TMD Appliances

Custom oral appliances play a key role in managing temporomandibular disorders (TMDs), especially when jaw joint or muscle overload contributes to pain and dysfunction.

At Advanced TMJ Maxillofacial Pain & Sleep Center, we provide evidence-based, custom-fitted appliances designed to reduce strain on the jaw, improve bite stability, and support healing—without altering your natural bite or relying on invasive treatment.

What are the types of Orthotic Splints

1. Stabilization Splint (Flat Plane Splint)

- The most commonly used type

- Covers all teeth on one arch (usually upper)

- Helps reduce jaw muscle hyperactivity and protects teeth from bruxism

- Strongest evidence of effectiveness in myofascial pain and bruxism

2. Anterior Repositioning Splint

- Positions the jaw slightly forward

- Used for cases involving TMJ disc displacement with reduction

- May relieve joint clicking and improve disc alignment

3. Anterior Bite Plane

- Covers only the front teeth

- Reduces posterior tooth contact and jaw muscle activity

- Typically used short-term due to risk of tooth movement

4. Posterior Bite Plane

- Covers back teeth and leaves front teeth open

- Can be used in certain cases of anterior open bite or muscle dysfunction

5. Soft/Resilient Splints

- Made of flexible materials

- Sometimes used for patients with significant muscle tenderness or tooth sensitivity

- Less durable and may not be ideal for heavy bruxers

Clinical Considerations

Each splint is custom-designed based on your jaw alignment, muscle condition, and TMD diagnosis. Regular follow-up visits ensure proper fit and monitor for changes in bite or symptoms. Long-term use of certain splints, especially repositioning appliances, should be supervised by a TMD-trained specialist to prevent unwanted occlusal changes.

Evidence-Based Approach

Research supports the use of stabilization splints for patients with myofascial pain and sleep bruxism. These appliances help reduce pain intensity, protect teeth, and improve jaw function. When used as part of a multimodal treatment plan, including physical therapy, behavioral interventions, and pharmacologic management, orthotic splints can significantly enhance quality of life for TMD patients.