Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction

  • Lee, Hye-Sung (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Baek, Hyun-Su (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Song, Dong-Suk (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Kim, Hee-Chul (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Kim, Hyo-Geun (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Kim, Bok-Joo (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University) ;
  • Kim, Myung-Soo (Department of Nursing, School of Natural Sciences, Pukyong National University) ;
  • Shin, Sang-Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Jung, Sung-Hee (Department of Oro-facial Pain and Oral Medicine, School of Dentistry, Pusan National University) ;
  • Kim, Chul-Hoon (Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University)
  • Received : 2012.06.12
  • Accepted : 2013.01.07
  • Published : 2013.02.28
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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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References

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