engleski

Treatment of clinical symptoms of displaced temporomandibular joint disc by Michigan splint

The purpose of this study is to determine the success in eliminating clinical symptoms in patients with disc displacement of temporomandibular joint (TMJ) after Michigan splint (MS) treatment. 40 patients with a form of DD in at least one TMJ were included in this study. The diagnoses were given on the basis of clinical examinations and with magnetic resonance imaging of TMJ. The most frequent symptoms felt by the patients were pain (97.7% joints) and clicking (93% joints) in TMJ. Only two patients showed symptoms of burning mouth syndrome. There is no significant difference between patients classified by sex or the form of DD (with or without reduction) depending on lower or higher evaluation of pain by AVS and no significant statistical frequency of pain is shown as to the subjectively greater intensity of pain before treatment (p>0, 05). Applying MS eliminated pain at 42.4% TMJs, at 35.6% TMJs pain was eliminated with joint sound still present, and pain was still present at 22% TMJs. MS is the most frequent reversible and unspecific form used in successful reduction of temporomandibular joint pain. Relevance: Temporomandibular pain constitutes the most common cause of musculoskeletal pain in the orofacial region. Initial symptomatic treatment by MS is suggested, but there is actually no treatment that represents the gold standard of chronic TMJ pain conditions.

temporomandibular disorders; disc displacement; Michigan splint; magnetic resonance imaging

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