EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

EFFECTIVENESS OF TWO DIFFERENT TREATMENT METHODS FOR TEMPOROMANDIBULAR JOINT DISC DISPLACEMENT WITHOUT REDUCTION

*Dr. Mamit Kumar, Dr. Amit Kumar, Dr. Sanjay Talnia and Dr. Ridhi Taneja

ABSTRACT

Aim: was to evaluate and compare the effectiveness of two different treatment modalities (arthrocentesis and splint therapy following arthrocentesis) on pain and maximum mouth opening (MMO) of patients with unilateral DDwoR. Material and method: This prospective study was conducted among 80 patients in the Department of Oral & Maxillofacial Surgery, Maulana Azaad Dental College & Hospital. TMJ DDwoR was diagnosed by a history of reduction in mouth opening (unassisted maximum inter-incisal mouth opening <35 mm), mandibular opening with assistance increased by 3 mm over unassisted opening, and TMJ pain during palpation and/or function. Patients assigned to group 1 were treated with arthrocentesis plus sodium hyaluronate injection. Patients assigned to group 2 were treated with a stabilization splint following arthrocentesis plus sodium hyaluronate injection. The statistical analysis was performed using SPSS 22.0 software (SPSS Inc., Chicago, IL, USA). Results: During the subsequent follow-up visits, significant differences were observed in relation to pain between the groups (all P < 0.001). The pain values were similar in groups 1 and 2 at the 1-, 3-, and 6-month follow-up visits with statistically insignificant difference. The MOM values were similar in groups 1 and 2 at the 1-, 3-, and 6-month follow-up visits with statistically insignificant difference. Within-group analyses showed significant improvements in MOM values at all follow-up visits compared to baseline values in both the study groups. Conclusion: The results of the present study concluded that arthrocentesis alone reduces pain whereas arthrocentesis in combination with splint therapy improves MMO more rapidly.

Keywords: Arthrocentesis; Mouth opening; TMJ, Internal derangement.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )