29. ASSESSMENT OF THE RESULTS OF TREATMENT OF TEMPOROMANDIBULAR DISORDERS WITH OCCLUSAL SPLINTS AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2021-2022
Main Article Content
Abstract
Currently, there are many methods for diagnosing and treating TMJ disorders, from conservative treatment to interventional treatment, such as medication, physical therapy, jaw movement exercises, botox injections, surgery, etc. Occlusal splints are a minimally invasive and effective treatment proven in many places. Objectives to evaluate the results of treatment of temporomandibular disorders with occlusal splints at Can Tho the University of Medicine and Pharmacy Hospital in 2021-2022”
Research Methods: Sample size 35 patients. A clinical intervention study to evaluate the effect before and after treatment, no control group. Evaluate treatment results after 1 and 6 months: maximal range of jaw movements, pain status, clicking, discomfort when moving jaw.: Take a CBCT film of the TDH joint after 6 months of treatment. Take a film when the patient is not wearing an occlusal splint. The lower jaw is in a physiological resting position to record the position of the mandibular condyle in relation to the temporal bone.
Results: VAS joint pain at time T0, T1, T2 decreased by 8.09 ± 1.15, respectively; 3.23 ± 0.97; 0.97 ± 0.80. Rate of patients responding after 6 months of treatment: For pain: 34.3% responded well, 65.7% responded well. For joint sounds: 3.4% respond well, 96.6% respond well. For maximum opening amplitude: 100% good response.
Conclusion: Stable occlusal splints help to reduce pain level, reduce clicking level, and increase the maximal opening amplitude and range of motion of the jaw to the side and anterior.
Article Details
Keywords
Temporomandibular joint, occlusal splints.
References
năng bộ máy nhai và đề xuất giải pháp can thiệp,
Luận án Tiến sỹ Y học, Trường Đại học Y Hà
Nội, 2006.
[2] Lương Thảo Nguyên, Trần Thị Nguyên Ny và
cs, “Tình hình điều trị rối loạn thái dương hàm tại
khoa Răng Hàm Mặt – Đại học Y Dược Thành
Phố Hồ Chí Minh từ năm 2008 đến 2010”, Tạp
chí Y học Thành phố Hồ Chí Minh, 17, 2013, tr.
66 - 71.
[3] Nguyễn Phúc Diên Thảo, HoàngTử Hùng, “Rối
loạn thái dương hàm”, Tạp chí Y học Hồ Chí
Minh, 8(4), 2006, tr. 23-30.
[4] Nguyễn Mạnh Thành, Đánh giá kết quả điều trị
rối loạn thái dương hàm bằng máng nhai ổn định,
Luận văn tốt nghiệp bác sĩ nội trú, Trường Đại
học Y Hà Nội, 2013.
[5] Dawson P, Functional Occlusion: From TMJ to
Smile design, Mosby Elsevier, 2007, pp. 450- 489.
[6] El-Moraissi A, “Effectiveness of occlusal splint
therapy in the management of temporomandibular
disorders: network meta-analysis of randomized
controlled trials”, Int J Oral Maxillofac Surg,
49(8), 2020, pp. 1042 - 1056.
[7] Emma Beecroft et al., “Temporomandibular
Disorder for the General Dental Practitioner”,
Prim Dent J, 7(4), 2019, pp. 62 - 70.
[8] Jovana KP, “Occlusal stabilization splint for
patients with temporomandibular disorders:
Meta-analysis of short and long term effects”,
PLoS One, 12(2), 2017, pp. 69 - 71.
[9] Neill Mc C, “Temporomandibular Disorders:
Guidelines for Classification, Assessment, and
Management” Quintessence Publishing, 2, 1997,p. 121.
[10] Si-Hui Zhang et al., “Efficacy of occlusal splints
in the treatment of temporomandibular disorders:
a systematic review of randomized controlled
trials”, Acta Odontol Scand, 78(8), 2020, pp.580-589.
[11] Sousa et al., “Different Treatments in Patients
with Temporomandibular Joint Disorders: A
Comparative Randomized Study”, Medicina
(Kaunas), 56(3), 2020, p. 113.
[12] U Tatli et al., “Comparison of the effectiveness
of three different treatment methods for
temporomandibular joint disc displacement
without reduction”, Int J Oral Maxillofac Surg,
46(5), 2017, pp. 603 - 609.
[13] Wanman A et al., “Treatment outcome of
supervised exercise, home exercise and bite
splint therapy, respectively, in patients with
symptomatic disc displacement with reduction:
A randomised clinical trial”, J Oral Rehabil,
47(2), 2020, pp. 143 - 149.