Early responses to 3 mm resilient stabilization appliance therapy for sub-acute and chronic temporomandibular disorder pain predict 12-months follow-up outcomes

Cranio. 2022 Jan;40(1):72-78. doi: 10.1080/08869634.2019.1677301. Epub 2019 Oct 10.

Abstract

Objective: To estimate whether outcomes at 12-month follow-up may be predicted by an intermediate and early response to a 3 mm resilient splint therapy for unilateral arthralgia and myofascial pain assessed at 3- and 6-month follow-ups.Methods: Data obtained from one retrospective cohort study consisting of 78 patients suffering from chronic and sub-acute unilateral arthralgia and myofascial pain who were managed with 3 mm resilient splint therapy were subjected to analysis.Results: Baseline visual analog scale (VAS) intensity, gender as well as changes in the intensity of VAS pain at 3- and 6-month follow-ups predicted unilateral arthralgia and myofascial pain group membership (p < .001). The function classified 83.3% of the cross-validated and 87.2% of original grouped cases correctly.Discussion: The proposed model may be used to timely identify patients who are at risk of developing prolonged non-responsive unilateral arthralgia and myofascial pain chronicity.

Keywords: Temporomandibular disorders; chronic pain; resilient splint.

MeSH terms

  • Chronic Pain* / therapy
  • Follow-Up Studies
  • Humans
  • Retrospective Studies
  • Temporomandibular Joint Disorders* / therapy
  • Treatment Outcome