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 (gr...

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Bibliographic Details
Published in:Cranio 2002-04, Vol.20 (2), p.85-90
Main Authors: Stiesch-Scholz, Meike, Fink, Matthias, Tschernitschek, Harald, Roßbach, Albrecht
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Dentistry
Diazepam - therapeutic use
Facial Pain - etiology
Facial Pain - therapy
Female
GABA Modulators - therapeutic use
Humans
Ibuprofen - therapeutic use
Joint Dislocations - complications
Joint Dislocations - therapy
Male
Middle Aged
Occlusal Splints
Pain Measurement
Physical Therapy Modalities
Range of Motion, Articular
Statistics, Nonparametric
Surveys and Questionnaires
Temporomandibular Joint Disorders - complications
Temporomandibular Joint Disorders - therapy
Treatment Outcome
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Summary: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
ISSN:0886-9634
2151-0903
DOI:10.1080/08869634.2002.11746195