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- Title
Randomized Controlled Evaluation of Non-surgical Treatments for Temporomandibular Joint Anterior Disk Displacement without Reduction.
- Authors
Minakuchi, H.; Kuboki, T.; Matsuka, Y.; Maekawa, K.; Yatani, H.; Yamashita, A.
- Abstract
The common methods for treating anterior disk displacement without reduction (ADDwor) are not based on randomized controlled clinical trials. Our study evaluated non-surgical treatments in 69 MRI-confirmed ADDwor subjects (m/f= 6/63). Subjects were randomly assigned to a control group and one of two treatment groups. Outcomes included maximum mouth opening, visual analogue scale of pain, and daily activity limitation. Calibrated examiners collected data at the initial interview and at 0, 2, 4, and 8 weeks of treatment. At the eight-week point, within-group improvements were present for all variables, for all groups. Between-group differences were not highly evident, with only mean daily activity limitation for the self-care/NSAID group being significantly lower than that of the occlusal appliance/jaw mobilization + self-care/NSAID group at the two- and four-week time-points. These results suggest that ADDwor subjects will improve with only minimal treatment intervention, and no significant difference was evident for the treatments tested and the control condition.
- Subjects
TEMPOROMANDIBULAR joint; DENTAL occlusion; JAW abnormalities; RANGE of motion of joints; NONSTEROIDAL anti-inflammatory agents; RANDOMIZED controlled trials
- Publication
Journal of Dental Research, 2001, Vol 80, Issue 3, p924
- ISSN
0022-0345
- Publication type
Article
- DOI
10.1177/00220345010800031501