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The hemodynamic effects of occlusal splint therapy on the masseter muscle of patients with myofascial pain accompanied by bruxism
Authors:Ebru ?spirgil PhD  Sinem Burcu Erdo?an PhD  Ata Ak?n PhD
Institution:1. Private Practice, Ac?badem Altunizade &2. Bak?rk?y Hospital, ?stanbul, Turkey;3. Faculty of Engineering, Department of Medical Engineering, Ac?badem Mehmet Ali Ayd?nlar University, ?stanbul, TurkeyORCID Iconhttps://orcid.org/0000-0001-6028-3477;4. Faculty of Engineering, Department of Medical Engineering, Ac?badem Mehmet Ali Ayd?nlar University, ?stanbul, Turkey
Abstract:ABSTRACT

Objective: The aim of this study was to investigate the hemodynamic effects of occlusal splint therapy on masseter muscles of patients with myofascial pain accompanied by bruxism with near-infrared spectroscopy (NIRS).

Methods: Twenty-four patients were randomly divided into two groups, where the study group (n = 12) received occlusal splint therapy and the control group (n = 12) underwent no therapy. Measurements were categorized into four subgroups: painful or painless control and painful or painless splint. Percent changes in deoxyhemoglobin (Hb), oxyhemoglobin (HbO2), and OXY (HbO2-Hb) values were calculated during a 1-month period.

Results: Statistically significant inter-session differences between painful-splint and painful-control groups were detected for NIRS oxygenation parameters, whereas inter-session differences between painless groups were statistically insignificant.

Conclusion: The results suggest that occlusal splint usage causes a decrease in hyperemic response, which is indicative of a decrease in masseter muscle contraction strength.
Keywords:Bruxism  myofascial pain  occlusal splint  hemodynamic changes  near-infrared spectroscopy
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