N 3 (194) 2025. P. 73–78

LITERATURE REVIEW ON THE USE OF FRONTAL DEPROGRAMMERS OF THE MASTICATORY MUSCLES IN THE TREATMENT OF TEMPOROMANDIBULAR DISORDERS AND METHODS FOR THEIR IMPROVEMENT

Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.

DOI 10.32782/2226-2008-2025-3-12

The Aim of this study is to analyze modern sources of literature on the use of deprogramming devices, their design and to propose a simpler way to make it.

Materials and methods. In this article we describe the results of a literature review sources on the use of deprogramming devices. Based on the analysis of literature sources, the common properties of all deprogramming devices were revealed, their shortcomings were identified, and their comparison was carried out.

Results. It has been established that deprogramming device work on the basis of the “closing axis of the lower jaw”, which is a line from the center of the condyle to the cutting edge of the lower incisor.

Occlusive and deprogramming devices, particular anterior median splints, effectively reduce muscle tension by influencing proprioceptive sensitivity and neuromuscular coordination of the dentoalveolar system, which contributes to both the diagnosis and treatment of temporomandibular disorders (TMD). The use of deprogramming devices ensures accurate recording of jaw ratios and promotes muscle relaxation, using packaging composite materials eliminates the need for laboratory steps, optimizing the rehabilitation process and accelerating clinical results. The author’s proposal for a frontal deprogrammer can be as a method of choice to optimize and accelerate the results of the rehabilitation process for a patient with TMD by eliminating the need for laboratory steps.

Keywords: TMD, occlusal devices, occlusal splint, deprogramming of the jaw muscles.

REFERENCES

  1. Layton DM, Morgano SM, Att W et al. The Glossary of Prosthodontic Terms: 2023 Tenth Edition. Journal of Prosthetic Dentistry. 2023;130(4 Suppl 1):e1–e3. Available from: https://doi:10.1016/j.prosdent.2023.03.003
  2. Zhong Y, Luo F, Li X, Zeng S, Zhang S, Si J, Xiong X, Fang S. Associations between oral behaviors, temporomandibular disorder subtypes and psychological distress in adult women: a retrospective case-control study. Journal of Oral & Facial Pain and Headache. 2024;38(3):87-99. Available from: https://doi.org/10.22514/jofph.2024.030
  3. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis: Mosby; 2007. 632 pp. Available from: https://www.educate.elsevier.com/book/details/9780323033718
  4. Al-Moraissi EA, Farea R, Qasem KA, Al-Wadeai MS, Al-Sabahi ME, Al-Iryani GM. Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: network meta-analysis of randomized controlled trials. International Journal of Oral and Maxillofacial Surgery. 2020;49(8):1042–56. Available from: https://doi.org/10.1016/j.ijom.2020.01.004
  5. Al-Ani MZ, Davies SJ, Gray RJ, Sloan P, Glenny AM. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. The Cochrane Database of Systematic Reviews [Internet]. 2004;(1):CD002778. Available from: https://doi.org/10.1002/14651858.CD002778.pub2
  6. Orzeszek S, Waliszewska-Prosol M, Ettlin D, Seweryn P, Straburzyński M, Martelletti P, Jenca Jr A, Wieckiewicz M. Efficiency of occlusal splint therapy on orofacial muscle pain reduction: a systematic review. BMC Oral Health. 2023;23(1):180. Available from: https://doi.org/10.1186/s12903-023-02897-0
  7. Wilisowski D, Smok-Wilisowska A. ACase report on the application of selected methods of muscle deprogramming to achieve repetitivepositioningofthemandibularjointheadsinthetreatmentofdisordersofthestomatognathicsystemusingpharmacological agents. mir [Internet]. 30Aug.2022 [cited 18Jun.2025];30(118):23-6. Available from: https://www.interrev.com/ mir/index.php/mir/article/view/192
  8. Dichter D. Bite registration material setting too fast? Chillax… [Internet]. Spear Education; 2014 Nov [cited 2025 May 5]. Available from: https://www.speareducation.com/spear-review/2014/11/bite-registration-material-setting-fast-chillax- darin-dichter
  9. The Dawson Academy. How to make a differential diagnosis using a Lucia jig [Internet]. The Dawson Academy; [cited 2025 May 5]. Available from: https://thedawsonacademy.com/how-to-make-a-differential-diagnosis-using-a-lucia-jig/
  10. Blumenfeld AM, Boyd JP. Adjunctive treatment of chronic migraine using an oral dental device: overview and results of a randomized placebo-controlled crossover study. BMC Neurol. 2022;22:72. Available from: https://doi.org/10.1186/ s12883-022-02591-8
  11. Lukic N, Saxer T, Hou MY, Zumbrunn Wojczyńska A, Gallo LM, Colombo V. Short-term effects of NTI-tss and Michigan splint on nocturnal jaw muscle activity: a pilot study. Clinical and Experimental Dental Research. 2021;7(3):323–30. Available from: https://doi.org/10.1002/cre2.371
  12. Hasanoglu Erbasar GN, Alpaslan C, Eroglu Inan G. Can an NTI-tss device be effective as a first-line therapy in patients with TMD myofascial pain? Journal of Oral Rehabilitation. 2017;44(8):589–93. Available from: https://doi.org/10.1111/ joor.12524.
  13. Aksakalli S, Temucin F, Pamukcu A, Ezirganli S, Kazancioglu HO, Malkoc MA. Effectiveness of two different splints to treat temporomandibular disorders. Journal of Orofacial Orthopedics Fortschritte der Kieferorthopädie : Organ/official journal Deutsche Gesellschaft für Kieferorthopädie. 2015;76(4):318–27. Available from: https://doi.org/10.1007/ s00056-015-0294-4
  14. Kumar S, Prakash S, Kumar S, et al. Comparison of hardness and polishability of various occlusal splint materials. Journal of Prosthetic Dentistry. 2020;124(6):652–7. Available from: https://doi.org/10.1016/j.jmbbm.2020.104270
  15. Di Paolo C, Qorri E, Falisi G et al. RA.DI.CA. splint therapy in the management of temporomandibular joint displacement without reduction. Journal of Personalized Medicine. 2023;13(7):1095. Available from: https://doi.org/10.3390/ jpm13071095
  16. García M, Cabrera JA, Bataller A, Vila J, Mayoral P. Mandibular movement analysis by means of a kinematic model applied to the design of oral appliances for the treatment of obstructive sleep apnea. Sleep Medicine. 2020;73:29–37. Available from: https://doi.org/10.1016/j.sleep.2020.04.016
  17. Slavicek M, Slavicek R. The masticatory organ: functions and dysfunctions. Klosterneuburg (Austria): GAMMA Medizinisch-wissenschaftliche Fortbildung-AG; 2002. 544 p. Available from: https://www.gammadental.com/en/education-literature.html