Research Summary: Appliances used in migraine prevention therapy

doi:doi:10.1038/sj.bdj.4813312

British Dental Journal 200, 269 (2006)
Published online: 11 March 2006 | doi:10.1038/sj.bdj.4813312

Research Summary:
Appliances used in migraine prevention therapy

J Steele¹

In a busy clinical environment laminated appliances required less chair-side adjustment than acrylic appliances.
With both appliances we still advise an inter-premolar separation of about 4 mm but this may be increased if the patient also has marked tooth wear anteriority.
The principle of the mechanism of action of both appliances is to reduce nocturnal parafunctional activity.

Objective To evaluate clinical procedures and chair time required to seat and adjust hard, heat-cured acrylic occlusal splints and an alternative laminated appliance developed to simplify construction of migraine prevention appliances.

Design and setting Single-centre study in the Oral Medicine Clinic, The Royal Hospitals, Belfast, Northern Ireland.

Method Questionnaires were distributed, January-May 2003, to operators fitting occlusal splints for 100 consecutive patients selected for migraine prevention therapy. Half the appliances were made in heat–polymerised acrylic with the remainder using a novel combination of ethylene vinyl acetate and light-curing urethane dimethacrylate. Information on operator experience, the nature of any fitting surface and occlusal adjustments together with an estimate of the time taken to make alterations was recorded.

Key findings The need for adjustment to seat appliances intraorally was significantly less for migraine prevention appliances made using an experimental laminating technique. Where modifications were necessary, there was no significant difference in the chair time required to fit either the heat-cured hard or experimental laminated migraine prevention appliance.

Conclusion Provision of migraine prevention appliances may be more time efficient if the dental practitioner considers a laminated approach to construction.

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