Impact of occlusal stabilization splints on global body posture: a prospective clinical trial

Hampe, Tristan and Fuerstberger, Laura and Kordsmeyer, Tobias L. and Penke, Lars and Mahler, Alannah M. and Maeder, Clemens M. and Buergers, Ralf and Krohn, Sebastian (2024) Impact of occlusal stabilization splints on global body posture: a prospective clinical trial. CLINICAL ORAL INVESTIGATIONS, 28 (9): 505. ISSN 1432-6981, 1436-3771

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Abstract

ObjectivesBody posture of patients with temporomandibular disorders (TMD) has been investigated using different methods, whereas outcome and conclusions were controversial. The present clinical trial aimed to investigate the effects of splint therapy on global body posture.Materials and methods24 subjects (20 females, 4 males; age 24.2 +/- 4.0 years) with TMD symptoms were examined clinically (RDC/TMD) and subsequently, splint fabrication was initiated. Along with routine therapy, all subjects underwent three-dimensional pre- and post-treatment full body scans in standing and upright sitting posture using a Vitus Smart XXL 3D scanner. Each scan was acquired in triplicate and evaluated in duplicate, measuring twelve standing and nine sitting postural parameters. Influencing factors were analyzed using analysis of variance (ANOVA), and additional Bland-Altman analyses verified the significance of the ANOVA results.ResultsThe increase of Forward Head angles and the decrease of Round Shoulders angles were consistent for both positions and sides. Forward Head angles were significantly influenced by limited mandibular mobility and myofascial pain. Round Shoulders angles showed a significant correlation with myofascial pain, joint noises and the absence of limited mandibular mobility.ConclusionThe influence of occlusal splints on global posture is limited and only small effects on cervicocranial parameters were found. In the present study, the average head position of post treatment measurements was more centered on the body's core, whereas the shoulders were tilted more anteriorly.Clinical relevanceUnderstanding the limited influence of occlusal splints on cervicocranial parameters underscores the need for multimodal treatment strategies for TMD patients.

Item Type: Article
Uncontrolled Keywords: RESEARCH DIAGNOSTIC-CRITERIA; TEMPOROMANDIBULAR DISORDERS; DENTAL OCCLUSION; ASSOCIATION; POSITION; THERAPY; ERRORS; JOINT; SPINE; ANGLE; Body posture; Temporomandibular disorders; Craniocervical posture; 3D scanning; Stabilization splint
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kieferorthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Oct 2025 14:02
Last Modified: 28 Oct 2025 14:02
URI: https://pred.uni-regensburg.de/id/eprint/64743

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