The effects of secondary treatment for temporomandibular joint disk displacement without reduction with no osseous changes

DOI 5 Citations 22 References
  • SANO Daisuke
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • KURITA Kenichi
    The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • KATOH Isamu
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • OGI Nobumi
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • MAKI Izumi
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • YUASA Hidemichi
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University
  • TOYAMA Masahiko
    The Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University
  • MIZUNO Susumu
    The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • ISOBE Makoto
    The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • ISHIDA Yoichi
    The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital
  • FUKUTA Kota
    The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University TMJ Clinic of Aichi-Gakuin University Hospital

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Other Title
  • 骨変形のない非復位性顎関節円板転位症例に対する二次治療の効果

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Abstract

We reported, that a combination of intraoral administration of NSAIDs and mouth opening exercise would be the most appropriate primary treatment for TMJ closed lock without OA. The aim of this study was to evaluate a secondary treatment in patients with TMJ closed lock without OA who had no effect from primary treatment. The subjects were 24 patients who were refractory to primary treatment. We performed arthrocentesis, with a single injection of a steroid and NSAIDs, and mouth opening exercise in the patients. This therapy was continued for a maximum of 12 weeks, until TMJ symptoms improved. Eighty-three percent of the patients showed improvement. The results suggested that this method would be a preferable secondary treatment for disk displacement without reduction with no osseous change, when primary treatment had no effect.

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