Document Detail

Temporomandibular joint disk displacement without reduction. Treatment with flat occlusal splint versus no treatment.
MedLine Citation:
PMID:  1437030     Owner:  NLM     Status:  MEDLINE    
A flat occlusal splint has been extensively used in the treatment of patients with temporomandibular joint disk displacement without reduction, but no studies with untreated controls have assessed its effect. We randomly assigned 51 patients with temporomandibular joint pain and arthrographically verified disk displacement without reduction to be treated with a flat occlusal splint or to serve as untreated control subjects in a 12-month clinical trial. Pain symptoms disappeared in about one third of the patients in each group. Another third of the patients in the control group improved. Sixteen percent of the patients in the control group and 40% of the patients treated with a flat occlusal splint were worse at the end than at the beginning of the study. Joint pain and muscle tenderness decreased more frequently in the nontreatment controls than in the treatment group. A statistically significant benefit of a flat occlusal splint over nontreatment control subjects could not be identified in this study of patients with painful disk displacement without reduction. The use of a flat occlusal splint in this patient group should therefore be reconsidered.
H Lundh; P L Westesson; L Eriksson; S L Brooks
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Oral surgery, oral medicine, and oral pathology     Volume:  73     ISSN:  0030-4220     ISO Abbreviation:  Oral Surg. Oral Med. Oral Pathol.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-12-03     Completed Date:  1992-12-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376406     Medline TA:  Oral Surg Oral Med Oral Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  655-8     Citation Subset:  D; IM    
Department of Stomatognathic Physiology, School of Dentistry, University of Lund, Malmö, Sweden.
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MeSH Terms
Cartilage, Articular / pathology*,  radiography
Centric Relation
Dental Occlusion*
Dental Occlusion, Centric
Dislocations / radiography,  therapy*
Equipment Design
Facial Pain / therapy
Follow-Up Studies
Jaw Relation Record
Masseter Muscle / pathology
Middle Aged
Temporomandibular Joint Disorders / radiography,  therapy*

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