title: Response of temporomandibular joint intermittent closed lock to different treatment modalities: A multicenter survey.
abstract: This study investigated the clinical picture and different treatment methods and results at a number of institutions with the aim of establishing an effective method of treatment for intermittent closed lock (intermittent lock) of the temporomandibular joint (TMJ). The subjects were 104 patients (29 males, 65 females) diagnosed with intermittent lock among 1787 temporomandibular disorder patients. The cases were classified into two types based on the time and occasion when the intermittent lock occurred. The sudden onset type developed in 69.2%, and the habitually occurring type in 29.8%. The most common treatment was disk repositioning exercises alone (in 41 cases) followed by stabilization splints during sleeping. The highest efficacy rate (60.0%) was obtained with the combination of disk repositioning exercise and a repositioning splint followed by a rate of 52.6% with stabilization splints and 41.7% with disk repositioning exercise alone.
authors.affiliation: Dept. of Oral-Maxillofacial Surgery, Saitama Medical School, 38 Morohongo, Moroyama, Saitama 350-0495, Japan. yoda@saitama-med.ac.jp
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yoda
authors.forename: Ichiro
authors.initials: I
authors.lastname: Sakamoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Imai
authors.forename: Katsumi
authors.initials: K
authors.lastname: Ohashi
authors.forename: Kentaro
authors.initials: K
authors.lastname: Hoshi
authors.forename: Mikio
authors.initials: M
authors.lastname: Kusama
authors.forename: Akio
authors.initials: A
authors.lastname: Kano
authors.forename: Kenji
authors.initials: K
authors.lastname: Mogi
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Tsukahara
authors.forename: Shin
authors.initials: S
authors.lastname: Morita
authors.forename: Juichi
authors.initials: J
authors.lastname: Miyamura
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yoda
authors.forename: Youichiro
authors.initials: Y
authors.lastname: Ida
authors.forename: Masato
authors.initials: M
authors.lastname: Abe
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takano
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000503:physiopathology; D013704:Temporomandibular Joint / Q000503:physiopathology*; D019224:Temporomandibular Joint Disc / Q000503:physiopathology; D013705:Temporomandibular Joint Disorders / Q000628:therapy*; D016896:Treatment Outcome