Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction
이혜성, Baek Hyun-Su, Song Dong-Suk, 김희철, 김효근, 김복주, 김명수, 신상훈, 정성희, 김철훈,
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이혜성 ( Lee Hye-Sung ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
( Baek Hyun-Su ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
( Song Dong-Suk ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
김희철 ( Kim Hee-Chul ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
김효근 ( Kim Hyo-Geun ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
김복주 ( Kim Bok-Joo ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
김명수 ( Kim Myung-Soo ) - Pukyong National University School of Natural Sciences Department of Nursing
신상훈 ( Shin Sang-Hoon ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
정성희 ( Jung Sung-Hee ) - Pusan National University School of Dentistry Department of Oro-facial Pain and Oral Medicine
김철훈 ( Kim Chul-Hoon ) - Dong-A University School of Medicine Department of Oral and Maxillofacial Surgery
KMID : 0355620130390010014
Abstract
Objectives: This study sought to evaluate the effect of simultaneous application of arthrocentesis and occlusal splint.
Materials and Methods: A retrospective study of 43 patients (3 males, 40 females) whose symptoms had improved was conducted at the Department of Oral and Maxillofacial Surgery, Dong-A University Hospital between 2008 and 2010. Subjects were divided into three groups: Group A (17 patients with arthrocentesis and occlusal splints simultaneously applied), Group B (13 patients whose symptoms did not improve with occlusal splints, undergoing arthrocentesis after occlusal splint use for 8 weeks), and Group C (13 patients that only used occlusal splints). We compared these groups in maximum comfortable opening (MCO) and the visual analogue scale of pain and noise. Follow-up was performed at 1 week, 1 month, 3 months, and 6 months.
Results: The improvement of symptoms was noted in all three groups, but Group A had a quicker improvement than the other groups, in terms of pain reduction and MCO increases.
Conclusion: The simultaneous application of arthrocentesis and occlusal splints can reduce patient discomfort more quickly.
키워드
Temporomandibular joint disorders; Arthrocentesis; Occlusal splint
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