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A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects.

A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Research Abstract Details 

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  • A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Abstract Text:

    y le bellY Le Bell,h forssellH Forssell,

    Twenty-two subjects with clinically diagnosed unilateral anterior disk displacement were followed up for two years. Seventeen of the patients were women and five were men, with ages ranging from 17 to 68 years (median 27 years). In 20 cases the duration of locking at the time of the examination was less than 6 months; the other two cases had experienced locking for more than 6 months but less than one year. Case histories were recorded and clinical examinations performed according to accepted principles, followed by calculation of Helkimo's anamnestic dysfunction index Ai and clinical dysfunction index Di. The patients were treated using full coverage splints combined with occlusal adjustment. Follow-up examinations were made after 6 months, one year and two years. At the time of the first visit, 17 patients had severe subjective symptoms such as difficulty in opening the mouth wide and pain on movement of the mandible, while five experienced locking without subjective symptoms. All patients apart from one belonged to Di III and had a maximal mouth opening capacity ranging from 24 to 38 mm. During follow-up, one patient was treated surgically because of continuous severe symptoms; in one case, spontaneous disk reduction was confirmed by MR imaging. At the last examination the rest of the patients (n = 20) had a mouth opening capacity ranging from 31 to 60 mm and belonged to Di II. However, eight patients were completely symptom free and 12 had only mild symptoms. All patients regarded their condition and good as were able to manage well.(ABSTRACT TRUNCATED AT 250 WORDS)

    A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Publishing Authors By Initials

    y le bellY Le Bell,h forssellH Forssell,

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    PUBMED ID PMID:

    MEDLINE DATE:

    A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Proceedings of the Finnish Dental Society. Suomen

    VOLUME: 89

    Page Numbers: 45-50

    Journal Abbreviation:

    ISSN: 0355-4651

    DAY: 21

    MONTH: 02

    YEAR: 1993

    A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 366632

    A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects. Keywords Mesh Terms:

    KEYWORDS: Temporomandibular Joint Dysfunction Synd

    MESH TERMS: therapy

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    Grant and Affiliation Information for A two-year follow-up of temporomandibular joint disk displacement without reduction in 22 subjects.

    AFFILIATION: Institute of Dentistry, University of Turku, Finland.

    Country: FINLAND

    FINLAND Research PublicationFINLAND Research Publication

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    MEDLINETA: Proc Finn Dent Soc

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