Journal of Oral Medicine and Pain

  • 제43권4호
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  • Pages.112-117
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  • 2018
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  • 2288-9272(pISSN)
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  • 2383-8493(eISSN)
대한안면통증구강내과학회 (Korean Academy of Orofacial Pain and Oral Medicine)
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Comparison of the Short-Term Effectiveness of Hard and Soft Stabilizing Appliances in Treating Patients with Acute Temporomandibular Disc Displacement without Reduction

  • Park, Hyun-Jeong (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Ryu, Ji-Won (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Yoon, Chang-Lyuk (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Ahn, Jong-Mo (Department of Oral Medicine, School of Dentistry, Chosun University)
  • 투고 : 2018.07.20
  • 심사 : 2018.12.07
  • 발행 : 2018.12.30
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초록

Purpose: The aim of this study is to compare the short-term effectiveness of hard and soft stabilizing appliances (H-A and S-A) in treating patients with acute temporomandibular joint (TMJ) disc displacement without reduction (DDwoR). Methods: Eighty one patients diagnosed as acute TMJ DDwoR at oral medicine of Chosun University Dental Hospital from November 2016 to September 2017 were included in this study. The subjects were divided into three groups: The control group (34 patients treated without occlusal appliance), the H-A group (31 patients treated with H-A) and the S-A group (16 patients treated with S-A). The pain intensity using Visual Analog Scale and maximum mouth opening (MMO) were evaluated every week for 8 weeks. Results: The improvement of the pain intensity and MMO in the H-A group and the S-A group compared with the control group were noted (p<0.05). Conclusions: This study suggests that hard and S-As may be equally useful in treating patients with TMJ DDwoR. S-A could be recommended to reduce the symptoms of TMJ DDwoR in short period.

키워드

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Fig. 1. Hard stabilizing appliance was made from acrylic resin (Ortho-Jet).

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Fig. 2. Soft stabilizing appliance was made from Bioplast polyvinyl sheet.

Table 1. Demographic characteristics of study subjects

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Table 2. Initial clinical characteristics of study subjects

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Table 3. Change of Visual Analog Scale during the treatment duration

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Table 4. Change of maximum mouth opening during the treatment duration

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참고문헌

  1. Tasaki MM, Westesson PL, Isberg AM, Ren YF, Tallents RH. Classification and prevalence of temporomandibular joint disk displacement in patients and symptom-free volunteers. Am J Orthod Dentofacial Orthop 1996;109:249-262. https://doi.org/10.1016/S0889-5406(96)70148-8
  2. Sener S, Akganlu F. MRI characteristics of anterior disc displacement with and without reduction. Dentomaxillofac Radiol 2004;33:245-252. https://doi.org/10.1259/dmfr/17738454
  3. Kai S, Kai H, Tabata O, Shiratsuchi Y, Ohishi M. Long-term outcomes of nonsurgical treatment in nonreducing anteriorly displaced disk of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:258-267. https://doi.org/10.1016/S1079-2104(98)90005-1
  4. Minakuchi H, Kuboki T, Matsuka Y, Maekawa K, Yatani H, Yamashita A. Randomized controlled evaluation of non-surgical treatments for temporomandibular joint anterior disk displacement without reduction. J Dent Res 2001;80:924-928. https://doi.org/10.1177/00220345010800031501
  5. Medlicott MS, Harris SR. A systematic review of the effectiveness of exercise, manual therapy, electrotherapy, relaxation training, and biofeedback in the management of temporomandibular disorder. Phys Ther 2006;86:955-973.
  6. Truelove E, Huggins KH, Mancl L, Dworkin SF. The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial. J Am Dent Assoc 2006;137:1099-1107. https://doi.org/10.14219/jada.archive.2006.0348
  7. Davies S. Centric splints more effective than distraction splints in anterior disc displacement without reduction? Evid Based Dent 2006;7:50. https://doi.org/10.1038/sj.ebd.6400404
  8. Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:212-223. https://doi.org/10.1016/j.tripleo.2008.10.007
  9. Stiesch-Scholz M, Tschernitschek H, Rossbach A. Early begin of splint therapy improves treatment outcome in patients with temporomandibular joint disk displacement without reduction. Clin Oral Investig 2002;6:119-123. https://doi.org/10.1007/s00784-002-0162-7
  10. Naikmasur V, Bhargava P, Guttal K, Burde K. Soft occlusal splint therapy in the management of myofascial pain dysfunction syndrome: a follow-up study. Indian J Dent Res 2008;19:196-203. https://doi.org/10.4103/0970-9290.42950
  11. Wright E, Anderson G, Schulte J. A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain. J Orofac Pain 1995;9:192-199.
  12. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis, Mo.: Elsevier Health Sciences; 2014. pp. 317-361, 375-398.
  13. Ohrbach R, Gonzalez Y, List T, Michelotti A, Schiffman E. Diagnostic criteria for temporomandibular Disorders (DC/TMD). Clinical examination protocol. [Internet]. International RDCTMD Consortium; International Research Diagnostic Criteria for Temporomandibular Disorders Consortium Network; c2013. 2014 [cited 2013 Sep 10]. Available from: http://www.rdc-tmdinternational.org/Portals/18/protocol_DC-TMD/DC-MD%20Protocol%20-%202013_06_02.pdf.
  14. Alpaslan C, Kahraman S, Guner B, Cula S. Does the use of soft or hard splints affect the short-term outcome of temporomandibular joint arthrocentesis? Int J Oral Maxillofac Surg 2008;37:424-427. https://doi.org/10.1016/j.ijom.2008.01.022
  15. Yatani H, Sonoyama W, Kuboki T, Matsuka Y, Orsini MG, Yamashita A. The validity of clinical examination for diagnosing anterior disk displacement with reduction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:647-653. https://doi.org/10.1016/S1079-2104(98)90030-0
  16. Emshoff R, Innerhofer K, Rudisch A, Bertram S. Clinical versus magnetic resonance imaging findings with internal derangement of the temporomandibular joint: an evaluation of anterior disc displacement without reduction. J Oral Maxillofac Surg 2002;60:36-41; discussion 42-43. https://doi.org/10.1053/joms.2002.29071
  17. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent 1997;77:510-522. https://doi.org/10.1016/S0022-3913(97)70145-8
  18. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther 2006;86:710-725.
  19. Sanders B. Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock. Oral Surg Oral Med Oral Pathol 1986;62:361-372. https://doi.org/10.1016/0030-4220(86)90282-3
  20. Ebrahim S, Montoya L, Busse JW, Carrasco-Labra A, Guyatt GH; Group MUSR. The effectiveness of splint therapy in patients with temporomandibular disorders: a systematic review and metaanalysis. J Am Dent Assoc 2012;143:847-857. https://doi.org/10.14219/jada.archive.2012.0289
  21. Ghanem WA. Arthrocentesis and stabilizing splint are the treatment of choice for acute intermittent closed lock in patients with bruxism. J Craniomaxillofac Surg 2011;39:256-260. https://doi.org/10.1016/j.jcms.2010.05.003
  22. Schmitter M, Zahran M, Duc JM, Henschel V, Rammelsberg P. Conservative therapy in patients with anterior disc displacement without reduction using 2 common splints: a randomized clinical trial. J Oral Maxillofac Surg 2005;63:1295-1303. https://doi.org/10.1016/j.joms.2005.05.294
  23. Pettengill CA, Growney MR Jr, Schoff R, Kenworthy CR. A pilot study comparing the efficacy of hard and soft stabilizing appliances in treating patients with temporomandibular disorders. J Prosthet Dent 1998;79:165-168. https://doi.org/10.1016/S0022-3913(98)70211-2