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J Korean Assoc Oral Maxillofac Surg. 2013 Feb;39(1):14-20. doi: 10.5125/jkaoms.2013.39.1.14. Epub 2013 Feb 21.

Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction.

Author information

  • 1Department of Oral and Maxillofacial Surgery, School of Medicine, Dong-A University, Busan, Korea.
  • 2Department of Nursing, School of Natural Sciences, Pukyong National University, Busan, Korea.
  • 3Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea.
  • 4Department of Oro-facial Pain and Oral Medicine, School of Dentistry, Pusan National University, Yangsan, Korea.

Abstract

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.

KEYWORDS:

Arthrocentesis; Occlusal splint; Temporomandibular joint disorders

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