusions. These splints are typically worn all day, every day.

Why do people need splints?

Another benefit to splint therapy, especially in the case of people who grind their teeth, is that splints can essentially prevent teeth from becoming worn down and help offset the other negative side effects of bruxism.

What is a repositioning splint?

These types of splints cover all of the teeth and are typically just worn at night. Repositioning splints, which are splints designed to correct bite occlusions. These splints are typically worn all day, every day.

What is the pain around the jaw called?

You’ve likely heard of a condition known as “TMJ disorder,” characterized by pain, tenderness, swelling and other symptoms around the face and jaw. TMJ disorder is fairly common, and depending on the severity and the hypothesized reason for the pain and discomfort that an individual is experiencing, it can also be fairly easy to treat and manage. ...

What are the two types of splints?

These are: Stabilization splints, which are worn to prevent teeth grinding and clenching. These types of splints cover all of the teeth and are typically just worn ...

What is phase 2 dentistry?

That’s where dentists may recommend Phase II treatments, which include the likes of orthodontics, special dental work or even surgery to ensure that individuals don’t fall back into bad habits. For example, for those wearing a repositioning splint, the bite may have changed as a result.

Can a splint help with TMJ?

However, administration of a splint can help angle the bite into a more optimal position, which can help alleviate tension in the jaw.

What is a TMJ splint?

TMJ Splint: Common Therapy Options for TMJ. TMJ refers to disorders of the temporomandibular joint or jaw joint. This, like all joints, works as a hinge and allows you to open and close your mouth. There’s a joint on each side of your head, and when something goes wrong with it, you’ll likely experience discomfort, ...

How to treat TMJ?

One of the most common and effective treatment options for TMJ disorder is splint therapy. The goal of splint therapy is to correct your bite and avoid the hassles and risks associated with TMJ surgery. Splint therapy utilizes appliances that help you gradually align your jaw and reduce the effects of TMJ disorder.

What is permissive splint?

Permissive splints are a newer option and allow the jaw to find its own position and move naturally and smoothly, unlike directive splints that hold the jaw joint in position. Most people find permissive splints more comfortable and easier to deal with when you have to wear the splint day in and day out.

What is the best treatment for TMJ?

One of the most common and effective treatment options for TMJ disorder is splint therapy .

What is a TMJ guard?

The guard is a plastic device that fits into the mouth and molds around the teeth. It protects teeth from the damage that happens when people grind. Though mouth guards and night guards are a popular treatment for TMJ disorders, they are different from splint therapy. There are some similarities. Splints, like guards, are made from plastic.

What is the purpose of wearing a splint?

Since the goal of wearing a splint is to develop a new bite, your temporomandibular joint disorder specialist will work with you to create a custom splint that meets your treatment goals, as well as your concerns about wearing a splint during treatment.

Why do people wear splints?

Most people are given lower teeth splints because they are the most comfortable option and they have less of an effect on speaking. Since splints need to be worn round the clock, you want something that’s as unnoticeable and as comfortable as possible.

Treating TMJ pain: how do splints work?

When you suffer from TMJ pain, getting help to relieve the symptoms is almost always on your mind.

A TMJ splint can help

At Docbraces, we often recommend that our patients suffering from TMJ pain use a splint. A TMJ splint is fitted to your mouth, and you wear it during the day (even when you're eating!) and at night removing it only when your brushing your teeth or cleaning it.

Other ways to reduce TMJ pain

Prior to visiting your orthodontist to have your appliance made, or while you're getting used to your TMJ splint, you might find that you're in need of a few ways to ease your discomfort. There are a few simple but tried and true remedies that we recommend to our patients:

How do TMJ splints work?

Maxillary or Upper Teeth TMJ splints are designed to keep the teeth from touching. This is helpful because the damage caused by grinding teeth throughout the night can be very detrimental to your TMJ Pain. This also saves your enamel from chipping and cracking as place incredible force on your teeth. Maxillary TMJ splints also put your bite into an ideal bite. In dentistry the way that your teeth glide across each other is vitally important. When you slide your jaw forward only your front teeth should touch. This is call anterior guidance. When you slide side to side only your canine tooth should touch. This is called canine guidance. These principals are important in balancing your bite and thus your muscles. If your bite is not this way a maxillary TMJ splint can place you into these ideal positions during movement which will effectively unload your TMJ and muscles.

What is a mandibular splint?

Mandibular or Lower Teeth TMJ splints are designed to keep the teeth from touching, much like the maxillary flat plane splint. This provides all the benefits you can see above with the maxillary splint. The advantage of the mandibular splint is that it is easier to tolerate throughout the day. It interferes much less with speech than the maxillary splint because your tongue presses against the palate for many sounds. The other advantage of the mandibular splint is that it is harder for other people to notice an so is more esthetic for all day usage.

What is anterior repositioning splint?

The anterior repositioning splint holds the lower jaw forward. This splint also keeps the teeth from touching which provides the benefits previously discussed. This splint however doesn't allow free movement like the other splints. The advantage of this splint is that it can help to "recapture" the TMJ disk. Oftentimes the TMJ disk gets "slipped" forward. That means your TMJ is bone on bone at rest. This can be a large reason for much of your pain. The anterior repositioning splint brings the lower jaw forward to sit under the disk. Using this kind of splint for a short amount of time can be beneficial because it allows inflammation and pain to calm down before moving into other treatments like repositioning the TMJ disk back where it should be with arthroscopy.

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