Open AccessTMJ Dysfunction: Conservative Management of Facial Pain
Author(s) -
Elmorsy Shawky,
SaadEldeen Mohamed
Publication year - 2010
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1016/j.otohns.2010.06.760
Subject(s) - conservative management , medicine , facial pain , pain management , orthodontics , physical medicine and rehabilitation , surgery , physical therapy
Shawky M. Elmorsy, MD Ass. Professor of Otolarynglogy, Mansoura University Egypt Phone: +20129485014 Fax: +20502267016 shawky_morsy2003@yahoo.com Objectives:The conservative treatment of tempromandibular disorder is recommended as a basic principle in management by using splint especially anterior disk displacement. Aim of the work:This study aimed to compare the effect of wearing anterior deprogramming devices (two types) and muscle relaxant on TMJ in patient with lateral pole anterior disc displacement Material and methods:In a prospective study from 2005-2009, 30 patients with lateral pole anterior disc displacement were evaluated in this study before and after wearing devices for six months. Magnetic resonance imaging (MRI) was used for evaluation in this study. Patients were randomly divided into three equal groups. In Group I, anterior deprogramming devices were used. Group II used anterior midline stop device and group III used muscle relaxant appliance for six months. Outcome assessment was done by MRI and clinical findings. Results:The results of this study revealed that anterior deprogramming devices were more rapid and effective in treatment of TMJ displacement than muscle relaxant appliance. Conclusion:It can be concluded that anterior deprogramming devices can be used for treatment lateral pole anterior disc displacement of TMJ. TMJ dysfunction: Conservative Management of Facial Pain