Evaluation of the protocol for the diagnosis and treatment of the temporomandibular discal alterations

Authors

  • Marcos Ros Santana Clínica de Especialidades Estomatológicas Manuel de Jesús Cedeño. Bayamo. Granma
  • Ileana B Grau León Facultad de Estomatología de La Habana Raúl González Sánchez. La Habana
  • Yanireydis Moreno Chala Clínica de Especialidades Estomatológicas Manuel de Jesús Cedeño. Bayamo. Granma
  • René Abel Salso Morell Clínica de Especialidades Estomatológicas Manuel de Jesús Cedeño. Bayamo. Granma

Abstract

The alterations of the complex condyle-disk of the temporomandibular joint can be considered a constant spectrum of progressive disorders. A quasi-experimental study was performed in 48 patients older than 15 years belonging to the Specialty Stomatology Clinic of Bayamo, Granma, from January to July of 2014, with the purpose of evaluating the results of the protocol implementation for the diagnosis and treatment of the complex condyle-disk disorders of the temporomandibular joint. Some variables of interest were evaluated; the statistical analysis was performed to the obtained data. After three months of evolution there was a statistically significant increase in the number of patients without pain (p <0.05), and a reduction of the amount of patients with restricted mouth opening. The treatment protocol was effective because it was able to reduce pain and to increase the range of mouth opening in more than 70% of patients treated.

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References

1.Khan Mubeen, Vijayalakshmi KR, Gupta N. Low Intensity Laser Therapy in Disc Derangement Disorders of Temporomandibular Joint: A Review Article. Int J Odontostomat [Internet]. 2013 Ago [citado 13 Sep 2014]; 7(2): 235-239. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2013000200013&lng=es

2.Altaf M, Ajaz S. Efficacy of Temporomandibular Joint Arthrocentesis on Mouth Opening and Pain in the Treatment of Internal Derangement of TMJ—A Clinical Study. J Maxillofac Oral Surg [Internet]. 2013 Apr [citado 05 Dic 2014]; 13(3):244–248. Disponible en: http://link.springer.com/article/10.1007%2Fs12663-013-0522-7/fulltext.html

3. Monje Gil F, Nitzan D, González Garcia R. Temporomandibular joint arthrocentesis. Review of the literature. Med Oral Patol Oral Cir Bucal [Internet]. 2012 Jul [citado 13 Sep 2014]; 17(4):e575–e581. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476018/

4.Bhargava D, Jain M, Deshpande A, Singh A, Jaiswal J. Temporomandibular Joint arthrocentesis for internal derangement with disc displacement without reduction. J Maxillofac Oral Surg [Internet]. 2012 Nov [citado 13 Sep 2014]; 11:1-6. Disponible en: http://link.springer.com/article/10.1007/s12663-012-0447-6/fulltext.html

5.Razek A, Belasy F, Ahmed W, Haggag M. Assessment of articular disc displacement of temporomandibular joint with ultrasound. J Ultrasound [Internet]. 2014 Oct [citado 13 Dic 2014]:1-5. Disponible en: http://link.springer.com/article/10.1007/s40477-014-0133-2/fulltext.html.

6.Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 6a ed. Filadelfia: Mosby; 2008.

7.Naeije M, te Veldhuis AH, te Veldhuis EC, Visscher CM, Lobbezoo F. Disc displacement within the human temporomandibular joint: a systematic review of a ‘noisy annoyance’. J Oral Rehabil [Internet]. 2013 Feb [citado 13 Sep 2014]; 40(2):139-158. Disponible en: http://onlinelibrary.wiley.com/enhanced/doi/10.1111/joor.12016/

8.Deregibus A, Castroflorio T, De Giorgi I, Burzio C, Debernardi C. Diagnostic concordance between MRI and electrovibratography of the temporomandibular joint of subjects with disc displacement disorders. Dentomaxillofac Radiol [Internet]. 2013 Apr [citado 13 Sep 2014]; 42(4): 20120155. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667518/.

9.Poveda Roda R, Bagán JV, Sanchis JM, Carbonel E. Temporomandibular disorders. A case-control study. Med Oral Patol Oral Cir Bucal [Internet]. 2012 Sep [citado 13 Sep 2014]; 17(5):e794–e800. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482524/

10.Ozdemir Karatas M, Peker K, Balık A, Uysal O, Tuncer E. Identifying potential predictors of pain–related disability in Turkish patients with chronic temporomandibular disorder pain. J Headache Pain [Internet]. 2013 Mar [citado 05 Dic 2014]; 14(1):17. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620509/

11.Kurita Varoli F, Sucena Pita M, Sato S, Mardegan Issa JP, do Nascimento C, Pedrazzi V. Analgesia evaluation of 2 NSAID drugs as adjuvant in management of Chronic Temporomandibular Disorders. Scient World J [Internet]. 2015 [citado 28 Ene 2015]2015:7. Disponible en: http://www.hindawi.com/journals/tswj/aa/359152/.

12.Hossein Mortazavi S, Kalantar Motamedi MH, Navi F, Pourshahab M, Bayanzadeh S, Hajmiragha H., et al. Outcomes of management of early temporomandibular joint disorders: How effective is nonsurgical therapy in the long-term. Nati J Maxillofac Surg [Internet]. 2010 Jul-Dec [citado 05 Dic 2014]; 1(2):108–111. Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3304195/

13.Rodrigues Conti PC, Silva Miranda JE, Ferreira Conti AC, Pegoraro LF, Pereira de Araújo CR. Partial time use of anterior repositioning splints in the management of TMJ pain and dysfunction: a one-year controlled study. J Appl Oral Sci [Internet]. 2005 Dec [citado 08 Dic 2014]; 13(4). Disponible en:

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-

77572005000400006&lng=en&nrm=iso.

14.Harvey T, Neelakantan RS, Titus T. Role of Arthrocentesis in the Management of Acute Closed Lock of TM Joint: A Pilot study. J Maxillofac Oral Surg [Internet]. 2012 Dec [citado 08 Dic 2014]11(4):390–393. Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3485470/

15.Nascimento MM, Vasconcelos BC, Porto GG, Ferdinanda G, Nogueira CM, Raimundo RC. Physical therapy and anesthetic blockage for treating temporomandibular disorders: A clinical trial. Med Oral Patol Oral Cir Bucal [Internet]. 2013 Jan [citado 08 Dic 2014]; 18(1):e81-5. Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548651/.

16.Manfredini D. No significant differences between conservative interventions and surgical interventions for TMJ disc displacement without reduction. Evidence-Based Dentistry [Internet]. 2014 [citado 08 Dic 2014]; 1 5: 90–91. Disponible en:

http://www.nature.com/ebd/journal/v15/n3/full/6401049a.html

17.Schiffman EL, Look JO, Hodges JS, Swift JQ, Decker KL, Hathaway KM., et al. Randomized Effectiveness Study of Four Therapeutic Strategies for TMJ Closed Lock. J Dent Res [Internet]. 2007 Jan [citado 08 Dic 2014]; 86(1):58–63. Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278036/

18.Zonnenberg AJ, Mulder J. The efficacy of a specific stabilization splint. Cranio [Internet]. 2014 Jan [citado 08 Dic 2014]; 32(1):68-74. Disponible en:

http://www.maneyonline.com/doi/abs/10.1179/0886963413Z.0000000008?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&

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Published

2018-02-06

How to Cite

1.
Ros Santana M, Grau León IB, Moreno Chala Y, Salso Morell RA. Evaluation of the protocol for the diagnosis and treatment of the temporomandibular discal alterations. RM [Internet]. 2018 Feb. 6 [cited 2025 Jun. 9];19(4). Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/367

Issue

Vol. 19 No. 4 (2015)

Section

ARTÍCULOS ORIGINALES

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