Evaluation of the effects of occlusal splint, trigger point injection and arthrocentesis in the treatment of internal derangement patients with myofascial pain disorders
| Autor: | Yusuf Emes, Itır Şebnem Bilici, Serhat Yalçın, Buket Aybar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Trigger point injection
Turkey Visual Analog Scale medicine.medical_treatment Predictor variables Meloxicam Combined treatment method Clonidine Injections 03 medical and health sciences 0302 clinical medicine Medicine Humans Myofascial Pain Syndromes Pain Measurement business.industry Myofascial pain Arthrocentesis Trigger Points Occlusal Splints 030206 dentistry Temporomandibular Joint Disorders Temporomandibular Joint Dysfunction Syndrome Combined Modality Therapy Masticatory force stomatognathic diseases Splints Treatment Outcome Otorhinolaryngology Anesthesia Masticatory Muscles Surgery Oral Surgery business Splint (medicine) 030217 neurology & neurosurgery |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 46(6) |
| ISSN: | 1878-4119 |
| Popis: | Purpose In temporomandibular disorders (TMDs), unless splints are effective, combined therapies are performed. The aim of this study is to show the effectiveness of the local anaesthethic injections (trigger point injections) to the masticatory muscles. Materials and methods The study was composed of TMD patients and the predictor variables were therapy combinations including stabilization splint (SS) therapy, SS+trigger point injection therapy (TPI) and arthrocentesis. The primary outcome variables were pain and jaw movements. The follow-ups were done at 1st and 3rd months. 56 patients who were treated for TMD with only SS or combined therapies were included in the study. The effects of additional TPIs were compared to SS therapy alone. Also the effect of arthrocentesis was evaluated too. Results All groups revealed significant decreases in pain scores. Decreases in mouth openings were observed in some of the patients in the injection groups. Conclusion The combined treatment method in which the injections were applied at shorter time intervals, was a more effective method for decreasing VAS scores in TMD patients in this study but further studies are required. |
| Databáze: | OpenAIRE |
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