Abstract：
This systematic review aims to examine the existing original studies to determine the effectiveness of occlusal splints (OSs) in the management of orofacial myalgia and myofascial pain (MP) in comparison with no treatment or other interventions.
Based on the inclusion and exclusion criteria of this systematic review, randomized controlled trials were qualified, in which the effectiveness of occlusal splint therapy in the management of muscle pain was examined in comparison with no treatment or other interventions. This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020. The authors searched three databases (PubMed, CINAHL (The Cumulative Index to Nursing and Allied Health Literature) and Scopus) for English publications published between January 1, 2010, and June 1, 2022. The last database search was carried out on June 4, 2022. Data were extracted from the included studies and assessed for risk of bias using the revised Cochrane risk-of-bias tool for randomized trials.
Thirteen studies were identified for inclusion in this review. In total, 589 patients were diagnosed with orofacial muscle pain who underwent education and various forms of therapy including different types of OSs, light emitting diode therapy, acupuncture, low-level laser therapy, device-supported sensorimotor training, Kinesio Taping, myofunctional therapy, and physical therapy. All studies included demonstrated a high risk of bias.
There is insufficient evidence regarding whether OS therapy in the treatment of orofacial myalgia and MP offers an advantage over other forms of interventions or no treatment. Further reliable clinical studies in this area are needed to improve the quality of research, which should be performed with larger groups of blinded respondents and controls.
Due to the large-scale nature of orofacial muscle pain, it is assumed that each dental clinician will meet patients with orofacial muscle pain repeatedly in daily practice; hence, the review of the effectiveness of OSs in the management of orofacial myalgia and MP is necessary.
Based on the inclusion and exclusion criteria of this systematic review, randomized controlled trials were qualified, in which the effectiveness of occlusal splint therapy in the management of muscle pain was examined in comparison with no treatment or other interventions. This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020. The authors searched three databases (PubMed, CINAHL (The Cumulative Index to Nursing and Allied Health Literature) and Scopus) for English publications published between January 1, 2010, and June 1, 2022. The last database search was carried out on June 4, 2022. Data were extracted from the included studies and assessed for risk of bias using the revised Cochrane risk-of-bias tool for randomized trials.
Thirteen studies were identified for inclusion in this review. In total, 589 patients were diagnosed with orofacial muscle pain who underwent education and various forms of therapy including different types of OSs, light emitting diode therapy, acupuncture, low-level laser therapy, device-supported sensorimotor training, Kinesio Taping, myofunctional therapy, and physical therapy. All studies included demonstrated a high risk of bias.
There is insufficient evidence regarding whether OS therapy in the treatment of orofacial myalgia and MP offers an advantage over other forms of interventions or no treatment. Further reliable clinical studies in this area are needed to improve the quality of research, which should be performed with larger groups of blinded respondents and controls.
Due to the large-scale nature of orofacial muscle pain, it is assumed that each dental clinician will meet patients with orofacial muscle pain repeatedly in daily practice; hence, the review of the effectiveness of OSs in the management of orofacial myalgia and MP is necessary.
摘要：
本系统综述旨在检查现有的原始研究，以确定与没有治疗或其他干预措施相比，咬合夹板（OS）在口面部肌痛和肌筋膜疼痛（MP）的治疗中的有效性。
根据本系统评价的纳入和排除标准，随机对照试验合格，其中与没有治疗或其他干预措施相比，检查了咬合板治疗在治疗肌肉疼痛中的有效性。本系统评价是根据2020年系统评价和荟萃分析首选报告项目指南进行的。作者搜索了三个数据库(PubMed，CINAHL（护理和相关健康文献的累积指数）和Scopus），适用于2010年1月1日至2022年6月1日之间出版的英文出版物。最后一次数据库搜索是在2022年6月4日进行的。从纳入的研究中提取数据，并使用修订的Cochrane偏倚风险工具评估偏倚风险，用于随机试验。
本综述确定了13项研究。总的来说,589名患者被诊断为口面肌肉疼痛，他们接受了教育和各种形式的治疗，包括不同类型的OS，发光二极管治疗,针灸,低水平激光治疗，设备支持的感觉运动训练，KinesioTaping,肌功能疗法,和物理治疗。所有纳入的研究都显示出偏倚的高风险。
关于OS治疗口面肌痛和MP是否比其他形式的干预措施或不治疗有优势，没有足够的证据。这方面需要进一步可靠的临床研究,以提高研究质量,这应该与更大的盲化受访者和对照组一起进行。
由于口面肌肉疼痛的大规模性质，假设每个牙科临床医生在日常实践中都会反复遇到口面肌肉疼痛的患者；因此，有必要对OSs治疗口面肌痛和MP的有效性进行审查.
根据本系统评价的纳入和排除标准，随机对照试验合格，其中与没有治疗或其他干预措施相比，检查了咬合板治疗在治疗肌肉疼痛中的有效性。本系统评价是根据2020年系统评价和荟萃分析首选报告项目指南进行的。作者搜索了三个数据库(PubMed，CINAHL（护理和相关健康文献的累积指数）和Scopus），适用于2010年1月1日至2022年6月1日之间出版的英文出版物。最后一次数据库搜索是在2022年6月4日进行的。从纳入的研究中提取数据，并使用修订的Cochrane偏倚风险工具评估偏倚风险，用于随机试验。
本综述确定了13项研究。总的来说,589名患者被诊断为口面肌肉疼痛，他们接受了教育和各种形式的治疗，包括不同类型的OS，发光二极管治疗,针灸,低水平激光治疗，设备支持的感觉运动训练，KinesioTaping,肌功能疗法,和物理治疗。所有纳入的研究都显示出偏倚的高风险。
关于OS治疗口面肌痛和MP是否比其他形式的干预措施或不治疗有优势，没有足够的证据。这方面需要进一步可靠的临床研究,以提高研究质量,这应该与更大的盲化受访者和对照组一起进行。
由于口面肌肉疼痛的大规模性质，假设每个牙科临床医生在日常实践中都会反复遇到口面肌肉疼痛的患者；因此，有必要对OSs治疗口面肌痛和MP的有效性进行审查.
