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KMID : 0355620130390010014
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2013 Volume.39 No. 1 p.14 ~ p.20
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Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction
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Lee Hye-Sung
Baek Hyun-Su
Song Dong-Suk
Kim Hee-Chul
Kim Hyo-Geun
Kim Bok-Joo
Kim Myung-Soo
Shin Sang-Hoon
Jung Sung-Hee
Kim Chul-Hoon
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Abstract
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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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KEYWORD
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Temporomandibular joint disorders, Arthrocentesis, Occlusal splint
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