Pre- and posttreatment analysis of clinical symptoms of patients with temporomandibular disorders.
OBJECTIVE
This study treated patients with temporomandibular disc displacement with reduction (with pain, limited mandibular movement, and clicking sound symptoms) using a combination of analgesics, injection, mandibular exercise, and occlusal splints.


METHODS
Twenty-five patients with temporomandibular joint (TMJ) disorders were evaluated for pretreatment complaints and clinical findings, such as TMJ sounds, mandibular deviation, limited mouth opening, and bilateral magnetic resonance imaging results. Diagnostic treatment was then planned; all patients received occlusal splints, and 10 patients received injections.


RESULTS
Evaluations were conducted 1 year after the initial diagnosis and treatment. Complaints (especially of pain) by the patients who received injections had reduced significantly. After 6 months of occlusal splinting, clinical findings of patients with TMJ disc displacement had greatly improved. To manage parafunctional habits of the patients, night plate usage was continued. Therefore, clinical symptom reduction was maintained.


CONCLUSIONS
The use of mandibular manipulation technique can decrease the anterior disc displacement of the TMJ.
Babadağ
Muzaffer
M
Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Sahin
Meltem
M
Görgün
Sebahat
S
D000293:Adolescent; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002012:Bruxism / Q000503:physiopathology / Q000628:therapy; D005081:Exercise Therapy; D005157:Facial Pain / Q000503:physiopathology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D007270:Injections, Intra-Articular; D004204:Joint Dislocations / Q000503:physiopathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D017090:Occlusal Splints; D016059:Range of Motion, Articular / Q000502:physiology; D013016:Sound; D019224:Temporomandibular Joint Disc / Q000503:physiopathology*; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology* / Q000628:therapy
D000894:Anti-Inflammatory Agents, Non-Steroidal; D006820:Hyaluronic Acid