SPLINT THERAPY IN CHILDHOOD - MECHANISMS OF ACTION, SPLINT TYPOLOGY, ORTHODONTIC RELEVANCE, AND EXPECTED BIOMECHANICAL EFFECTS
DOI:
https://doi.org/10.31149/ijnps.v4i5.2907Keywords:
Splint Therapy, Temporomandibular Joint, TMJ Dysfunction, Occlusal Splint, Anterior Repositioning Splint, Orthodontics, Adolescents, Pediatric Dentistry, Biomechanical Effects, Myogenic PainAbstract
This article examines the mechanisms of action, typology, orthodontic relevance, and biomechanical effects of splint therapy in children and adolescents with temporomandibular joint (TMJ) dysfunctions. The study focuses on the role of splints as conservative and reversible treatment modalities aimed at reducing excessive joint loading, stabilizing neuromuscular function, and improving disc-condyle relationships during growth. Particular attention is given to stabilization splints and anterior repositioning splints (ARS), their clinical indications, and their influence on myogenic and disc-related disorders. The paper also discusses the importance of combining splint therapy with orthodontic and myofunctional treatment, as well as the risks associated with prolonged or improperly designed appliances in pediatric patients. The findings indicate that properly monitored splint therapy can effectively reduce pain, improve mandibular function, and support biomechanical balance in adolescents undergoing active craniofacial development.
References
[1] G.E. Carlsson, “Edentulism and Residual Ridge Resorption,” J. Prosthodont. Res., vol. 58, no. 2, pp. 59–62, 2014.
[2] L. Schropp, A. Wenzel, L. Kostopoulos, and T. Karring, “Bone Healing and Soft Tissue Changes at Tooth Extraction Sites. Part I. Sequential Healing Pattern,” J. Clin. Periodontol., vol. 30, no. 1, pp. 1–7, 2003.
[3] M. Araujo and J. Lindhe, “Dimensional Ridge Alterations Following Tooth Extraction: An Experimental Study in the Dog,” J. Clin. Periodontol., vol. 32, pp. 212–218, 2005.
[4] J.P. Okeson, Management of Temporomandibular Disorders and Occlusion, 8th ed. St. Louis, MO, USA: Elsevier, 2019.
[5] S. Kiliaridis, H. Kjellberg, and B. Wenneberg, “Occlusal Load and Tooth Migration in Partial Edentulism,” Eur. J. Orthod., vol. 38, no. 1, pp. 72–79, 2016.
[6] F. Müller, M. Naharro, and G.E. Carlsson, “What Are the Prevalence and Incidence of Tooth Loss in Adult Populations?” Clin. Oral Implants Res., vol. 26, Suppl. 11, pp. 1–9, 2015.
[7] М.В. Герасименко and Е.И. Соколова, “Адентия и ее влияние на зубочелюстную систему,” Стоматология, vol. 97, no. 4, pp. 23–29, 2018.
[8] Н.П. Шмарова and А.А. Радкевич, “Морфо-функциональные изменения при полной адентии,” Вестник стоматологии, no. 5, pp. 45–52, 2019.
[9] А.А. Радкевич and Т.В. Иванова, “Функциональная реабилитация при полной и частичной адентии,” Современная стоматология, vol. 12, no. 3, pp. 10–18, 2021.
[10] G.A. Zarb, J. Hobkirk, S. Eckert, and R. Jacob, Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant-Supported Prostheses, 14th ed. St. Louis, MO, USA: Elsevier, 2020.
[11] H. N. Qahramonovich, “Worthy descendants of the Samarkandians: enlighteners jadids,” World Bulletin of Social Sciences, vol. 13, pp. 37–40, 2022.
[12] R. T. Usanov and N. K. Khakkulov, “Iz istorii izucheniya problemy ‘Nenasilie’,” Ekonomika i Sotsium, no. 6-2 (121), pp. 1406–1413, 2024.
[13] T. Shaymardonov, “Siddiqiy-Ajziy hayoti va ijodining o‘rganilishi,” Uzbekistan: Yazyk i Kultura, vol. 1, no. 1, pp. 27–39, 2022.
[14] T. A. Shaymardonov, “Sayidahmadxo‘ja Siddiqiy-Ajziyning qofiya qo‘llash mahorati,” Yosh Olimlar Axborotnomasi – Vestnik Molodykh Uchenykh, vol. 1, no. 1, pp. 147–152, 2024.
[15] T. A. Shaymardonov, “The role of Siddiqi-Ajzi in Uzbek jadid literature,” American Journal of Social and Humanitarian Research, vol. 1, no. 4, pp. 91–100, 2020.