Evaluating the additional effects of arthrocentesis on the condylar pathways of temporomandibular joint in patients with internal derangement treated with stabilizing splint
| Autor: | Mehmet Ali Yucel, Hasan Necdet Alkumru, Yasemin Kulak-Ozkan, Rifat Gozneli |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Ringer's Lactate medicine.medical_treatment Joint Dislocations Dentistry Condyle Imaging Three-Dimensional stomatognathic system medicine Humans Orthodontic Appliance Design Paracentesis In patient Range of Motion Articular Orthodontics business.industry Mandibular Condyle Arthrocentesis Occlusal Splints Temporomandibular Joint Disorders Sagittal plane Temporomandibular joint Exercise Therapy Derangement Splints medicine.anatomical_structure Otorhinolaryngology Jaw Relation Record Surgery Female Oral Surgery Isotonic Solutions business Splint (medicine) Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 42(5) |
| ISSN: | 1878-4119 |
| Popis: | Objectives The purpose of this investigation is to find out the differences in the condylar pathways of the temporomandibular joint (TMJ) in patients treated with stabilizing splint and arthrocentesis accompanied by stabilizing splint in 6 months period. Study design Forty patients who were assigned a clinical diagnosis of internal derangement of the TMJ were included in this study. Full arch stabilizing splints were made for all patients. Patients were divided into two groups; group A (patients who underwent arthrocentesis), group B (patients who did not underwent arthrocentesis). Computerized axiography was performed for each group before therapy (T 0 ), on the 3 rd month (T 1 ), after arthrocentesis (T A ) (for group A) and on 6th month (T 2 ). Curve parameters were recorded in three-dimension; X axis (posteroanterior), Y axis (mediolateral), Z axis (superoinferior). Also the distance from the starting point of the movement on sagittal plane (S) was calculated. Results There was a significant increase in the value of Z ( p = 0.014) and S ( p = 0.038) in mediotrusion movement in group A. Also, there was a significant increase in the value of Z ( p = 0.007) in protrusion/retrusion movement, value of Z ( p = 0.019) and S value ( p = 0.002) in mediotrusion movement and value of Y in open/close movement in group B. Conclusions No positive effects on condylar pathways of an additional arthrocentesis to splint therapy alone in patients with internal derangement were found in this study. |
| Databáze: | OpenAIRE |
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