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dc.contributor.authorMuhtarogullari, Mehmet
dc.contributor.authorAvci, Mehmet
dc.contributor.authorYuzugullu, Bulem
dc.date.accessioned2019-12-16T06:22:06Z
dc.date.available2019-12-16T06:22:06Z
dc.date.issued2014
dc.identifier.issn1746-160X
dc.identifier.urihttps://head-face-med.biomedcentral.com/track/pdf/10.1186/1746-160X-10-42
dc.identifier.urihttp://hdl.handle.net/11727/4447
dc.description.abstractObjective: To evaluate efficiency of pivot splints in jaw exercises, in combination with stabilization splints, in cases of anterior disc displacement without reduction of temporomandibular joint. Subjects and methods: Twenty-three patients who referred to the prosthodontics clinic in 1995-1997 were included in the study, where anterior disc displacement without reduction of temporomandibular joint was diagnosed using magnetic resonance imaging and clinical examination. Pivot splints were used for jaw exercises for five minutes long; five times/day and stabilization splints were used at all other times. The patients were followed for 24 weeks. Lateral and protrusive excursions along with maximum mouth opening and were evaluated at each control. Bilateral palpation of temporal, masseter, sternocleidomastoid muscles and TMJ was assessed for pain perception before and after treatment. Data were statistically analyzed using Paired sample t-test and Independent Samples t-test (p < .05). Results: Mean mandibular range of motion measurements increased from 28.74 mm prior to 49.17 mm on maximum opening; right/left lateral excursion from 7.61 mm to 12.04 mm and 4.09 mm to 7.3 mm on protrusion after treatment. All changes observed before and after treatment were found to be statistically significant. (p < .001) Pain symptoms were eliminated at the end of 24 weeks of treatment in all patients. Conclusion: Using pivot splints as an exercise regimen along with a stabilization splint may be a viable treatment option for patients with anterior disc displacement without reduction; as normal mandibular range of motion was established and pain was eliminated.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1186/1746-160X-10-42en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTemporomandibular jointen_US
dc.subjectInternal derangementen_US
dc.subjectAnterior disc displacement without reductionen_US
dc.subjectMagnetic resonance imagingen_US
dc.subjectPivot splinten_US
dc.subjectStabilization splinten_US
dc.titleEfficiency of pivot splints as jaw exercise apparatus in combination with stabilization splints in anterior disc displacement without reduction: a retrospective studyen_US
dc.typearticleen_US
dc.relation.journalHEAD & FACE MEDICINEen_US
dc.identifier.volume10en_US
dc.identifier.wos000344707600001


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