Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

115 questions · 120 findings · 6 reviews · Temporomandibular disorders and sleep

No studies found 40 · 33.3%GRADE not reported 56 · 46.7%Very low 18 · 15%Low 6 · 5%Moderate 0 · 0%High 0 · 0%

Occlusal splint vs Palatal splint

Total sleep time, next night; · 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 total sleep time (min) compared with palatal splint; GRADE not reported.

1 finding from 1 review

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 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 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 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 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

Stabilisation splint (SS) vs Non-occluding splint

Pain (unpleasantness/intensity/palpation) · Patients with pain dysfunction syndrome (PDS) of all degrees of severity

Stabilisation splint (SS) showed no clear difference in pain (unpleasantness/intensity/palpation) compared with non-occluding splint; GRADE not reported.

1 finding from 1 review

Stabilisation splint (SS) vs Non-occluding splint

Movement (increase in maximal mouth opening) · Patients with pain dysfunction syndrome (PDS) of all degrees of severity

Stabilisation splint (SS) showed no clear difference in movement (increase in maximal mouth opening) compared with non-occluding splint; GRADE not reported.

1 finding from 1 review

Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)

Joint pain at rest · People with temporomandibular disorders (TMD)

It is very uncertain whether occlusal splint changes joint pain at rest compared with no treatment or placebo (non-occlusal or transparent-foil placebo… (very low certainty).

1 finding from 1 review

Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)

Patient discomfort · People with temporomandibular disorders (TMD)

The review found no eligible studies for this question.

1 finding from 1 review
  • Listed in Summary of findings 1 as 'Not reported'; this outcome was not reported by any included study for this comparison. Discomfort was not reported in any included study across the whole review.
    0 studies
    No studies found

Occlusal splint vs Another occlusal splint with a different mechanism of action

Frequency of joint noise · People with temporomandibular disorders (TMD)

It is very uncertain whether occlusal splint changes frequency of joint noise compared with another occlusal splint with a different mechanism of action (very low certainty).

1 finding from 1 review

Occlusal splint vs No treatment or placebo (non-occlusal or transparent-foil placebo splint)

Muscle pain when chewing · People with temporomandibular disorders (TMD)

It is very uncertain whether occlusal splint changes muscle pain when chewing compared with no treatment or placebo (non-occlusal or transparent-foil placebo… (very low certainty).

1 finding from 1 review