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동의어 포함
Introduction: Limited mouth opening is a representative clinical symptom of temporomandibular disorders (TMD) with anterior disc displacement
without reduction (ADDWOR). Various treatment methods have been proposed for patients with ADDWOR. This study examined the clinical effectiveness
of template therapy for patients with mouth opening difficulty due to the ADDWOR.
Material and Methods: A total of 14 patients (female 12, male 2, average age: 29.1±14.4), who had been treated in the template clinic,
Sooncheonhyang University Bucheon Hospital, from January of 2006 to December of 2008, were enrolled in this study. The subjects were selected
according to the following criteria: more than 2 weeks after the onset of locking, mouth opening range < 35 mm, and confirmed ADDWOR without a
synovial pathology by magnetic resonance imaging (MRI). All patients were treated with the template appliance, instructed to wear it while sleeping
and exercise for at least 10 hours per day. The maximum mouth opening (MMO) range and pain recognition scores before and after template therapy
were recorded and compared. A paired t-test and Wilcoxon’s signed rank test were used for statistical analysis.
Results: After the periodical follow up, significant improvement in the opening range was observed in the template treatment group. The average
MMO range before treatment was 30.2±3.5 mm and the average MMO after treatment and follow up was 47.1±4.7 mm. The mean amount of
mouth opening increment was 16.9±5.4 mm (P<0.01) and the pain recognition scores before and after treatment was also improved.(P=0.001)
Conclusion: The template appliance proved to be efficient for the treatment of TMD with a closed lock and painful joint due to ADDWOR.*표시는 필수 입력사항입니다.
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도서위치안내: 정기간행물실(524호) / 서가번호: 국내03
2021년 이전 정기간행물은 온라인 신청(원문 구축 자료는 원문 이용)
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