NEW REGIMEN FOR REDUCTION ANTERIORLY DISPLACED DISC IN PATIENTS WITH BRUXISM | ||||
| Egyptian Dental Journal | ||||
| Article 1, Volume 62, Issue 1 - January (Oral Surgery), January 2016, Page 865-874 PDF (1.52 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2016.95216 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Walid Ahmed Ghanem | ||||
| Assistant Professor Oral & Maxillofacial Surgery Dept., Faculty of Dentistry, Suez Canal University, Ismailia, Egypt | ||||
| Abstract | ||||
| Aim: This study is aimed to evaluate the efficacy of modified stabilizing splint in reduction anteriorly displaced disc in patients with bruxism. Patient & Methods: This study was carried out on 26 patients, (14 femal&12male) .Patients complained of severe periauricular pain, inability of eating food, loudly unilateral clicking and se- vere temporal headache. Tenderness of masseter and temporalis muscles on palpation. All patients underwent unilateral arthrocentesis and delivered with modified stabilizing splint with posterior open bite 6, 4, 2 mm, two weeks for each consecutive posterior open bite.MRI was done for each patient preoperative, one and 12months postoperatively. Follow up period was one year. Results: All patients showed relief of periauricular pain, no clicking in (18 patients). Percep- tible clicking in (8patients). MRI revealed recapture of the anteriorly displaced disc on the condyle in closed &opened positions postoperatively, while anteriorly displaced deformed disc remained in position postoperatively in (8 patients) . Conclusion: Arthrocentesis and modified stabilizing splint are effective in recapture of the anteriorly displaced non deformed disc on the condyle in patients with bruxism. | ||||
| Keywords | ||||
| Internal derangement; Stabilizing splint; Arthrocentesis; Bruxism | ||||
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