J Korean Assoc Oral Maxillofac Surg.  2013 Feb;39(1):14-20. 10.5125/jkaoms.2013.39.1.14.

Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction

• Lee HS
• Baek HS
• Song DS
• Kim HC
• Kim HG
• Kim BJ
• Kim MS
• Shin SH
• Jung SH
• Kim CH

• KMID: 2189555
• DOI: http://doi.org/10.5125/jkaoms.2013.39.1.14

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.

Keyword

Temporomandibular joint disorders; Arthrocentesis; Occlusal splint

MeSH Terms

Cephalosporins
Displacement (Psychology)
Follow-Up Studies
Humans
Male
Noise
Occlusal Splints
Retrospective Studies
Surgery, Oral
Temporomandibular Joint Disorders
Cephalosporins

Figure

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  Fig. 1 Comparison of visual analog scale (VAS) pain values between groups. F=repeated measure of ANOVA.

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  Fig. 2 Comparison of maximum comfortable opening (MCO) values between groups. F=repeated measure of ANOVA.

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  Fig. 3 Comparison of the visual analog scale (VAS) noise values between groups. F=repeated measure of ANOVA.

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  Fig. 4 Comparison of the period to achieve normal state between groups. F=repeated measure of ANOVA.

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