Whether you are treating a bruxism problem or a joint dysfunction, splint therapy is almost always your first line of defense. Why? Because splint therapy is generally reversible, non-invasive and exceedingly effective at reducing symptoms.

There are several varieties of splints. Each appliance is designed to address and eliminate a specific causative factor. To select the right splint, you must first accurately identify the factor. Therefore, the importance of a thorough history, exam and diagnosis cannot be overemphasized in the interest of arriving at a sound diagnosis.

Breakdown in the system may occur at the level of the teeth in the form of wear; at the periodontium in the form of mobility; or at the TMJ in the form of muscle spasms or splinting.

This examination should include:

1. Radiographic information (FMX, Panorex, Cephalogram, Tomograms).
2. A physical exam that includes palpation of the muscles; listening to joint sounds; observation of the mandible during functional movements; and a thorough investigation of the timing and duration of the pain.

To accomplish this, the clinician must possess a thorough understanding of the anatomy of the TMJ, including the muscles of mastication, ligaments, and mandibular movements.

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