ABSTRACT
Thirty years after being treated nonsurgicaliy for osteoarthrosis and internal derangement, 14 women and seven men were re-examined clinically and radiographically. The results of this examination were compared with those recorded before and after treatment 30 years ago, and with those of a matched control group. The number and degree of subjective and objective signs and symptoms decreased, and was comparable to that of the controls. However, the patients reported significantly more pain and difficulty on opening the mouth wide. This was reflected in the radiographically assessed joint mobility, which increased significantly over the years, but was still significantly less than that of the controls. The occurrence and extent of radiographically visible osteoarthrotic alterations increased over the years, and differed significantly from those of the controls. Therefore, the authors conclude that few symptoms and clinical signs of osteoarthrosis are found many years after treatment, although radiographic alterations may be extensive.
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Notes on contributors
Reny de Leeuw
Dr. Reny de Leeuw is a research fellow of the TMJ Research Group in the Department of Oral and Maxillofacial Surgery at University Hospital in The Netherlands.
Geert Boering
Dr. Geert Boering is professor and chairman of the Department of Oral and Maxillofacial Surgery at University Hospital in The Netherlands.
Boudewijn Stegenga
Dr. Boudewijn Stegenga is a research associate of the TMJ Research Group in the Department of Oral and Maxillofacial Surgery at University Hospital in The Netherlands.
Lambert G.M. de Bont
Dr. Lambert G.M. de Bont is associate professor of the Department of Oral and Maxillofacial Surgery at University Hospital in The Netherlands.