Long term follow-up of patients affected by temporomandibular joint dysfunction treated with orthodontic and/or prosthetic occlusal therapy.
Minerva Stomatol
; 53(10): 555-70, 2004 Oct.
Article
em En, It
| MEDLINE
| ID: mdl-15531871
ABSTRACT
AIM:
Clinical evidences about therapeutic effectiveness of splint therapy and modern concept concerning the etiopathogenesis of temporomandibular disorders (TMD) lead to a review of the therapeutic approach accepted until the middle 90s for the solution of this derangement of the stomathognatic system. Aim of this study is to produce a long term follow-up of a sample of TMD patients, to estimate the validity and utility of the present therapeutic procedures.METHODS:
After diagnostical classification of the patients observed, they have been included in a therapeutic protocol. The outcomes obtained (46 patients at the 1st control in 1994 and 38 patients at the last control in 2001) are re-examined with an average follow-up of 10 years.RESULTS:
The results obtained showed the efficacy of the therapeutic procedures carried out (36 healed, 9 improved and 1 worsened at the 1994 check-up on the whole, a successful result in 98% of cases; 17 healed, 21 improved and 8 lost at the 2001 check-up on the whole, a successful result in 100% of cases), but at present their application has to be reviewed according to a more conservative and careful therapeutic approach, based on the evaluation of some fundamental parameters.CONCLUSION:
The rehabilitative occlusal therapy, in its various aspects, is successful in the long term treatment of TDMs, as long as it is used only when it is possible to determine a correct indication.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Articulação Temporomandibular
/
Ajuste Oclusal
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Humans
/
Infant
/
Male
/
Middle aged
Idioma:
En
/
It
Revista:
Minerva Stomatol
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Itália