Modest improvement in temporomandibular disorder–related pain associated with use of hard stabilization appliances compared with use of nonoccluding appliances or no therapy Critical Summary Prepared by: Nikolaos Pandis DDS, MS, dr. med. dent 

A Critical Summary of:

Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders

Fricton, J., Look, J. O., Wright, E., Alencar, F. G., Jr., Chen, H., Lang, M., Ouyang, W., Velly, A. M.. Journal of Orofacial Pain. 2010;24(3):237-54

Published Date: 10/31/2011

This summary is published in the Journal of the American Dental Association and can be accessed at :-


  • Systematic Review Conclusion:

    The use of properly adjusted hard stabilization appliances (HSAs) is preferable to the use of nonoccluding appliances (NOAs) or to no therapy in the treatment of pain related to temporomandibular disorders (TMDs).

  • Critical Summary Assessment:

    This systematic review was of moderate quality and included some studies with high risk of bias.

  • Evidence Quality Rating:


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