Indian Journal of Dental ResearchIndian Journal of Dental ResearchIndian Journal of Dental Research
HOME | ABOUT US | EDITORIAL BOARD | AHEAD OF PRINT | CURRENT ISSUE | ARCHIVES | INSTRUCTIONS | SUBSCRIBE | ADVERTISE | CONTACT
Indian Journal of Dental Research   Login   |  Users online: 5167

Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size         

 


 
ORIGINAL RESEARCH Table of Contents   
Year : 2017  |  Volume : 28  |  Issue : 1  |  Page : 33-43
Assessment of treatment response to splint therapy and evaluation of TMJ function using joint vibration analysis in patients exhibiting TMJ disc displacement with reduction: A clinical study


Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, Delhi University, NewDelhi, India

Correspondence Address:
Dr. Jyoti Devi
E-603, Nav Sanjivan CGHS Ltd., Plot No. 1, Sector-12, Dwarka, New Delhi - 110 078
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijdr.IJDR_154_16

Rights and Permissions

Context, Aim, and Objectives: Diagnosis of temporomandibular joint(TMJ) disc displacement with reduction(DDR) is difficult. Literature combining different subjective parameters of TMJ function with an objective evaluation of TMJ function using joint vibration analysis(JVA) is limited. Hence, the study was planned to diagnose temporomandibular disorder accurately, to do a subjective and objective evaluation of TMJ function, and to assess the effectiveness of different types of splint therapy over the conventional anterior repositioning appliance(ARA) group. Design: Single-blind, randomized, comparative clinical trial conducted in thirty patients, 18–55years of age, allocated to three groups, i.e.,ARA conventional group, centric stabilization splint(CSS), andSoft splint (SS) groups. Subjects and Methods: Preoperative values of comfortable mouth opening(CMO) in mm, maximum mouth opening(MMO) in mm, TMJ clicking and tenderness(grading 0–3), visual analog scale pain score(0–10cm), and total energy(TE) integral values of both TMJs using JVA were recorded. Postoperative values were taken at the time of delivery of splint at 1st, 2nd, 6th, and 10thweek. Statistical Analysis and Results: Intergroup comparison–Kruskal–Wallis test showed no statistically significant difference in CMO, MMO, and TE values of right TMJs among three groups at any point. No significant difference was seen in TMJ clicking and tenderness among groups at any point of time except at 10weeks and at 2weeks, respectively, by Chi-square test. Intragroup comparison-Wilcoxon signed-rank test showed the significance of difference(P<0.05*) in postoperative visits for CMO, MMO, pain score, and TE values. Clinical effect size, extent, consistency, and percentage of cases showing improvement were maximum for CSS group. Conclusions: The study concludes that the use of JVA for diagnosis along with history and clinical examination increases the accuracy of the diagnosis of DDR. ARA group was used as a conventional treatment option. Although statistically significant difference in pre-and post-treatment values was obtained in all the three groups, CSS group patients showed consistent clinically effective responses and more significant improvement in the subsequent follow-up visits than SS group. Hence, it is advisable to start therapy with CSS splint in TMJ DDR patients to get sooner and effective results without minimum side effects.


[FULL TEXT] [PDF]*
Print this article     Email this article

 
 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
  Citation Manager
 Access Statistics
  Reader Comments
  Email Alert *
  Add to My List *
 
 

 Article Access Statistics
    Viewed2411    
    Printed62    
    Emailed0    
    PDF Downloaded143    
    Comments [Add]    

Recommend this journal