Yeditepe J Dent. 2020; 16(3): 205-208 | DOI: 10.5505/yeditepe.2020.20982

Stabilizasyon splinti tedavisinin fonksiyonel çene hareketleri ve aðrý üzerine etkisinin retrospektif deðerlendirilmesi

Erkut Kahramanoglu¹, Zeliha Þanývar Abbasgholizadeh¹, Seçil Özkan², Yasemin Özkan^1
1Marmara Üniversitesi, Diþ Hekimliði Fakültesi, Protetik Diþ Tedavisi A.D., Ýstanbul
²Serbest Diþ Hekimi

GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý, temporomandibular rahatsýzlýðý bulunan ve stabilizasyon splinti ile tedavi edilmiþ hastalarýn fonksiyonel çene hareketleri ve vizüel aðrý skalasý (VAS) deðerlerini retrospektif olarak deðerlendirmektir.
YÖNTEM ve GEREÇLER: TMR/ATK ‘ne göre muayene edilmiþ ve MRG ile tek taraflý disk deplasmaný teþhisi konulmuþ 20 hastanýn arþiv verileri kullanýlmýþtýr. Hastalarýn 1.ay, 3.ay ve 6.aydaki fonksiyonel çene hareketleri (aðrýsýz aðýz açýklýðý, protruziv, kontralateral ve ipsilateral hareket miktarlarý) ve VAS deðerleri retrospektif olarak deðerlendirilmiþtir.
BULGULAR: 1. ayýn sonunda protruziv hareket miktarý dýþýnda tüm fonksiyonel çene hareketleri anlamlý olarak artmýþ ve VAS deðerleri anlamlý olarak azalmýþtýr. 6. ayýn sonunda ise tüm fonksiyonel hareketler anlamlý olarak artmýþtýr (p<0,05).
TARTIÞMA ve SONUÇ: Stabilizasyon splinti tedavisi, temporomandibular ekleminde redüksiyonlu/ redüksiyonsuz disk deplasmaný bulunan hastalarda mandibular hareket miktarlarýnda artýþ saðlayarak, hastalarýn aðrý semptomlarýný azaltmýþtýr.

Anahtar Kelimeler: Stabilizasyon splinti, temporomandibular rahatsýzlýk, fonksiyonel çene hareketi

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Retrospective evaluation of the effect of stabilization splint therapy on functional jaw movements and pain

Erkut Kahramanoglu¹, Zeliha Þanývar Abbasgholizadeh¹, Seçil Özkan², Yasemin Özkan^1
1Marmara University, Faculty Of Dentistry, Department Of Prosthodontics, Ýstanbul, Turkey
²Serbest Diþ Hekimi

INTRODUCTION: The aim of this study is to retrospectively evaluate the functional jaw movements and Visual Analog Scale(VAS) scores of patients with temporomandibular disorders that treated with stabilisaation splint therapy.
METHODS: Archive data of 20 patients were used that examined according to RDC/TMD and diagnosed as unilateral disc displacement by MRI. Patient’s functional movements (unassisted opening without pain, contralateral, ipsilateral and protrusive movements) and VAS scores were retrospectively evaluate at the 1st., 3rd., and 6th. months.
RESULTS: At the end of the 1st. month, all functional movements except protrusive movements increased and VAS values decreased significantly. At the end of the 6th month, all functional movements increased significantly (p<0,05).
DISCUSSION AND CONCLUSION: Stabilisation splint therapy increased the amount of mandibular movements and reduced the pain symptoms of patient with temporomandibular joint disc displacement with reduction/without reduction.

Keywords: Stabilisation splint, temporomandibular disorder, functional jaw movement

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