This study was conducted in order to determine the effect of an occlus
al splint on craniocervical relationships, in subjects with muscle spa
sms in the sternocleidomastoid and trapezius muscles. A full-arch maxi
llary stabilization occlusal splint was made for each of the 15 subjec
ts. Two lateral craniocervical radiographs were taken for each subject
, with and without an occlusal splint. Cephalometric analysis showed t
hat the splint caused a significant extension of the head on the cervi
cal spine. There was also a significant decrease in the cervical spine
lordosis in the first, second and third cervical segment. These cervi
cal changes could be a compensation mechanism caused by the extension
of the cranium on the upper cervical spine. The change in the curvatur
e implies that it is necessary to periodically evaluate the changes oc
curring in the craniocervical relationships after the occlusal splint
has been inserted.