Journal of Korean Dental Science

Korean Academy of Dental Science (대한치의학회)
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Cases Report on Conservative Treatment for the Chronic Closed Lock of Temporomandibular Joint

  • Lee, Gi-Cheol (Department of Oral and Maxillofacial Surgery, Soonchunhyang University Bucheon Hospital) ;
  • Park, Su-Hyun (Department of Oral and Maxillofacial Surgery, Bucheon St. Mary’s Hospital, The Catholic University of Korea)
  • Received : 2011.10.25
  • Accepted : 2011.12.02
  • Published : 2011.12.30
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Abstract

Some treatment methods have been proposed for patients with chronic closed lock of temporomandibular joint. We report a conservative treatment for patients who had chronic closed lock of temporomandibular joint and who did not want surgical treatment. Two patients who had been treated in the Template clinic, Soonchunhyang University Bucheon Hospital, are the subjects of this report. The subjects had chronic closed lock symptom for over 3 months after an onset of locking; conventional therapies had no effect. The subjects were treated by making them wear a Template appliance while sleeping and exercise for 10 hours a day. After periodic follow-up, significant improvement was observed for Template treatment in terms of the maximal mouth opening range. When conventional therapy is expected to be ineffective, The Template appliance can be used as conservative treatment for temporomandibular disorders patients with chronic closed lock of temporomandibular joint.

Keywords

References

  1. Chung SC, Kim YG. Orofacial Pain and craniomandibular disorder. 1st ed. Seoul: Shinhung International; 1996.
  2. The Korean Society of Temporomandibular disorder: Temporoman dibular disease. 1st ed. Seoul: Narae Pub Co.; 2004.
  3. Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg. 1991; 49: 1163-7. https://doi.org/10.1016/0278-2391(91)90409-F
  4. Murakami K, Hosaka H, Moriya Y, Segami N, Iizuka T. Short-term treatment outcome study for the management of temporomandibular joint closed lock. A comparison of arthrocentesis to nonsurgical therapy and arthroscopic lysis and lavage. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 80: 253-7. https://doi.org/10.1016/S1079-2104(05)80379-8
  5. Lee WT, Park KA. Medical neuroanatomy. 2nd ed. Seoul: Korea Medical Pub; 2008.
  6. Axel Bumann, Ulrich Lotzmann. Craniomandibular disorder and maxillofacial pain. 1st ed. Seoul: Jisung Pub; 2004.
  7. Okeson JP. Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints. J Prosthet Dent. 1988; 60: 611-6. https://doi.org/10.1016/0022-3913(88)90224-7
  8. Kirk WS Jr, Calabrese DK. Clinical evaluation of physical therapy in the management of internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 1989; 47: 113-9.
  9. Chung SC, Kim HS. The effect of the stabilization splint on the TMJ closed lock. Cranio. 1993; 11: 95-101.
  10. Murakami KI, Iizuka T, Matsuki M, Ono T. Recapturing the persistent anteriorly displaced disk by mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity of the temporo mandibular joint. Cranio. 1987; 5: 17-24.
  11. Fridrich KL, Wise JM, Zeitler DL. Prospective comparison of arthroscopy and arthrocentesis for temporomandibular joint disorders. J Oral Maxillofac Surg. 1996; 54: 816-20. https://doi.org/10.1016/S0278-2391(96)90526-1
  12. Sanroman JF. Closed lock (MRI fixed disc): a comparison of arthrocentesis and arthroscopy. Int J Oral Maxillofac Surg. 2004; 33: 344-8. https://doi.org/10.1016/j.ijom.2003.10.005
  13. Barkin S, Weinberg S. Internal derangements of the temporomandibular joint: the role of arthroscopic surgery and arthrocentesis. J Can Dent Assoc. 2000; 66: 199-203.
  14. Guthrie PB. Temporomandibular joint arthrocentesis versus arthroscopy. Aust Dent J. 2000; 45: 63.
  15. Frost DE, Kendell BD, Owsley T. Clinical result of arthrocentesis in 40 cases ( Abstract). Br J Oral Maxillofac Surg. 1992; 30: 340.
  16. Hosaka H, Murakami K, Goto K, Iizuka T. Outcome of arthrocentesis for temporomandibular joint with closed lock at 3 years follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 82: 501-4. https://doi.org/10.1016/S1079-2104(96)80193-4
  17. Holmlund AB. Surgery for TMJ internal derangement. Evaluation of treatment outcome and criteria for success. Int J Oral Maxillofac Surg. 1993; 22: 75-7. https://doi.org/10.1016/S0901-5027(05)80806-9
  18. Guzay CM. Introduction to the quadrant theorem. Basal Facts. 1976; 1: 153-60.
  19. Maehara K, Sato S, Takada F, Ito H, Matsui T, Ueda T, Guzay C, Sato S. A template therapy approach for non-specific complaints. Basal Facts. 1986; 8: 22-35.

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