Condylar remodeling accompanying splint therapy: a cone-beam computerized tomography study of patients with temporomandibular joint disk displacement.
Oral Surg Oral Med Oral Pathol Oral Radiol
; 114(2): 259-65, 2012 Aug.
Article
em En
| MEDLINE
| ID: mdl-22769412
ABSTRACT
OBJECTIVE:
The aim of this study was to evaluate osseous changes accompanying anterior repositioning splint (ARS) therapy in patients with temporomandibular joint disk displacement. STUDYDESIGN:
Cone-beam computerized tomography (CBCT) data of 36 patients with intermittent or permanent closed-lock were used; 23 patients with permanent closed-lock had their displaced disks physically reduced by mandibular manipulation before ARS therapy. CBCT was performed before and ≈ 6 months after ARS therapy. The presence and location of "double contour" images suggesting condylar bone remodeling were statistically analyzed.RESULTS:
The "double contour" images after ARS therapy were observed in ≈ 80% of patients, more frequently in joints with signs of displaced disks. The "double contour" appeared more often on the posterior bevel as well as the medial and middle part of condyles (P < .01).CONCLUSIONS:
ARS therapy can facilitate regenerative remodeling of condyles. CBCT is a useful tool for monitoring osseous changes in condyles.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Articulação Temporomandibular
/
Placas Oclusais
/
Tomografia Computadorizada de Feixe Cônico
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Côndilo Mandibular
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article