What do systematic reviews say?

212 questions · 218 findings · 11 reviews · Temporomandibular disorders and sleep · related questions CL0289

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No studies found 56 · 25.7%GRADE not reported 135 · 61.9%Very low 27 · 12.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Occlusal splint vs Palatal splint

Sleep efficiency · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in sleep efficiency (%) compared with palatal splint; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MD -2.40 [-8.36, 3.56]
1 study
GRADE not reported

Occlusal splint vs Pharmacological interventions (benzodiazepines, anticonvulsants, beta blockers, dopamine agents, antidepressants, botulinum toxin A and B, analgesics)

Outcome not reported · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

The review found no eligible studies for this question.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Pharmacological interventions remained a planned comparator, but no included trial compared occlusal splint with any drug; no eligible study.
0 studies
No studies found

Occlusal splint vs Transcutaneous electric nerve stimulation (TENS)

Pain in temporomandibular joint (TMJ) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus TENS, pain in the temporomandibular joint (TMJ) (Alvarez-Arenal 2002): the event did not occur in either group, so the risk ratio was not estimable.
1 study
GRADE not reported

Occlusal splint vs Behaviour therapy (sleep hygiene, relaxation, psychotherapy, hypnosis, biofeedback)

Outcome not reported · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

The review found no eligible studies for this question.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Behaviour therapy remained a planned comparator, but no included trial compared occlusal splint with behaviour therapy; no eligible study.
0 studies
No studies found

Occlusal splint vs Mandibular advancement device

Comfort · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus mandibular advancement device, comfort (median VAS 0 to 100 mm) (Landry 2006): occlusal splint 79 mm, MAD free 41 mm, MAD min 15 mm, MAD max 12 mm; the occlusal splint was rated most comfortable.
1 study
GRADE not reported

Occlusal splint vs Palatal splint

Awakenings per hour · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in awakenings per hour compared with palatal splint; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MD 0.40 [-2.51, 3.31]
1 study
GRADE not reported

Occlusal splint vs Transcutaneous electric nerve stimulation (TENS)

Clicks in TMJ on oral opening and closing · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in clicks in TMJ on oral opening and closing compared with transcutaneous electric nerve stimulation (TENS); GRADE not reported.

2 findings from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
RR 0.60 [0.19, 1.92]
1 study
GRADE not reported
Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
RR 1.00 [0.33, 3.02]
1 study
GRADE not reported

Occlusal splint vs no treatment

Increase in the size of wear facets (canine teeth) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in increase in the size of wear facets (canine teeth) compared with no treatment; GRADE not reported.

2 findings from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
children (age 3 to 5 years)
RR 0.20 [0.03, 1.15]
1 study
GRADE not reported
Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
6 months of follow up · children (age 3 to 5 years)
RR 0.20 [0.03, 1.15]
1 study
GRADE not reported

Occlusal splint vs Palatal splint

Arousal index · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in arousal index compared with palatal splint; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MD 1.22 [-3.61, 6.05]
2 studies · 39 participants
GRADE not reported

Occlusal splint vs Placebo

Outcome not reported · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

The review found no eligible studies for this question.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Placebo remained a planned comparator in the review methods (Types of interventions), but none of the five included trials compared occlusal splint with placebo; no eligible study.
0 studies
No studies found

Occlusal splint vs Palatal splint

Episodes with grinding noise · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in episodes with grinding noise compared with palatal splint; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MD 0.90 [-10.19, 11.99]
1 study
GRADE not reported

Occlusal splint vs Mandibular advancement device

Number of bruxism episodes per hour of sleep (Epi/h) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in sleep bruxism episodes per hour of sleep compared with mandibular advancement device; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MAD in 75% advancement (MAD max)
MD 5.9
1 study
GRADE not reported

Occlusal splint vs Transcutaneous electric nerve stimulation (TENS)

Headache · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus TENS, headaches (Alvarez-Arenal 2002): the event did not occur in either group, so the risk ratio was not estimable (Risk Ratio, M-H, Fixed, 95% CI; subtotals only).
1 study
GRADE not reported

Occlusal splint vs Mandibular advancement device

Preference (device preferred by participants) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus mandibular advancement device, preference (Landry 2006): 12 of 13 participants preferred the occlusal splint over the mandibular advancement device (MAD free); a higher proportion of benefitted…
1 study
GRADE not reported

Occlusal splint vs Palatal splint

Comfort · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus palatal splint, comfort (median VAS 0 to 100 mm) (Dube 2004): occlusal splint 79.3 (SD 4.7) mm versus palatal splint 77.8 (8.1) mm; both rated as equally comfortable. No participant reported dry…
1 study
GRADE not reported

Occlusal splint vs Palatal splint

Preference (device preferred by participants) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
Occlusal splint versus palatal splint, preference (Dube 2004): all participants preferred the palatal splint rather than the occlusal splint; 71% felt the occlusal splint offered greater protection for their teeth. At…
1 study
GRADE not reported

Occlusal splint vs Palatal splint

Number of bruxism episodes per hour of sleep (Epi/h) · People with sleep bruxism (tooth grinding or clenching); children (greater than 1 year old) and adults; diagnosis clinical,…

Occlusal splint showed no clear difference in number of bruxism episodes per hour of sleep (Epi/h) compared with palatal splint; GRADE not reported.

1 finding from 1 review

Occlusal splints for treating sleep bruxism (tooth grinding) 2007 · Cochrane All outcomes
MD 0.54 [-10.95, 12.93]
1 study
GRADE not reported

Stabilisation splint (SS) vs minimal treatment

Pain (severity/palpation; PSS, PPI, VAS) · Patients with pain dysfunction syndrome (PDS) of all degrees of severity

Stabilisation splint (SS) led to lower pain (severity/palpation; PSS, PPI, VAS) compared with minimal/no treatment; GRADE not reported.

1 finding from 1 review

Stabilisation splint therapy for temporomandibular pain dysfunction syndrome 2004 · Cochrane All outcomes
3 months or less
MD -3.20 [-4.81, -1.59]
4 studies
GRADE not reported

Stabilisation splint (SS) vs Jaw exercises

TMJ clicking · Patients with pain dysfunction syndrome (PDS) of all degrees of severity

1 finding from 1 review

Stabilisation splint therapy for temporomandibular pain dysfunction syndrome 2004 · Cochrane All outcomes
up to 6 months
SS vs jaw exercises (Magnusson 1999): TMJ clicking at 3 months and greater than 3 months; no statistically significant between-group difference. Forest-plot data presented, totals not pooled.
1 study
GRADE not reported

Stabilisation splint (SS) vs Visual feedback

Movement (lateral mandibular movement) · Patients with pain dysfunction syndrome (PDS) of all degrees of severity

1 finding from 1 review

Stabilisation splint therapy for temporomandibular pain dysfunction syndrome 2004 · Cochrane All outcomes
3 months or less
SS vs visual feedback (Monteiro 1988): both SS and visual feedback groups showed a significant decrease in lateral mandibular movement scores (P<0.01); data were unavailable for analysis.
1 study
GRADE not reported