{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:25:29Z","timestamp":1791037529265,"version":"4.1.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"\n Aim:<\/jats:title>\n The aim of this study was to compare the improvement of pain between a digitally constructed stabilization splint (SS) and anterior repositioning splint (ARS) for patients with anterior disc displacement with reduction (DDWR).<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n The trial was a cross-over randomized control trial.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Twenty patients were diagnosed using magnetic resonance imaging to have anterior disc displacement were included in the following trial. All included patients met the inclusion criteria and they were all suffering from pain and were classified as anterior DDWR. They were randomized using the sealed envelopes into two groups. Group A patients received ARS for 3 months and then SS for another 3 months after a 14-day wash out period, while in group B patients received SS for 3 months and then ARS for another 3 months after a wash out period of 14 days. All included patients received a primary impression followed by a centric relation record and a protrusive record for the fabrication of the splints. All splints were designed and then printed. Pain was evaluated using the Visual Analog Scale (VAS), an easy subjective proportion of pain intensity using a scale from 0 to 10, where 0 indicates no pain and 10 indicates high intensity.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n \n An independent\n t<\/jats:italic>\n -test was performed for both groups at each fixed time interval.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n There was a statistically significant difference within absolute change in pain reduction for both groups over the 3-month follow-up period. During the 1\n st<\/jats:sup>\n week, Group B showed a greater pain reduction compared to Group A (0.43 vs. 0.32, respectively;\n P<\/jats:italic>\n = 0.0001). However, at the 2\n nd<\/jats:sup>\n week, 1 month, 2 months, and 3 months, Group A demonstrated greater pain reduction than Group B, with the values of (0.87, 1.5, 1.54, and 1.82) for Group A and (0.81, 1.19, 1.43, and 1.78) for Group B, respectively (\n P<\/jats:italic>\n = 0.0001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Within the limitations of this study, both splints are considered reliable treatment options for patients with anterior disc displacement. The ARS initially demonstrated a greater improvement in pain compared to the SS. However, after the 3-month follow-up period, no significant difference was observed between the two splints.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jips.jips_8_25","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T07:00:19Z","timestamp":1744354819000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["3D-Printed anterior repositioning splint versus stabilization splint for patients with anterior disc displacement with reduction: A randomized cross-over clinical trial"],"prefix":"10.4103","volume":"25","author":[{"given":"Mostafa Mohamed Sobhy","family":"Tahoon","sequence":"first","affiliation":[{"name":"Fixed and Removable Prosthodontic Department, Oral and Dental Research Institute National Research Centre, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nouran Mahmoud","family":"Abdelnabi","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mostafa Esmat","family":"Elsisy","sequence":"additional","affiliation":[{"name":"Fixed and Removable Prosthodontic Department, Oral and Dental Research Institute National Research Centre, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani Ramadan Ali","family":"Moussa","sequence":"additional","affiliation":[{"name":"Oral and Dental Research Institute National Research Centre, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal Rekaby","family":"Taha","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"R1-20250714","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.21608\/edj.2017.73922","article-title":"Which splints are effective in treatment of TMD: Stabilizing splint for long period or anterior repositioning splint for short period!","volume":"63","author":"Katamish","year":"2017","journal-title":"Egypt Dent J"},{"key":"R2-20250714","doi-asserted-by":"crossref","first-page":"e20180433","DOI":"10.1590\/1678-7757-2018-0433","article-title":"Temporomandibular joint disc displacement with reduction: A review of mechanisms and clinical presentation","volume":"27","author":"Poluha","year":"2019","journal-title":"J Appl Oral Sci"},{"key":"R3-20250714","doi-asserted-by":"crossref","first-page":"2599","DOI":"10.1007\/s00784-018-2359-4","article-title":"Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: A systematic review and meta-analysis","volume":"22","author":"Su","year":"2018","journal-title":"Clin Oral Investig"},{"key":"R4-20250714","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.sdentj.2022.12.013","article-title":"Occlusal splints-types and effectiveness in temporomandibular disorder management","volume":"35","author":"Albagieh","year":"2023","journal-title":"Saudi Dent J"},{"key":"R5-20250714","first-page":"1787","article-title":"Different types of occlusal splint used in management of temporomandibular joint disorders a review","volume":"7","author":"Dhannawat","year":"2020","journal-title":"Eur J Mol Clin Med"},{"key":"R6-20250714","first-page":"60","article-title":"Review article guardians of the temporomandibular joint: The occlusal splints- an overview","volume":"12","author":"Swetha","year":"2022","journal-title":"Arch Dent Res"},{"key":"R7-20250714","doi-asserted-by":"crossref","first-page":"9089286","DOI":"10.1155\/2018\/9089286","article-title":"The Efficiency of Anterior Repositioning Splints in the Management of Pain Related to Temporomandibular Joint Disc Displacement with Reduction","volume":"2018","author":"Pihut","year":"2018","journal-title":"Pain Res Manag"},{"key":"R8-20250714","first-page":"3","article-title":"Additive prototyping in dentistry- 3D printing and selective laser sintering","author":"Avneet","year":"2018","journal-title":"Open Access J Dent Sci"},{"key":"R9-20250714","first-page":"41","article-title":"Accuracy and efficiency of full-arch digitalization and 3D printing: A comparison between desktop model scanners, an intraoral scanner, a CBCT model scan, and stereolithographic 3D printing","volume":"48","author":"Wesemann","year":"2017","journal-title":"Quintessence Int"},{"key":"R10-20250714","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.3390\/jcm10092010","article-title":"3D printing in digital prosthetic dentistry: An overview of recent developments in additive manufacturing","volume":"10","author":"Schweiger","year":"2021","journal-title":"J Clin Med"},{"key":"R11-20250714","doi-asserted-by":"crossref","first-page":"181","DOI":"10.3390\/dj10100181","article-title":"Comparison in terms of accuracy between DLP and LCD printing technology for dental model printing","volume":"10","author":"Tsolakis","year":"2022","journal-title":"Dent J (Basel)"},{"key":"R12-20250714","first-page":"110","article-title":"Photo-curing 3D printing technique and its challenges","volume":"5","author":"Quan","year":"2020","journal-title":"Bioact Mater"},{"key":"R13-20250714","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1515\/eng-2021-0063","article-title":"A review on the fused deposition modeling (FDM) 3D printing: Filament processing, materials, and printing parameters","volume":"11","author":"Kristiawan","year":"2021","journal-title":"Open Eng"},{"key":"R14-20250714","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15713\/ins.idmjar.72","article-title":"Patient satisfaction and muscle activity after management of temporomandibular disorders patients using computer-aided design\/computer-aided manufacturing versus conventional occlusal splints (randomized clinical trial)","volume":"3","author":"Algabri","year":"2017","journal-title":"Int Dent Med J Adv Res Vol 2015"},{"key":"R15-20250714","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/S0920-1211(01)00214-5","article-title":"Proof of efficacy trials: Cross-over versus parallel-group","volume":"45","author":"Richens","year":"2001","journal-title":"Epilepsy Res"},{"key":"R16-20250714","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/j.ijom.2020.01.004","article-title":"Effectiveness of occlusal splint therapy in the management of temporomandibular disorders: Network meta-analysis of randomized controlled trials","volume":"49","author":"Al-Moraissi","year":"2020","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R17-20250714","doi-asserted-by":"crossref","first-page":"e0171296","DOI":"10.1371\/journal.pone.0171296","article-title":"Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects","volume":"12","author":"Kuzmanovic","year":"2017","journal-title":"PLoS One"},{"key":"R18-20250714","first-page":"394","article-title":"Validity and reliability of visual analogue scale (Vas) for pain measurement","volume":"2","author":"Rabea","year":"2019","journal-title":"J Med Case Rep Rev"},{"key":"R19-20250714","doi-asserted-by":"crossref","first-page":"6","DOI":"10.11607\/jop.1151","article-title":"Diagnostic criteria for temporomandibular disorders (DC\/TMD) for clinical and research applications: Recommendations of the international RDC\/TMD consortium network and orofacial pain special interest group","volume":"28","author":"Schiffman","year":"2014","journal-title":"J Oral Facial Pain Headache"},{"key":"R21-20250714","doi-asserted-by":"crossref","first-page":"205","DOI":"10.11607\/ofph.1241","article-title":"A systematic review and meta analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain","volume":"28","author":"Rold\u00e1n","year":"2014","journal-title":"J Oral Facial Pain Headache"}],"container-title":["The Journal of Indian Prosthodontic Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jips.jips_8_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:26:41Z","timestamp":1786724801000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jips.jips_8_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jips.jips_8_25","relation":{},"ISSN":["0972-4052","1998-4057"],"issn-type":[{"value":"0972-4052","type":"print"},{"value":"1998-4057","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}