{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T16:45:36Z","timestamp":1783961136479,"version":"3.55.0"},"reference-count":25,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>The research question was: do the mandibular condyles change their position within glenoid fossae after treatment combining occlusal splint therapy and physiotherapy in patients diagnosed with temporomandibular disorders (TMD)? Forty patients with TMD were included into the study. They underwent initial physiotherapy, and a six-month treatment of occlusal splint therapy with physiotherapy. Cone-beam computed tomography images of temporomandibular joints (TMJs) were taken before and after the treatment. The control group consisted of 15 asymptomatic patients, who did not receive any type of occlusal treatment. The changes in the dimension of anterior, superior, posterior, and medial joint spaces after the end of the treatment in patients with TMD were statistically insignificant. The average value of condylar ratio was significantly higher after the end of the treatment (p = 0.025). The changes in the condylar sagittal position were statistically insignificant. Occlusal splint therapy with physiotherapy did not change significantly the dimension of joint spaces, nor placed the mandibular condyles into the centric relation. Treatment of patients with TMD should not aim at gnathological concept of placing the mandibular condyles into centric relation, because centric relation appears not to be mandatory to achieve successful results of treatment in patients with TMD.<\/jats:p>","DOI":"10.3390\/jpm12020254","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T02:35:51Z","timestamp":1644546951000},"page":"254","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Do the Mandibular Condyles Change Their Positions within Glenoid Fossae after Occlusal Splint Therapy Combined with Physiotherapy in Patients Diagnosed with Temporomandibular Joint Disorders? A Prospective Case Control Study"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7203-271X","authenticated-orcid":false,"given":"Marcin","family":"Derwich","sequence":"first","affiliation":[{"name":"ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5373-4783","authenticated-orcid":false,"given":"Elzbieta","family":"Pawlowska","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"ref_1","first-page":"149","article-title":"Centric relation definition: A historical and contemporary prosthodontic perspective","volume":"13","author":"Palaskar","year":"2013","journal-title":"J. Indian Prosthodont. Soc."},{"key":"ref_2","first-page":"755","article-title":"An evidence-based evaluation of the concept of centric relation in the 21st century","volume":"49","author":"Kandasamy","year":"2018","journal-title":"Quintessence Int."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.prosdent.2016.12.001","article-title":"The Glossary of Prosthodontic Terms: Ninth Edition","volume":"117","author":"Ferro","year":"2017","journal-title":"J. Prosthet. Dent."},{"key":"ref_4","first-page":"136","article-title":"Temporomandibular pain-dysfunction and occlusal relationships","volume":"43","author":"Roth","year":"1973","journal-title":"Angle Orthod."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.ajodo.2004.10.015","article-title":"Three-dimensional analysis of models articulated in the seated condylar position from a deprogrammed asymptomatic population: A prospective study. Part 1","volume":"129","author":"Cordray","year":"2006","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_6","unstructured":"Ikeda, K. (2014). TMJ 1st Orthodontics Concepts, Mechanics, and Stability, Topnotch Kikaku Ltd.. [1st ed.]."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1038\/s41415-020-2502-x","article-title":"Centric relation and increasing the occlusal vertical dimension: Concepts and clinical techniques-part one","volume":"230","author":"Hassall","year":"2021","journal-title":"Br. Dent. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1038\/s41415-020-2593-4","article-title":"Centric relation and increasing the occlusal vertical dimension: Concepts and clinical techniques-part two","volume":"230","author":"Hassall","year":"2021","journal-title":"Br. Dent. J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"13","DOI":"10.15644\/asc51\/1\/2","article-title":"Reproducibility of Centric Relation Techniques by means of Condyle Position Analysis","volume":"51","author":"Braut","year":"2017","journal-title":"Acta Stomatol. Croat."},{"key":"ref_10","first-page":"151","article-title":"Reproducibility of 2 methods to locate centric relation in healthy individuals and TMD patients","volume":"20","author":"Zonnenberg","year":"2012","journal-title":"Eur. J. Prosthodont. Restor. Dent."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Derwich, M., Mitus-Kenig, M., and Pawlowska, E. (2020). Interdisciplinary Approach to the Temporomandibular Joint Osteoarthritis-Review of the Literature. Medicina, 56.","DOI":"10.3390\/medicina56050225"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1080\/00016357.2020.1759818","article-title":"Efficacy of occlusal splints in the treatment of temporomandibular disorders: A systematic review of randomized controlled trials","volume":"78","author":"Zhang","year":"2020","journal-title":"Acta Odontol. Scand."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/s10194-015-0586-5","article-title":"Reported concepts for the treatment modalities and pain management of temporomandibular disorders","volume":"16","author":"Wieckiewicz","year":"2015","journal-title":"J. Headache Pain."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Pficer, J.K., Dodic, S., Lazic, V., Trajkovic, G., Milic, N., and Milicic, B. (2017). Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0171296"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta24070","article-title":"Oral splints for patients with temporomandibular disorders or bruxism: A systematic review and economic evaluation","volume":"24","author":"Riley","year":"2020","journal-title":"Health Technol. Assess."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1111\/joor.12856","article-title":"Self-exercise programmes and occlusal splints in the treatment of TMD-related myalgia-Evidence-based medicine?","volume":"46","author":"Eliassen","year":"2019","journal-title":"J. Oral Rehabil."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.math.2015.06.009","article-title":"Efficacy of musculoskeletal manual approach in the treatment of temporomandibular joint disorder: A systematic review with meta-analysis","volume":"21","author":"Martins","year":"2016","journal-title":"Man. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/joor.12321","article-title":"Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: A systematic review of randomised controlled trials","volume":"42","author":"Calixtre","year":"2015","journal-title":"J. Oral Rehabil."},{"key":"ref_19","unstructured":"Rocabado, M., and Iglarsh, Z.A. (1991). Physical modalities and manual techniques used in the treatment of maxillofacial pain. Musculoskeletal Approach to Maxillofacial Pain, JB Lippincott. [1st ed.]."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/0022-3913(85)90029-0","article-title":"A tomographic study of mandibular condyle position in an asymptomatic population","volume":"53","author":"Pullinger","year":"1985","journal-title":"J. Prosthet. Dent."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"van Grootel, R.J., Buchner, R., Wismeijer, D., and van der Glas, H.W. (2017). Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1404-9"},{"key":"ref_22","first-page":"681","article-title":"Massage therapy in myofascial TMD pain management","volume":"21","author":"Miernik","year":"2012","journal-title":"Adv. Clin. Exp. Med."},{"key":"ref_23","unstructured":"Okeson, J.P. (2020). Management of Temporomandibular Disorders and Occlusion, Elsevier Health Sciences. [8th ed.]."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1080\/08869634.2019.1650216","article-title":"Effect of deprogramming splint and occlusal equilibration on condylar position of TMD patients-A CBCT assessment","volume":"39","author":"Ramachandran","year":"2021","journal-title":"Cranio"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"32","DOI":"10.14295\/bds.2016.v19i3.1264","article-title":"Influence of the interocclusal splint in condylar position of patients with TMD: A cone beam computed tomography study","volume":"19","author":"Filho","year":"2016","journal-title":"Braz. Dent. Sci."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/2\/254\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:17:36Z","timestamp":1760134656000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/2\/254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,10]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["jpm12020254"],"URL":"https:\/\/doi.org\/10.3390\/jpm12020254","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,10]]}}}