This Cochrane review of the effects of psychological therapies in people (aged 12 years and over) with painful temporomandibular disorders (TMD)lasting 3 months or longer included 22 RCTs. Cognitive behaviour therapy (CBT) was the most frequently studied but overall there was insufficient evidence on which to base a reliable judgement about the efficacy of psychological therapies for painful TMD
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This review the efficacy of stabilisation appliances in the management of painful temporomandibular disorders (TMDs) included 24 RCTs. The findings suggest they have an efficacy beyond the placebo effect however the evidence of low to very low certainty.
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This review of the the effectiveness of different mandibular advancement devices for obstructive sleep apnoea included 50 RCTS. While the findins suggest that mono-bloc MADs are more effective duo-bloc devices the quality of the available evidence is very low.
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Sixteen studies were included in this review of oral appliances for sleep bruxism. The included studies were small and mainly short term and only 7 studies were RCTs . Although the availabel evidence suggests a short term benefit further high-quality studies of longer duration are needed.
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Only 5 small low quality studies were included in this review of botulinum toxin (BoNT-A ) injections for sleep bruxism. 3 of the included studies were RCTs and while a potential benefit from use of BoNT-A treatment was suggested the findings should be treated very cautiously.
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This Cochrane review to assess the effects of oral appliances or functional orthopaedic appliances for obstructive sleep apnoea in children only identified a single small trial which provided insufficient evidence to assess effectiveness.
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Obstructive sleep apnoea (OSA) can result in day-time sleepiness, neurocognitive decline and, in the long terms cardiovascular problems. While nasal continuous positive airway pressure (CPAP) is the standard treatment for OSA oral appliances (OAs) have been used as an alternative approach. The aim of this review was to assess the effectiveness of OAs that advanced [read the full story…]
Another new critical summary form the ADA-EBD Center looks at a 2011 systematic review by Ahrens et al. The aim of the original review was to compare the effectiveness of different design features of mandibular advancement devices (MADs) in reducing the severity of obstructive sleep apnea (OSA). The appraiser notes that some relevant studies may [read the full story…]
Obstructive sleep apnoea syndrome (OSAS) affects about 4% of the male and 2% of the female population of North America. Standard treatment is with continuous positive airway pressure (CPAP) however this has poor adherence in some groups and oral appliance therapy is an alternative therapy. The aim of this trial was to assess variations in [read the full story…]
