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J Korean Assoc Oral Maxillofac Surg. 2013 Feb;39(1):14-20. English. Original Article. https://doi.org/10.5125/jkaoms.2013.39.1.14
Lee HS , Baek HS , Song DS , Kim HC , Kim HG , Kim BJ , Kim MS , Shin SH , Jung SH , Kim CH .
Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University, Busan, Korea. bbp2000@hanmail.net
Department of Nursing, School of Natural Sciences, Pukyong National University, Busan, Korea.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea.
Department of Oro-facial Pain and Oral Medicine, School of Dentistry, Pusan National University, Yangsan, Korea.
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.

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