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

Hye-Sung Lee, Hyun-Su Baek, Dong-Suk Song, Hee-Chul Kim, Hyo-Geun Kim, Bok-Joo Kim, Myung-Soo Kim, Sang-Hoon Shin, Sung-Hee Jung, Chul-Hoon Kim, Hye-Sung Lee, Hyun-Su Baek, Dong-Suk Song, Hee-Chul Kim, Hyo-Geun Kim, Bok-Joo Kim, Myung-Soo Kim, Sang-Hoon Shin, Sung-Hee Jung, Chul-Hoon Kim

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.

Keywords: Arthrocentesis; Occlusal splint; Temporomandibular joint disorders.

Figures

Fig. 1
Fig. 1
Comparison of visual analog scale (VAS) pain values between groups. F=repeated measure of ANOVA.
Fig. 2
Fig. 2
Comparison of maximum comfortable opening (MCO) values between groups. F=repeated measure of ANOVA.
Fig. 3
Fig. 3
Comparison of the visual analog scale (VAS) noise values between groups. F=repeated measure of ANOVA.
Fig. 4
Fig. 4
Comparison of the period to achieve normal state between groups. F=repeated measure of ANOVA.

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