Abstract

CERDA-TRUJILLO, C.; ITURRIAGA, V.; FUENTES, R.  and  BORNHARDT, T.. Management of arthralgia of temporomandibular joint through the use of interocclusal pivot splint: a review. Av Odontoestomatol [online]. 2015, vol.31, n.5, pp.299-304. ISSN 2340-3152.  https://dx.doi.org/10.4321/S0213-12852015000500002.

Arthralgia of Temporomandibular Joint is a term used in the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), defined as pain of joint origin that is affected by jaw movement, function, or parafunction, and replication of this pain occurs with provocation testing of the TMJ. In the management of Arthralgia the evidence describes different types of therapies, which can be classified as invasive and non-invasive. The pharmacological and cognitive behavioural therapies, as well as the use of interocclusal appliances are considered among the non-invasive therapies. The interocclusal pivot appliances have been widely used to relieve the TMJ arthralgia. The action mechanism of these appliances would be produced by a distraction of the TMJ as a result of the downward movement of the mandibular condylar process; as an added effect it also lowers the intrarticular pressure. Current evidence describes a 70% of pain relief in patients with TMJ arthralgia. The aim of this review is evaluating the evidence found in bilateral pivot appliances and their results as a treatment for TMJ arthralgia.

Keywords : Temporomandibular joint; arthralgia; temporomandibular joint disorders.

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