purpose: This study was performed to investigated the initial conservative treatment for TMD
patients using careful counselling and medication prospectively.
Materials and Methods: Careful counselling and medication were performed in 51 TMD patients and
27 patients had follow-up check 2 months or more. Dignosis of TMD was based on medical history
and, physical and radiographic examination. TMD included masticatory disorder, internal derangement,
degenerative jonint disease, inflammatory joint disorder, and problems resultiong from extrinsic
tranuma. All patients had chief complaints of TMJ pain, mouth-opening limitation, joint nosie, and/or
referred pain. We counselled and explanied to the patient about the pathogenesis etiologic factors,
diagnosis and treatment plan for about 10 minutes. We prescrilbed nonsteroidal anti-inflammatory
analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the
attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire
of subjective evaluation of TMD & maxillofacial pain, Questionnaire of an activity limitation,
Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD.
Results: In questionnarie for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was
efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant
differences between pretreatment and final follow-up in the evaluation of the subjective pain in
the following sections; opening widely, chewing, resting, morning, masticatory muscle, and termporal
portion(SAS program, paired T-test, P = 0.05).
Conclusions: Considerate counselling and proper medication could be significantly in the initial
treatment of TMD.
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