A novel vibratory stimulation-based splint for chronic and untreatable masticatory myofascial pain: A case-series

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概要

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• Aim: This clinical report aimed to introduce a novel vibratory stimulation-based occlusal splint (VibS) for management of chronic and untreatable masticatory myofascial pain (MMFP).Methods: This study was conducted on four chronic MMFP patients (mean age: 27.5 ± 5.56 years, females) who were diagnosed according to the research diagnostic criteria for temporomandibular disorders (RDC/TMD), and who were using stabilization splints for more than 6 months and still complained of pain above 40 mm in a 100-mm VAS scale. The included subjects utilized the active VibS and subsequently the inactive VibS during 30 days in each trial, separated by a wash-out period of at least 8 months. VAS pain levels were the only measured dependent variable, and were recorded before and after the use of active VibS and inactive VibS.Results: At baseline, mean VAS pain levels before using the active or inactive splint were 54.5 ± 19.8 mm and 44.0 ± 13.6 mm, respectively. After using the active VibS, mean pain level decreased by 77% (VASpos-pre = −42.0 ± 30.3 mm). On the other hand, after using the inactive VibS, severe pain aggravation of 67% in magnitude was observed (VASpos-pre = +29.5 ± 21.5 mm).Conclusion: This case-series study demonstrated a good tendency of this novel VibS in chronic MMFP alleviation after a 4-week management period compared to a control inactive VibS.

• 社団法人 日本補綴歯科学会の論文

著者

• De Luca

  Department Of Clinical And Experimental Medicine Federico 2nd University Of Naples

• BALLESTER Rafael

  Department of Biomaterials and Oral Biology

• Hara Emilio

  Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

• Witzel Andrea

  Department of Clinical Stomatology, School of Dentistry, University of Sao Paulo

• Bolzan Marcelo

  Fundacao para o Desenvolvimento Cientifico e Tecnologico da Odontologia attached to the School of Dentistry, University of Sao Paulo

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• A novel vibratory stimulation-based splint for chronic and untreatable masticatory myofascial pain: A case-series

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