Rashid, A., Tawfek, B. (2020). Occlusal Splint with Arthrocentesis as Combination Therapy for Treatment of TMJ Internal Derangement. test, 3(1), 63-71. doi: 10.21608/aadj.2020.92942
Ahmed M. Rashid; Bahaa El- Din A. Tawfek. "Occlusal Splint with Arthrocentesis as Combination Therapy for Treatment of TMJ Internal Derangement". test, 3, 1, 2020, 63-71. doi: 10.21608/aadj.2020.92942
Rashid, A., Tawfek, B. (2020). 'Occlusal Splint with Arthrocentesis as Combination Therapy for Treatment of TMJ Internal Derangement', test, 3(1), pp. 63-71. doi: 10.21608/aadj.2020.92942
Rashid, A., Tawfek, B. Occlusal Splint with Arthrocentesis as Combination Therapy for Treatment of TMJ Internal Derangement. test, 2020; 3(1): 63-71. doi: 10.21608/aadj.2020.92942

Occlusal Splint with Arthrocentesis as Combination Therapy for Treatment of TMJ Internal Derangement

Al-Azhar Assiut Dental Journal
Article 8, Volume 3, Issue 1 - Serial Number 2001, April 2020, Pages 63-71    PDF (1.61 M)
Document Type: Original Article
DOI: 10.21608/aadj.2020.92942
Authors
Ahmed M. Rashid* 1; Bahaa El- Din A. Tawfek2
1Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine (Boys),Cairo, Al-Azhar University, Egypt
2Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine (Boys),Cairo, Al-Azhar University, Egypt.
Abstract
Aim: This study was designed to evaluate the occlusal splint with arthrocentesis as combination therapy for treatment of TMJ internal derangement. Subjects and methods: Forty-two patients (ranging in age 23-54 years) suffering from signs of TMJ internal derangement attending at Oral and Maxillofacial Surgery Department at Sayed Galal hospitals (Al Azhar university).The patients complaints were limited mouth opening,TMJ pain, and joint noises during function. The patients will be divided randomly into three groups .Group I: Patients in this group will be treated by occlusal splint .Group II : Patients in this group will be treated by arthrocentesis (saline injection) .Group III: Patients in this group will be treated by combination of arthrocentesis and occlusal splint .Each group contained patients suffering from anterior disc displacement with and without reduction. Clinical evaluation was performed before the procedure and at 1,2 weeks,1,2,3,and 6 months postoperatively .Maximum mouth opening,pain with visual analogue scale,and joint sound also were recorded at each follow-up visit. Results: All groups of this study showed improvement in maximal mouth opening,TMJ pain,and clicking sounds with variable degrees according to treatment modality. Conclusion: Although in patients with TMJ ID benefitted from each technique to a variable extent, arthrocentesis of TMJ followed by splint seemed to be superior in achieving rapid and prolonged improvement in TMJ ID compared with other techniques.
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