Medical and physical therapy of temporomandibular joint disk displacement without reduction.
The objective of this study was to determine the influence of medical and physical therapy on long-term treatment outcome in 72 patients with anterior disk displacement without reduction. Patients were treated solely with occlusal splints (group I), with splints and supplementary medical therapy (group II), with splints and physical therapy (group III) or with splints, medical, and physical therapy (group IV). After therapy, the maintenance of improvement was objectively and subjectively assessed with an extensive clinical examination and a postal questionnaire. The percentage of pain free patients after therapy was 76% in group I, 88% in group II, 43% in group III, and 65% in group IV. There was a statistically significant higher increase of maximum jaw opening after therapy in group II than in the control groups (p<0.05). The improvement in mouth opening came to 9.7 mm in group I, 14.5 mm in group II, 7.3 mm in group III, and 11.2 mm in group IV. Medical therapy seems to have a positive influence on the treatment outcome of patients with anterior disk displacement without reduction.
Stiesch-Scholz
Meike
M
Department of Prosthodontics, Medical University of Hannover, Germany. ms@prothetik.zmk.mh-hannover.de
Fink
Matthias
M
Tschernitschek
Harald
H
Rossbach
Albrecht
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003975:Diazepam / Q000627:therapeutic use; D005157:Facial Pain / Q000209:etiology / Q000628:therapy; D005260:Female; D018757:GABA Modulators / Q000627:therapeutic use; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use; D004204:Joint Dislocations / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D017090:Occlusal Splints; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal; D018757:GABA Modulators; D003975:Diazepam; D007052:Ibuprofen