Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction

• Published in: Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol. 39; no. 1; pp. 14 - 20
• Main Authors: Lee, Hye-Sung, Baek, Hyun-Su, Song, Dong-Suk, Kim, Hee-Chul, Kim, Hyo-Geun, Kim, Bok-Joo, Kim, Myung-Soo, Shin, Sang-Hoon, Jung, Sung-Hee, Kim, Chul-Hoon
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Association of Oral and Maxillofacial Surgeons 01.02.2013; 대한구강악안면외과학회
• Subjects: Clinical Analysis; 치의학; Arthrocentesis; Occlusal splint; Temporomandibular joint disorders
• ISSN: 2234-7550; 2234-5930
• DOI: 10.5125/jkaoms.2013.39.1.14

This study sought to evaluate the effect of simultaneous application of arthrocentesis and occlusal splint. A retrospective study of 43 patients (3 males, 40 females) whose symptoms had improved was conducted at the Department of Oral and Maxillofacial Surgery, Dong-A University Hospital between 2008 and 2010. Subjects were divided into three groups: Group A (17 patients with arthrocentesis and occlusal splints simultaneously applied), Group B (13 patients whose symptoms did not improve with occlusal splints, undergoing arthrocentesis after occlusal splint use for 8 weeks), and Group C (13 patients that only used occlusal splints). We compared these groups in maximum comfortable opening (MCO) and the visual analogue scale of pain and noise. Follow-up was performed at 1 week, 1 month, 3 months, and 6 months. The improvement of symptoms was noted in all three groups, but Group A had a quicker improvement than the other groups, in terms of pain reduction and MCO increases. The simultaneous application of arthrocentesis and occlusal splints can reduce patient discomfort more quickly.