Which of the following is a first-line, non-pharmacologic management strategy for TMD?

• A. NSAIDs.
• B. Reversible occlusal splints.
• C. Surgical arthroplasty.
• D. Long-term antibiotic therapy.

Answer: (B)

The main idea is that initial TMD management should be conservative, noninvasive, and reversible. A reversible occlusal splint fits over the teeth to create an even bite, reduce grinding and clenching forces, and unload or protect the temporomandibular joint. Because it can be stopped and the bite returns to its natural state, it’s considered a safe, first-line non-pharmacologic approach that aims to relieve pain and improve function without permanent changes. In contrast, other options involve medications (NSAIDs), invasive procedures (surgical arthroplasty), or inappropriate long-term antibiotics, which are not aligned with an initial non-pharmacologic strategy.