Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy
The aims of this preliminary study were to present a modified mandibular splint together with a treatment regimen and to evaluate their effects on the treatment of reciprocal joint sounds of the temporomandibular joint (TMJ). The study participants were recruited from 312 consecutive patients in the...
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doaj-fc1b8289f28c49ca9a77ceb9b8beffa22020-11-24T21:45:15ZengWileyKaohsiung Journal of Medical Sciences1607-551X2011-08-0127832332910.1016/j.kjms.2011.03.006Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapyI-Yueh Huang0Ju-Hui Wu1Yu-Hsun Kao2Chao-Ming Chen3Chun-Ming Chen4Yi-Hsin Yang5Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanClinic of Temporomandibular Disorder, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Statistical Analysis, Department of Clinical Research, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanThe aims of this preliminary study were to present a modified mandibular splint together with a treatment regimen and to evaluate their effects on the treatment of reciprocal joint sounds of the temporomandibular joint (TMJ). The study participants were recruited from 312 consecutive patients in the temporomandibular disorder clinic of a medical center in Taiwan from January 2003 to December 2003. From among these, 59 cases with typical reciprocal clicking were selected for this study. All participants were treated with a modified mandibular splint and then followed up for 6 months. Successful treatment was defined as leading to the disappearance of the joint sounds of TMJ, as described by patients. Based on clinical evaluation, the overall success rate was 71.2% (42/59) with minimal temporary complications. Patients with clicking at less than 3.5 cm of interincisal opening had a success rate of 92.5%, which was higher than the success rate of patients with clicking at a mouth opening of 3.5 cm or more. This study showed that a modified mandibular splint can be used to treat reciprocal clicking of the TMJ effectively and encouraged us to conduct further study on the efficacy of this splint to treat disc displacement with reduction of TMJ using magnetic resonance imaging examination.http://www.sciencedirect.com/science/article/pii/S1607551X11000805Disc displacement with reductionReciprocal clickingSplintTemporomandibular disorders |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
I-Yueh Huang Ju-Hui Wu Yu-Hsun Kao Chao-Ming Chen Chun-Ming Chen Yi-Hsin Yang |
spellingShingle |
I-Yueh Huang Ju-Hui Wu Yu-Hsun Kao Chao-Ming Chen Chun-Ming Chen Yi-Hsin Yang Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy Kaohsiung Journal of Medical Sciences Disc displacement with reduction Reciprocal clicking Splint Temporomandibular disorders |
author_facet |
I-Yueh Huang Ju-Hui Wu Yu-Hsun Kao Chao-Ming Chen Chun-Ming Chen Yi-Hsin Yang |
author_sort |
I-Yueh Huang |
title |
Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy |
title_short |
Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy |
title_full |
Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy |
title_fullStr |
Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy |
title_full_unstemmed |
Splint therapy for disc displacement with reduction of the temporomandibular joint. Part I: Modified mandibular splint therapy |
title_sort |
splint therapy for disc displacement with reduction of the temporomandibular joint. part i: modified mandibular splint therapy |
publisher |
Wiley |
series |
Kaohsiung Journal of Medical Sciences |
issn |
1607-551X |
publishDate |
2011-08-01 |
description |
The aims of this preliminary study were to present a modified mandibular splint together with a treatment regimen and to evaluate their effects on the treatment of reciprocal joint sounds of the temporomandibular joint (TMJ). The study participants were recruited from 312 consecutive patients in the temporomandibular disorder clinic of a medical center in Taiwan from January 2003 to December 2003. From among these, 59 cases with typical reciprocal clicking were selected for this study. All participants were treated with a modified mandibular splint and then followed up for 6 months. Successful treatment was defined as leading to the disappearance of the joint sounds of TMJ, as described by patients. Based on clinical evaluation, the overall success rate was 71.2% (42/59) with minimal temporary complications. Patients with clicking at less than 3.5 cm of interincisal opening had a success rate of 92.5%, which was higher than the success rate of patients with clicking at a mouth opening of 3.5 cm or more. This study showed that a modified mandibular splint can be used to treat reciprocal clicking of the TMJ effectively and encouraged us to conduct further study on the efficacy of this splint to treat disc displacement with reduction of TMJ using magnetic resonance imaging examination. |
topic |
Disc displacement with reduction Reciprocal clicking Splint Temporomandibular disorders |
url |
http://www.sciencedirect.com/science/article/pii/S1607551X11000805 |
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