Altaweel, A., Ismail, H. (2017). TREATMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT USING DIFFERENT TYPES OF OCCLUSAL SPLINTS. test, 63(Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)), 2073-2081. doi: 10.21608/edj.2017.75206
Alaa A. Altaweel; Hussein A. Ismail. "TREATMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT USING DIFFERENT TYPES OF OCCLUSAL SPLINTS". test, 63, Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics), 2017, 2073-2081. doi: 10.21608/edj.2017.75206
Altaweel, A., Ismail, H. (2017). 'TREATMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT USING DIFFERENT TYPES OF OCCLUSAL SPLINTS', test, 63(Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)), pp. 2073-2081. doi: 10.21608/edj.2017.75206
Altaweel, A., Ismail, H. TREATMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT USING DIFFERENT TYPES OF OCCLUSAL SPLINTS. test, 2017; 63(Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)): 2073-2081. doi: 10.21608/edj.2017.75206

TREATMENT OF INTERNAL DERANGEMENT OF TEMPOROMANDIBULAR JOINT USING DIFFERENT TYPES OF OCCLUSAL SPLINTS

Egyptian Dental Journal
Article 48, Volume 63, Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics), April 2017, Pages 2073-2081    PDF (1.68 M)
Document Type: Original Article
DOI: 10.21608/edj.2017.75206
Authors
Alaa A. Altaweel1; Hussein A. Ismail2
1Assistant Professor of Oral And Maxillofacial Surgery, Faculty of Dental Medicine Al-azhar Univeristey
2Lecturer of Removable Prosthodontics, Faculty of Dental Medicine , Sini univeristey
Abstract
Purpose of study: This study aimed to evaluate masticatory muscle function by using electromyography and compare the final outcome of treatment of ADDWR by using centric and anterior repositioning splint.
Patient and methods: this study was conducted on 20 patients with mean age of 29.5±3.4 complaining of anterior disc displacement with reduction of TMJ. Patients were randomly divided into two groups: I- centric splints, II- anterior repositioning splints. All patients were assessed by evaluating TMJ pain and muscle palpation, interincisal distance, joint sounds and visual analogue scale (VAS). This clinical examination was done before treatment and at 15, 30, 90, and 180 days after treatment. Also, electromyography evaluation of masseter and temporalis muscles was performed preoperative and at 3 and 6 months after treatment.
Result: In both groups, joint pain, joint click, muscle pain and interincisal distance were improved significantly. Also, significant improvement in mean amplitude and duration of masseter and temporalis muscles was achieved. There was no significant statistical difference between both groups.
Conclusion: The treatment of anterior disc displacement with reduction of TMJ with either of the two types of splint was acceptably successful and a significant reduction in the leading symptoms could be achieved. The use of occlusal splint is efficient to improve the electrical activity of the masseter and temporalis muscles.
Statistics
Article View: 123
PDF Download: 169