Management of Adverse Conditions in Oral Appliance Therapy-Management of Adverse Conditions in OAT Video

Video Transcription

Video Summary

In the video, the speaker discusses the most common adverse events that may occur when using an oral appliance for treatment. These include excessive salivation, muscle soreness, TM joint concerns, xerostomia, tinnitus, tooth mobility, open contacts, clenching, grinding, and occlusal bite changes. The speaker emphasizes the importance of identifying the cause of these adverse events and managing them to prevent patient discouragement and discontinuation of appliance use. Management strategies include adjusting the appliance, closing open contacts, using salivary stimulants for xerostomia, prescribing muscle relaxants or topical creams for muscle soreness, and using an anterior deprogrammer to relax muscles and relieve clenching. The speaker also mentions the potential for changes in occlusion over time with appliance use and suggests using repositioners and exercises to manage these changes. Additionally, the speaker discusses less common adverse events such as unilateral and bilateral posterior open bite and TM joint lock. For these events, the speaker suggests exercises, aligner adjustments, levering techniques, and referral to physical therapy if necessary. Overall, the speaker emphasizes the importance of identifying and managing adverse events to ensure the successful use of oral appliances for patient treatment.

Keywords

oral appliance

adverse events

excessive salivation

muscle soreness

TM joint concerns

xerostomia

tinnitus

tooth mobility

open contacts