Open Access

Oral splints in the management of nociceptive pain and migraines: A scoping review

  • Authors:
    • Oana Almășan
    • Mihaela Hedeșiu
    • Daniel-Corneliu Leucuța
    • Smaranda Buduru
    • Cristian Dinu
  • View Affiliations

  • Published online on: November 24, 2022     https://doi.org/10.3892/etm.2022.11727
  • Article Number: 28
  • Copyright: © Almășan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Temporomandibular disorders (TMDs) are characterized by numerous pain manifestations. Their treatment often involves the use of an oral splint. Recent research has found a relationship between migraines, nociceptive pain and TMDs. The aim of the present study was to perform a scoping review of studies in order to evaluate the effectiveness of the various types of oral splint in the treatment of migraine or nociceptive pain. Publications were retrieved from seven databases (PubMed, Web of Science, EMBASE, Scopus, ProQuest, SpringerLink and Ovid). Out of the 15 included publications, three studies were before and after studies, with no control group, whereas the other twelve studies were clinical trials, among which two publications were crossover studies. A clear, single distinction of pain was difficult to describe. Therefore, numerous publications focused on a combination of various types of pains, including myofascial, temporomandibular joint, headaches and migraine‑like symptoms, all of which mimicked TMD pain. Overall, six studies used the stabilization splint (SS), three explored the comparison between the SS and the nociceptive trigeminal inhibition splint (NTIS) and two the NTIS. The majority of publications reported a positive outcome of splint therapy. Regarding the type of oral splint usage, the most commonly used one was the SS, followed by the NTIS. The definition and assessment of pain were heterogenous in the identified articles. The findings of the current study showed that occlusal splints may help with pain management, and that effective treatment of TMD‑related pain at an early stage can enhance the quality of life of patients.

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January-2023
Volume 25 Issue 1

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Spandidos Publications style
Almășan O, Hedeșiu M, Leucuța D, Buduru S and Dinu C: Oral splints in the management of nociceptive pain and migraines: A scoping review. Exp Ther Med 25: 28, 2023
APA
Almășan, O., Hedeșiu, M., Leucuța, D., Buduru, S., & Dinu, C. (2023). Oral splints in the management of nociceptive pain and migraines: A scoping review. Experimental and Therapeutic Medicine, 25, 28. https://doi.org/10.3892/etm.2022.11727
MLA
Almășan, O., Hedeșiu, M., Leucuța, D., Buduru, S., Dinu, C."Oral splints in the management of nociceptive pain and migraines: A scoping review". Experimental and Therapeutic Medicine 25.1 (2023): 28.
Chicago
Almășan, O., Hedeșiu, M., Leucuța, D., Buduru, S., Dinu, C."Oral splints in the management of nociceptive pain and migraines: A scoping review". Experimental and Therapeutic Medicine 25, no. 1 (2023): 28. https://doi.org/10.3892/etm.2022.11727