The hemodynamic effects of occlusal splint therapy on the masseter muscle of patients with myofascial pain accompanied by bruxism

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

Disclosure statement

The authors declare no conflict of interest.

Additional information

Funding

This study was supported by the Scientific Research Projects Coordination Unit of Istanbul University (Project No: 17412).