Effect of occlusal splint design and thickness on temporomandibular joint loading: A finite element study

dc.authorid0000-0002-4242-7681
dc.authorid0000-0003-2163-5219
dc.authorid0000-0002-3121-6467
dc.authorid0000-0002-8999-9652
dc.authorid0009-0006-7126-9041
dc.contributor.authorTopdağı, Başak
dc.contributor.authorGüzelce Sultanoğlu, Elifnur
dc.contributor.authorÇiftçi Şişman, Alanur
dc.contributor.authorAktürk, Hüsna
dc.contributor.authorKaraosmanoğlu, Kübra
dc.date.accessioned2026-08-01T11:35:09Z
dc.date.available2026-08-01T11:35:09Z
dc.date.issued2026
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız, Diş ve Çene Cerrahisi Ana Bilim Dalı
dc.description.abstractObjectives Occlusal splints are a mainstay in the management of temporomandibular disorders, but the mechanical influence of design and thickness variations on joint and dental structures remains unclear. This study compared the stress and strain distributions within the temporomandibular joint (TMJ) and adjacent tissues produced by Michigan (stabilization) and non-permissive splints of 3-mm and 5-mm thicknesses using finite element analysis. Materials and methods Three-dimensional models of the maxilla, mandible, teeth, periodontal ligament, and articular disc were reconstructed from the Visible Human Project dataset. Michigan and non-permissive splints were modeled with occlusal thicknesses of 3 mm and 5 mm. Functional muscle forces were applied to simulate mandibular movements, and linear static analyses were performed in OptiStruct under defined boundary conditions. Results The splint-free model showed the highest stress levels in all structures. Non-permissive splints significantly reduced mandibular stress (32.3 MPa) but increased loading on the periodontal ligament. Michigan splints resulted in lower periodontal ligament stresses and a more even stress distribution within the articular disc. Increasing splint thickness improved stress reduction only in the non-permissive model. Conclusions Occlusal splints lowered peak stresses in the TMJ and related structures. Non-permissive splints provided greater joint protection, while Michigan splints achieved a more balanced distribution of occlusal forces. Clinical relevance Splint design and thickness affect how loads are transferred through the temporomandibular system. Non-permissive splints, particularly at 5 mm, reduced joint stress but increased periodontal ligament loading. Splint selection should consider the main treatment goal, with attention to using the minimal effective thickness.
dc.identifier.citationTopdağı, B., Güzelce Sultanoğlu, E., Çiftçi Şişman, A., Aktürk, H., & Karaosmanoğlu, K. (2026). Effect of occlusal splint design and thickness on temporomandibular joint loading: A finite element study. BMC Oral Health, 26(1), pp. 1-17. https://doi.org/10.1186/s12903-026-08376-6
dc.identifier.doi10.1186/s12903-026-08376-6
dc.identifier.endpage17
dc.identifier.issn1472-6831
dc.identifier.issue1
dc.identifier.pmidPMID: 42098687
dc.identifier.scopus2-s2.0-105043905787
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1186/s12903-026-08376-6
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1573
dc.identifier.volume26
dc.identifier.wosWOS:001820208600002
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorAktürk, Hüsna
dc.institutionauthorid0000-0002-8999-9652
dc.language.isoen
dc.publisherBioMed Central
dc.relation.ispartofBMC Oral Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectOcclusal Splints
dc.subjectTemporomandibular Joint Disorders
dc.subjectFinite Element Analysis
dc.subjectStress
dc.subjectMechanical
dc.titleEffect of occlusal splint design and thickness on temporomandibular joint loading: A finite element study
dc.typeArticle
dspace.entity.typePublication

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