Evaluation of the role of splint therapy in the treatment of temporomandibular joint pain on the basis of MRI evidence of altered disc position
| Autor: | Kosuke Honda, Reichi Ishikura, Seiki Tomita, Naoya Kakimoto, Hiromitsu Kishimoto, Yoko Hasegawa, Masanori Fujiwara |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male musculoskeletal diseases Adolescent Visual analogue scale medicine.medical_treatment Dentistry Osteoarthritis Condyle Occlusal Splints Young Adult 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine Humans Aged medicine.diagnostic_test business.industry Magnetic resonance imaging 030206 dentistry Middle Aged Temporomandibular Joint Disorders Joint effusion equipment and supplies medicine.disease Arthralgia Magnetic Resonance Imaging Temporomandibular joint body regions stomatognathic diseases Treatment Outcome medicine.anatomical_structure Splints Otorhinolaryngology Female Surgery Oral Surgery medicine.symptom Splint (medicine) business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 45:455-460 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2017.01.011 |
| Popis: | Objective To clarify whether altering temporomandibular joint (TMJ) condyle and disc positions by occlusal splint (splint) therapy relieves TMJ pain and to determine whether splint therapy facilitates improvement of the ranges of condyle and articular disc motions. Study design A total of 150 joints of 75 patients admitted with TMJ pain/discomfort were evaluated. A visual analog scale for TMJ pain was administered during visits following the start of splint treatment. At the start of splint treatment, MRI was performed with/without splint insertion, after which condyle/disc movements were evaluated. Disc position and function, disc configuration, joint effusion, osteoarthritis, and the bone marrow were evaluated. Pearson's correlation coefficients, linear regression, and multiple regression analyses were used for statistical analysis. Results Splint-related anterior movement of the condyle was related to TMJ pain. With a biconvex disc and/or bone marrow abnormality, splint treatment was ineffective for reducing TMJ pain. Conclusion Splint therapy was not likely to be successful for any kind of TMJ abnormalities, such as bone marrow abnormalities and/or a biconvex disc appearance on MRI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect