Efficacy of splint theraphy on Pain in the Treatment of Internal Derangement of TMJ-A clinical study

  • Altaf Malik Department of Dentistry and Maxillofacial surgery Govt Medical College Baramulla JK
  • Shabnum Majeed HEALTH AND MEDICAL EDUCATION DEPARTMENT JK
Keywords: Internal derangement, Splint, TMJ

Abstract

Purpose: This study was designed to investigate the efficacy of splint theraphy  on  pain   in the treatment of temporomandibular joint (TMJ) internal derangement patients.

Materials  and Methods: 15 males and 25 females aged between   18 to 37 years comprised the study material  in the Dental Implant and Faciomaxillary centre at Bandipore  (India). The patients’ complaints were limited mouth opening and  TMJ pain  . Splints were given to the patients suffering from internal derangement. Clinical evaluation of the patients was done before the procedure, and  1 week and 3 months after postoperatively. Intensity of TMJ pain  was recorded at each follow-up visit.

Results: There was significant  reduction in pain scores in the post-operative period.

Conclusions: Splint therapy  is simple and safe procedure for the patients of internal derangement with closed lock for improving mouth opening and decreasing pain.

Author Biographies

Altaf Malik, Department of Dentistry and Maxillofacial surgery Govt Medical College Baramulla JK

MDS., Assistant Professor

Shabnum Majeed, HEALTH AND MEDICAL EDUCATION DEPARTMENT JK

MD., Consultant Anesthesia

References

1. Adams JC, Hamblen DL. Outline of Orthopedics, 13thed. London:Churchill Livingstone, 2001;135.
2. Eriksson L, Westesson PL. Clinical and radiological study of patients with anterior disc displacement of the temporomandibular joint. Swed Dent J 1983;7:55–64.
3. Katzberg RW, Dolwick MF, Helms CA, et al. Arthrotomography of the temporomandibular joint. AJR 1980;134:995–1003.
4. Westesson PL. Double-contrast arthrography and internal derangementof the temporomandibular joint. Swed Dent J Suppl 1982;13:1–57.
5. Wilkes CH. Arthrography of the temporomandibular joint in patients with the TMJ pain-dysfunction syndrome. Minn Med 1978;61:645–652.
6. Wilkes CH. Structural and functional alterations of the temporomandibular joint. Northwest Dent 1978;57:287–294.
7. Wilkes CH. Internal derangements of the temporomandibular joint. Arch Otolaryngol 1989;115:469–477.
8. Brooks SL, Westesson PL. Temporomandibular joint: value of coronal MR images. Radiology 1993;188:317–321.
9. Katzberg RW, Westesson PL, Tallents RH, et al. Temporomandibular joint: magnetic resonance assessment of rotational and sideways disc displacements. Radiology 1988;169:741–748.
10. Liedberg J, Westesson PL. Sideways position of the temporomandibular joint disk: coronal cryosectioning of fresh autopsy specimens. Oral Surg Oral Med Oral Pathol 1988;66:644–649.
11. Liedberg J, Westesson PL, Kurita K. Sideways and rotational displacement of the temporomandibular joint disk: diagnosis by arthrography and correlation to cryosectional morphology. Oral Surg Oral Med Oral Pathol 1990;69:757–763.
12. Sainath Matsa, VB Krishna Kumar Raja, Siddharth Bhalerao. Temporomandibular joint arthrocentesis for closed lock - A prospective analysis of 10 consecutive cases. SRM University Journal of Dental SciencesVolume 1, Issue 3, October - Decembret 2010.
13.Ferreira FM, Cezar Simamoto-Junior P, Soares CJ, Ramos A, Fernandes- Neto AJ (2017) Effect of Occlusal Splints on the Stress Distribution on the Temporomandibular Joint Disc. Braz Dent J 28(3): 324-329.
14.Algabri RS, Alqutaibi AY (2017) No Evidence Suggests that the Clinical Effectiveness of Conventional Occlusal Splints is Superior to That of Psychosocial Interventions for Myofascial Tempromandibular Disorders Pain. J Evid Based Dent Pract 17(4): 399-401.
15.Okeson JP (2009) Critical commentary 1: Evaluation of the research diagnostic criteria for temporomandibular disorders for the recognition of an anterior disc displacement with reduction. J Orofac Pain 23(4): 312-315.
16.Al-Ani MZ, Davies SJ, Gray RJ, Sloan P, Glenny AM (2004)Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev 1: 1-24.
17.Liu MQ, Lei J, Han JH, Yap AU, Fu KY (2017) Metrical analysis of disc-condyle relation with different splint treatment positions in patients with TMJ disc displacement. J Appl Oral Sci 25(5): 483-489.
18. Wajnaa F. Qasim. The Effectiveness of Occlusal Splint Therapy in Treatment of Iraqi Temporomandibular Disorder (TMD) Patients. J Med J 2006; December: Vol. 40 (4) http:⁄⁄dar.ju.edu.jo⁄jmj
Published
2019-05-27
How to Cite
1.
Malik A, Majeed S. Efficacy of splint theraphy on Pain in the Treatment of Internal Derangement of TMJ-A clinical study. jms [Internet]. 2019May27 [cited 2019Jul.19];22(1):49-3. Available from: http://jmsskims.org/index.php/jms/article/view/390
Section
Original Articles