Objective
The aim of this systematic review was to assess the efficacy of splint therapy in
improving outcomes after arthrocentesis for the management of temporomandibular joint
disorders.
Study Design
A comprehensive electronic search was conducted to search for randomized control trials,
controlled clinical trials, and retrospective studies comparing arthrocentesis and
splint therapy with arthrocentesis alone.
Results
Six studies were included in this review. There was no statistical significant difference
in pain reduction with or without the use of splint after arthrocentesis at 1 month
(fixed: weighted mean difference [WMD] = –0.01; 95% confidence interval [CI] –0.46
to 0.44; P = .96; I2 = 0%) and 6 months (fixed: WMD = –0.08; 95% CI –0.27 to 0.42; P = .66; I2 = 0%). Similarly, no difference was seen in improvement in maximal mouth opening
at 1 month (fixed: WMD = –0.16; 95% CI –1.75 to 1.42; P = .84; I2 = 44%), and 6 months (fixed: WMD = –0.83; 95% CI –0.52 to 2.18; P = .23; I2 = 0%).
Conclusions
Within the limitation of this review, there is some evidence that splint therapy may
not improve outcomes after arthrocentesis. There is a need for well-designed RCTs
evaluating the additional benefit of splint therapy after arthrocentesis for managing
temporomandibular joint disorders.
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Article info
Publication history
Published online: October 04, 2018
Accepted:
September 24,
2018
Received in revised form:
July 9,
2018
Received:
April 9,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
