Occlusal Splints versus Ultrasound therapy in management of Anterior Disc Displacement with Reduction. A Randomized clinical trial. | ||||
| Egyptian Dental Journal | ||||
| Article 33, Volume 67, Issue 3 - Serial Number 4, July 2021, Page 2547-2557 PDF (1.24 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2021.75882.1629 | ||||
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| Authors | ||||
Nourhan Ragheb1; Wafaa Ibrahim   2
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| 1Lecturer , Prosthodontist, Department of Prosthodontics, Faculty of Oral & Dental Medicine,Kafr El-shiekh University, Kafr El-shiekh ,Egypt. | ||||
| 2Lecturer, Prosthodontist, Department of Prosthodontics, Faculty of Oral and Dental Medicine, Delta University for Science and Technology, Mansoura, Egypt. | ||||
| Abstract | ||||
| Purpose: To compare the effect of Stabilization Splint (SS), Anterior repositioning splint (ARS), and Ultrasound (US) therapy in improving pain, limited mouth opening and clicking in patients with Anterior Disc Displacement with Reduction (ADDwR). Materials and Methods: 30 subjects were enrolled in this randomized clinical trial. Participants were randomly allocated into one of the three study groups of 10 patients each; Group I received a SS, Group II received ARS and Group III were treated with US. All the patients were recalled at baseline (before treatment), 1m, 3m and 6m follow-up periods to evaluate pain, maximum mouth opening (MMO) and clicking. Pain level was evaluated using Visual Analogue Score (VAS). MMO was measured in mm. as the distance between maxillary and mandibular incisors. Detection of TMJ sounds was performed on opening or closing and was recorded. Results: There was a significant decrease in the pain scores in the three groups with P Conclusion:The use of occlusal splints in the management of painful ADDwR is a successful mode of treatment and helps in decreasing pain, improving MMO and clicking yet, is better to be used in combination with other treatment modalities. | ||||
| Keywords | ||||
| TMD; Anterior repositioning splint; Stabilization Splint; Ultrasound therapy | ||||
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