Self-reported remission, difficulty, and satisfaction with nonsurgical therapy used to treat anterior disc displacement without reduction.
OBJECTIVE
The purpose of this study was to identify the appropriate treatment element for initial anterior disc displacement without reduction subjects.


METHODS
Sixty-nine consecutive patients with temporomandibular joint disc displacement without reduction confirmed on magnetic resonance images were randomly divided into 3 experimental treatment groups. The treatment of group 1 consisted of short-term nonsteroidal anti-inflammatory drugs and self-care instructions (palliative care group); group 2, nonsteroidal anti-inflammatory drugs, self-care instructions, and occlusal appliance and mobilization therapy (physical medicine group); and group 3, no treatment (control group). Outcomes were assessed by means of a 5-item questionnaire that evaluated (1) symptom improvement, (2) difficulty of treatment, and (3) satisfaction with treatment during the 8-week observation period.


RESULTS
Improvement scores in the palliative care group were significantly better than those in the physical medicine group or the no-treatment group. Satisfaction scores showed no significant difference among the 3 groups. Difficulty from treatment for the physical medicine group was significantly greater than that for other 2 groups.


CONCLUSIONS
These data suggest that palliative care would be more appropriate as the initial therapy to treat painful anterior disc displacement without reduction.
Minakuchi
H
H
Department of Oral and Maxillofacial Rehabilitation, Graduate School of Medicine and Dentistry, Okayama University, Okayama, Japan.
Kuboki
T
T
Maekawa
K
K
Matsuka
Y
Y
Yatani
H
H
D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D017060:Patient Satisfaction; D012648:Self Care; D011795:Surveys and Questionnaires; D013705:Temporomandibular Joint Disorders / Q000628:therapy*
D000894:Anti-Inflammatory Agents, Non-Steroidal