the Role of Occlusal Splints in Jaw Pain Relief - Dentistry

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What is the function of an occlusal splint?


Hello Doctor: 1.
If the temporomandibular joint pain is not caused by grinding or clenching, will a bite splint still be helpful? 2.
Can leaving the mouth open while sleeping also cause tension in the joint muscles?

Miss Yang, 20~29 year old female. Ask Date: 2022/11/20

Dr. Zeng Guanghui reply Dentistry


1.
To determine the cause of temporomandibular joint (TMJ) pain, whether it is due to the joint capsule itself or other wear and tear, or if it is caused by excessive contraction of the surrounding masticatory muscles, it is recommended to consult an oral and maxillofacial surgeon or a TMJ specialist for further evaluation.

2.
Normally, during sleep, the masticatory muscles are in a relaxed state, and the mouth may be slightly open.
However, if the masticatory muscles are tense, the mouth may close tightly, potentially leading to teeth grinding (bruxism).
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/11/20

More Info


Occlusal splints, also known as bite guards or dental splints, are commonly used in dentistry to alleviate symptoms associated with temporomandibular joint (TMJ) disorders and other jaw-related issues. These devices can be particularly beneficial for individuals experiencing jaw pain, even if the pain is not directly related to grinding or clenching teeth.
1. Role of Occlusal Splints in Non-Bruxism Related TMJ Pain:
Occlusal splints can indeed provide relief for TMJ pain that is not caused by bruxism (teeth grinding) or clenching. The primary function of these splints is to create a physical barrier between the upper and lower teeth, which can help to redistribute the forces exerted on the jaw. This redistribution can alleviate pressure on the TMJ and surrounding muscles, potentially reducing pain and discomfort. Additionally, by stabilizing the jaw, occlusal splints can help prevent further strain on the muscles and joints, allowing for a more relaxed state.
Furthermore, occlusal splints can aid in correcting occlusal discrepancies, which may contribute to TMJ pain. By providing a more even bite, these devices can help to minimize muscle tension and joint stress. In cases where the pain is related to postural issues or stress, the splint can serve as a reminder to maintain a more relaxed jaw position, which can further contribute to pain relief.

2. Impact of Mouth Breathing on Jaw Tension:
Sleeping with the mouth open can indeed lead to increased tension in the jaw muscles and contribute to TMJ discomfort. When the mouth is not closed, the jaw may be in a more extended position, which can strain the muscles responsible for jaw movement. This prolonged tension can lead to muscle fatigue and discomfort, exacerbating any existing TMJ issues.
Additionally, mouth breathing can lead to other complications, such as dry mouth, which can affect oral health and contribute to discomfort. The muscles of the jaw are interconnected with the muscles of the neck and face, so any tension in one area can influence the others. Therefore, if a person is consistently sleeping with their mouth open, it may be beneficial to address this habit, possibly with the help of a dentist or a sleep specialist.

In summary, occlusal splints can be a valuable tool for managing TMJ pain, even when bruxism is not a factor. They help to stabilize the jaw, redistribute forces, and reduce muscle tension. Additionally, addressing habits such as mouth breathing can further enhance jaw health and comfort. If you are experiencing persistent jaw pain, it is advisable to consult with a dental professional who can evaluate your specific situation and recommend an appropriate treatment plan, which may include the use of an occlusal splint, physical therapy, or other interventions tailored to your needs.

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