| Randomized clinical trial of treatment for TMJ disc displacement. | |
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MedLine Citation:
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PMID: 20739691 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Of the various conservative treatment modalities available for temporomandibular disorders, we believe that therapeutic exercise has a good prognosis, especially for anterior disc displacement without reduction. Since its effectiveness has not been extensively evaluated, we conducted a comparative study to verify the hypothesis that treatment efficacy would not differ for exercise and occlusal splints. Fifty-two individuals with anterior disc displacement without reduction were randomly assigned to a splint or a joint mobilization self-exercise treatment group. Four outcome variables were evaluated: (i) maximum mouth-opening range without and (ii) with pain, (iii) current maximum daily pain intensity, and (iv) limitation of daily functions. All outcome variables significantly improved after 8 weeks of treatment in both groups. In particular, the mouth opening range increased more in the exercise group than in the splint group. This result demonstrates that therapeutic exercise brings earlier recovery of jaw function compared with splints. |
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Authors:
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T Haketa; K Kino; M Sugisaki; M Takaoka; T Ohta |
Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-08-25 |
Journal Detail:
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Title: Journal of dental research Volume: 89 ISSN: 1544-0591 ISO Abbreviation: J. Dent. Res. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-13 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0354343 Medline TA: J Dent Res Country: United States |
Other Details:
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Languages: eng Pagination: 1259-63 Citation Subset: D; IM |
Affiliation:
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Temporomandibular Joint and Occlusion, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan. haketa-mvrk@polka.ocn.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Dislocations / physiopathology, therapy* Facial Pain / physiopathology Female Follow-Up Studies Humans Male Mastication / physiology Muscle Contraction / physiology Muscle Stretching Exercises Occlusal Splints Orthodontic Appliance Design Pain Measurement Phenylacetates / therapeutic use Range of Motion, Articular / physiology Recovery of Function / physiology Sleep / physiology Speech / physiology Temporomandibular Joint Disk / pathology* Temporomandibular Joint Disorders / physiopathology, therapy* Time Factors Toothbrushing Treatment Outcome Yawning / physiology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal; 0/Phenylacetates; 51579-82-9/amfenac |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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