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Long-term results in patients with disk displacement without reduction treated conservatively
F Mongini1, F Ibertis, A Manfredi
1Center for Craniofacial Pathophysiology, Turin, Italy.
Cranio : the Journal of Craniomandibular Practice
|October 1, 1996
Summary
Conservative treatment, including extraoral mandibular manipulation and splint therapy, effectively improved jaw opening and reduced pain for patients with disk displacement without reduction. Long-term follow-up confirmed sustained positive outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Physical Therapy
Background:
- Disk displacement without reduction is a common temporomandibular joint (TMJ) disorder.
- This condition can lead to significant pain and limited jaw function.
Purpose of the Study:
- To evaluate the effectiveness of conservative treatment for disk displacement without reduction.
- To assess changes in mandibular opening and pain levels post-treatment and long-term.
Main Methods:
- A cohort of 68 patients with disk displacement without reduction were treated.
- Treatment involved extraoral mandibular manipulation, splint insertion, and physical/drug therapy.
- Patients were reassessed for mandibular opening and pain scores at the end of treatment and during long-term follow-up (18-147 months).
Main Results:
- Mean mandibular opening significantly increased from 28.78 mm pre-treatment to 42.85 mm post-treatment and 43.5 mm long-term (P < .001).
- Mean pain scores decreased from 2.91 pre-treatment to 1.22 post-treatment and 1.38 long-term (P < .001).
Conclusions:
- Conservative management, including extraoral mandibular manipulation and splint therapy, is a successful treatment for disk displacement without reduction.
- The positive effects on jaw function and pain relief are sustained over the long term.