Treatment outcome in patients with craniomandibular disorders of muscular origin: a 7-year follow-up.
The outcome of different treatment modalities after 7 years was investigated in a selected group of 50 patients with craniomandibular disorders of muscular origin. To minimize the possible effects of selection on the clinical material, the selected treatment group was compared to a consecutive group of patients in terms of age, gender, intensity/duration of pain, and socioeconomic profile. Both groups were comparable in most respects, but the selected group had a longer duration and a higher intensity of pain at baseline. There were more men in the consecutive group than in the selected group. A combined treatment approach resulted in a better outcome than single treatments. Sixty-five percent of all patients in the selected group reported improvement at the 7-year follow-up. All of the 19 patients who received counseling combined with different occlusal treatments improved. Forty-three percent of the patients treated otherwise showed improvement. Patients who were aware of stress responded better to treatment.
Department of Stomatognathic Physiology, Lund University, Malmö, Sweden.
D
D
Vallon
M
M
Nilner
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B
Söderfeldt
D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D016017:Odds Ratio; D010147:Pain Measurement; D018709:Statistics, Nonparametric; D013315:Stress, Psychological / Q000150:complications; D011795:Surveys and Questionnaires; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome