Occlusal Adjustment

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Peter G Robinson - One of the best experts on this subject based on the ideXlab platform.

  • Occlusal Adjustment for treating and preventing temporomandibular joint disorders
    Cochrane Database of Systematic Reviews, 2016
    Co-Authors: Peter G Robinson
    Abstract:

    Background There has been a long history of using Occlusal Adjustment in the management of temporomandibular disorders (TMD). It is not clear if Occlusal Adjustment is effective in treating TMD. Objectives To assess the effectiveness of Occlusal Adjustment for treating TMD in adults and preventing TMD. Search methods We searched the Cochrane Oral Health Group's Trials Register (April 2002); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2002, Issue 2); MEDLINE (1966 to 8th April 2002); EMBASE (1980 to 8th April 2002) and handsearched journals of particular importance to this review. Additional reports were identified from the reference lists of retrieved reports and from review articles of treating TMD. There were no language restrictions. Unpublished reports or abstracts were considered from the SIGLE database. Selection criteria All randomised or quasi-randomised controlled trials (RCTs) comparing Occlusal Adjustment to placebo, reassurance or no treatment in adults with TMD. The outcomes were global measures of symptoms, pain, headache and limitation of movement. Data collection and analysis Data were independently extracted, in duplicate, by two review authors (Holy Koh (HK) and Peter G Robinson (PR)). Authors were contacted for details of randomisation and withdrawals and a quality assessment was carried out. The Cochrane Collaboration's statistical guidelines were followed and risk ratios calculated using random-effects models where significant heterogeneity was detected (P < 0.1). Main results Over 660 trials were identified by the initial search. Six of these trials, which reported results from a total of 392 patients, were suitable for inclusion in the review. From the data provided in the published reports, symptom-based outcomes were extracted from trials on treatment. Data on incidence of symptoms were extracted from trials on prevention. Neither showed any difference between Occlusal Adjustment and control groups. Authors' conclusions There is an absence of evidence, from RCTs, that Occlusal Adjustment treats or prevents TMD. Occlusal Adjustment cannot be recommended for the management or prevention of TMD. Future trials should use standardised diagnostic criteria and outcome measures when evaluating TMD.

  • Occlusal Adjustment for treating and preventing temporomandibular joint disorders
    Journal of Oral Rehabilitation, 2004
    Co-Authors: Peter G Robinson
    Abstract:

    summary  To assess the effectiveness of Occlusal Adjustment (OA) for treating temporomandibular disorders (TMD) in adults and preventing TMD. The Cochrane Controlled Trials Register, MEDLINE and EMBASE were comprehensively searched using the Cochrane methods. Reports and review articles were retrieved. Unpublished reports or abstracts were considered from the SIGLE database. All randomized or quasi-randomized controlled trials comparing OA with placebo, reassurance or no treatment in adults with TMD. The outcomes were global measures of symptoms, pain, headache and limitation of movement. Data collection and analysis followed the Cochrane Oral Health Group's statistical guidelines. Results showed no difference between OA and control group in symptom-based outcomes for treatment or incidence of symptoms for prevention. There is no evidence that OA treats or prevents TMD. OA cannot be recommended for the management or prevention of TMD. Future trials should use standardized diagnostic criteria and outcome measures when evaluating TMD.

Heli Forssell - One of the best experts on this subject based on the ideXlab platform.

Robe J Weya - One of the best experts on this subject based on the ideXlab platform.

Chinghung Chung - One of the best experts on this subject based on the ideXlab platform.

  • effect of Occlusal trauma on healing of periapical pathoses report of two cases
    International Endodontic Journal, 2001
    Co-Authors: Weimeei Harn, M C Chen, Yeahuey Melody Chen, Chinghung Chung
    Abstract:

    Aim To present two clinical cases and demonstrate that Occlusal trauma may affect healing of periapical pathoses. Summary Two teeth with periradicular disease did not respond successfully to conventional root canal treatment or endodontic surgery. Occlusal Adjustment was finally performed on both cases. After Occlusal Adjustment, uncomplicated healing and periapical repair occurred in both cases. The findings in these two cases suggest that Occlusal trauma may play a role in the healing of periapical pathoses. Key learning points • Occlusal trauma is positively correlated with changes in periodontal tissues. • Although experiments in animals have shown that application of forces to teeth will not induce further periodontal destruction, we believe that some failures of root canal treatment may be due to the presence of Occlusal trauma modulating the responses of inflamed periapical tissues or apical pathoses with persistent infection.

Najla Darodeh - One of the best experts on this subject based on the ideXlab platform.

  • stability of the implant abutment joint in a single tooth external hexagon implant system clinical and mechanical review
    Clinical Implant Dentistry and Related Research, 2004
    Co-Authors: Ameen Khraisat, Osama Abuhammad, Awni M Alkayed, Najla Darodeh
    Abstract:

    Rigorous efforts have recently been made to reduce the recurrence of implant/abutment joint failure in single-tooth implant restorations. However, the current knowledge about the stability of implant/abutment joints in an external hexagon implant system is incomplete. We reviewed clinical data regarding single-tooth implant treatment with Branemark implants, specifically the CeraOne abutment system (Nobel Biocare AB, Goteborg, Sweden). In vitro studies on joint stability were systematically assessed. Bending overload and the presence of misfit at the implant/abutment joint interface are the critical mechanical conditions that can make the joint unstable. Appropriate joint fitness and proper alignment of the implant should be assessed, and Occlusal Adjustment by narrowing the restoration width and flattening cuspal inclination should be applied to avoid bending moments caused by the lateral component of Occlusal forces. Sufficient clinical reports of longer duration that evaluate and verify longer-term success of the newly manufactured joint components were unavailable.