The effect of specially designed and managed occlusal devices on patient symptoms and pain: a cohort study

Self-Instruction Exercise No. 365
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Exercise No. 365
Subject Code: 185
Appliance Therapy

The 15 questions for this exercise are based on the article, The effect of specially designed and managed occlusal devices on patient symptoms and pain: a cohort study, on pages 46-52. This exercise was developed by Kim Capehart, DDS, DDOC, MBA, PhD(c) in association with the General Dentistry Self-Instruction committee.

Reading the article and successfully completing this exercise will enable the participant to:

  • identify the ideal characteristics of splints in the dental system (DS) utilized on symptomatic head and neck patients;
  • describe the protocol for a new approach to treating symptomatic head and neck patients with a special splint; and
  • recognize the benefits of splint therapy in alleviating symptoms of head and neck pain.

Answers for this exercise must be received by February 29, 2016.
  1. All of the following are properties of interocclusal devices except one. Which is the exception?

    A. removable
    B. adjustable
    C. invasive
    D. functional

  2. Properly managed splints can be protective if worn during sleep. Splints play a role in symptom reduction.

    A. Both statements are true.
    B. The first statement is true; the second is false.
    C. The first statement is false; the second is true.
    D. Both statements are false.

  3. DS will activate neuro-muscular avoidance in the presence of_______ µ thick prematurity.

    A. 0-4
    B. 5-10
    C. 11-15
    D. 16-20

  4. All of the following are main attributes of people with ideal natural DS except one. Which is the exception?

    A. Coincident relationship between maximum intercuspation (MI) with positive incisor contact
    B. Canine guidance in the posterior teeth
    C. Anterior guidance that disallows posterior tooth contact until final closure
    D. Minimally worn teeth

  5. A Brief Pain Inventory (BPI) was used for patients’ symptom intensity over the course of the splint therapy. The study consisted of dental patients with only histories of TMD and headaches at a private dental clinic over an 8-year period.

    A. Both statements are true.
    B. The first statement is true; the second is false.
    C. The first statement is false; the second is true.
    D. Both statements are false.

  6. The patients’ bioesthetic maxillary anterior guided orthoses (BMAGOs) were adjusted at ___-week intervals.

    A. 1
    B. 2
    C. 3
    D. 4

  7. The best possible position of the condyles using a BMAGO stabilization splint is in the ____________.

    A. glenoid fossae
    B. infratemporal fossae
    C. pterygopalatine fossae
    D. hypophyseal fossae

  8. The separation between the closest point between maxillary and mandibular casts on the articulator is ___ mm.

    A. 1
    B. 2
    C. 3
    D. 4

  9. Stability of the mandible is determined when the occlusal contacts have not required adjustments for a minimum of ___ week(s).

    A. 1
    B. 2
    C. 3
    D. 4

  10. The mandibular to cranial base relationship occurring on the splint is the equivalent of achieving CR in a dentition coincident with MI. Research has found a significant correlation between MI-CR discrepancy and symptoms of TMD.

    A. Both statements are true.
    B. The first statement is true; the second is false.
    C. The first statement is false; the second is true.
    D. Both statements are false.

  11. The non-parametric ___________ test was applied using the null hypothesis.

    A. Cochen’s kappa
    B. Mann-Whitney U
    C. Spearman’s rank correlation coefficient
    D. Friedman

  12. Tracking an individual’s “biologic response” can take up to _____ months.

    A. 7
    B. 9
    C. 11
    D. 13

  13. The primary use of the BMAGO is to position and stabilize the __________.

    A. occlusion
    B. muscles of mastication
    C. teeth
    D. condyles

  14. All of the following groups demonstrated a dramatic decrease in symptom intensity except one.
    Which is the exception?

    A. Group 1: Structural
    B. Group 2: Functional
    C. Group 3: Pain
    D. Group 4: Tinnitus

  15. The use of BMAGO splints produced highly predictive symptom reductions in _____ of the 12 examined symptoms.

    A. 5
    B. 7
    C. 9
    D. 11

Evaluation
Please respond to the statements below, using the following scale:
1 Poor; 2 Below average; 3 Average; 4 Above average; 5 Excellent
Practicality of the content 1 2 3 4 5
Benefit to your clinical practice 1 2 3 4 5
Quality of illustrations 1 2 3 4 5
Clarity of objectives 1 2 3 4 5
Clarity of exercise questions 1 2 3 4 5
Relevance of exercise questions 1 2 3 4 5
 
Did this exercise achieve its objectives? Yes No
Did this article present new information? Yes No
How much time did it take you to complete this exercise? mins

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