[Antelocation of mandibular disc. 2. Clinical examination of patients with reverse clicks]

119 sick who revealed clicks in mandibular joint during shifting downwords and adduction of mandible i.e. so called reverse dicks. It was possible to eliminate the clicks in the mandibular joint in a new therapeutic positioning of the mandible in 52 patients among these sick. These sick have been examined in details and treated. Algetic syndrome of dysfunction symptoms has also been found in 31 sick (60%) beside reverse clicks in the mandibular joint. The roentgenograms of mandibular joint have demonstrated various kinds of disturbances in the positioning of mandibular condyles in the greatest nodulation of the teeth in 50 sick (96.2%). The initial treatment by means of occlusion splints and/or temporary partial dentures in a new three-dimensional position of the mandible eliminating clicks in mandibular joint has been performed in all 52 sick. Follow-up examinations performed in 38 sick after 3-9 months of using the splints or temporary prosthetic restoration have demonstrated that complete elimination of the clicks in the mandibular joint has been gained in 29 persons under examination (75.3%) and in case of the remaining 9 sick (33.7%) these clicks have only significantly been diminished. From the examinations performed it follows that performing of initial prosthetic treatment is necessary in the sick with reverse clicks.