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Clinical follow-up with different disc positions
S Vichaichalermvong1, M Nilner, S Panmekiate
1Department of Occlusion, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Journal of Orofacial Pain
|January 1, 1993
Summary
Conservative treatment for temporomandibular joint (TMJ) disc displacement improved outcomes for 70% of patients. Outcomes were similar for disc displacement with and without reduction, indicating effective management strategies for TMJ disorders.
Area of Science:
- Dentistry
- Orthodontics
- Radiology
Background:
- Temporomandibular joint (TMJ) disc displacement is a common condition.
- Arthrography is a diagnostic tool for TMJ disc position.
- Conservative management is frequently employed for TMJ disorders.
Purpose of the Study:
- To evaluate the clinical outcomes of patients with diagnosed TMJ disc positions.
- To compare treatment outcomes based on different disc positions.
- To assess the effectiveness of conservative treatment for TMJ disc displacement.
Main Methods:
- Clinical follow-up of 45 symptomatic patients with arthrographically diagnosed TMJ disc positions.
- Patients categorized into superior disc position, anterior disc displacement with reduction, and anterior disc displacement without reduction groups.
- Analysis of treatment outcomes after a minimum of 1 year post-treatment, with 92% receiving conservative care.
Main Results:
- Seventy percent of patients reported being symptom-free or improved.
- No significant change in joint clicking frequency was observed.
- A marked increase in crepitating sounds was noted.
- Treatment outcomes were comparable between anterior disc displacement with and without reduction groups.
Conclusions:
- Conservative treatment offers favorable outcomes for a majority of patients with TMJ disc displacement.
- Disc position (with or without reduction) did not significantly impact treatment success.
- Further research may explore the increased incidence of crepitus post-treatment.