TY - JOUR
T1 - Self-reported remission, difficulty, and satisfaction with nonsurgical therapy used to treat anterior disc displacement without reduction
AU - Minakuchi, H.
AU - Kuboki, T.
AU - Maekawa, K.
AU - Matsuka, Y.
AU - Yatani, H.
PY - 2004/10
Y1 - 2004/10
N2 - Objective The purpose of this study was to identify the appropriate treatment element for initial anterior disc displacement without reduction subjects. Study design Sixty-nine consecutive patients with temporomandibular joint disc displacement without reduction confirmed on magnetic resonance images were randomly divided into 3 experimental treatment groups. The treatment of group 1 consisted of short-term nonsteroidal anti-inflammatory drugs and self-care instructions (palliative care group); group 2, nonsteroidal anti-inflammatory drugs, self-care instructions, and occlusal appliance and mobilization therapy (physical medicine group); and group 3, no treatment (control group). Outcomes were assessed by means of a 5-item questionnaire that evaluated (1) symptom improvement, (2) difficulty of treatment, and (3) satisfaction with treatment during the 8-week observation period. Results Improvement scores in the palliative care group were significantly better than those in the physical medicine group or the no-treatment group. Satisfaction scores showed no significant difference among the 3 groups. Difficulty from treatment for the physical medicine group was significantly greater than that for other 2 groups. Conclusion These data suggest that palliative care would be more appropriate as the initial therapy to treat painful anterior disc displacement without reduction.
AB - Objective The purpose of this study was to identify the appropriate treatment element for initial anterior disc displacement without reduction subjects. Study design Sixty-nine consecutive patients with temporomandibular joint disc displacement without reduction confirmed on magnetic resonance images were randomly divided into 3 experimental treatment groups. The treatment of group 1 consisted of short-term nonsteroidal anti-inflammatory drugs and self-care instructions (palliative care group); group 2, nonsteroidal anti-inflammatory drugs, self-care instructions, and occlusal appliance and mobilization therapy (physical medicine group); and group 3, no treatment (control group). Outcomes were assessed by means of a 5-item questionnaire that evaluated (1) symptom improvement, (2) difficulty of treatment, and (3) satisfaction with treatment during the 8-week observation period. Results Improvement scores in the palliative care group were significantly better than those in the physical medicine group or the no-treatment group. Satisfaction scores showed no significant difference among the 3 groups. Difficulty from treatment for the physical medicine group was significantly greater than that for other 2 groups. Conclusion These data suggest that palliative care would be more appropriate as the initial therapy to treat painful anterior disc displacement without reduction.
UR - http://www.scopus.com/inward/record.url?scp=5144232444&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=5144232444&partnerID=8YFLogxK
U2 - 10.1016/j.tripleo.2003.11.013
DO - 10.1016/j.tripleo.2003.11.013
M3 - Article
C2 - 15472659
AN - SCOPUS:5144232444
VL - 98
SP - 435
EP - 440
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
SN - 2212-4403
IS - 4
ER -