Self-reported remission, difficulty, and satisfaction with nonsurgical therapy used to treat anterior disc displacement without reduction

H. Minakuchi, T. Kuboki, K. Maekawa, Y. Matsuka, H. Yatani

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)435-440
Number of pages6
JournalOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology
Volume98
Issue number4
DOIs
Publication statusPublished - Oct 2004

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

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