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ABSTRACT
The objective of this study was to determine the influence of medical and physical therapy on long-term treatment outcome in 72 patients with anterior disk displacement without reduction. Patients were treated solely with occlusal splints (group I), with splints and supplementary medical therapy (group II), with splints and physical therapy (group III) or with splints, medical, and physical therapy (group IV). After therapy, the maintenance of improvement was objectively and subjectively assessed with an extensive clinical examination and a postal questionnaire. The percentage of pain free patients after therapy was 76% in group I, 88% in group II, 43% in group III, and 65% in group IV. There was a statistically significant higher increase of maximum jaw opening after therapy in group II than in the control groups (p<0.05). The improvement in mouth opening came to 9.7 mm in group I, 14.5 mm in group II, 7.3 mm in group III, and 11.2 mm in group IV. Medical therapy seems to have a positive influence on the treatment outcome of patients with anterior disk displacement without reduction.
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Notes on contributors
Meike Stiesch-Scholz
Dr. Meike Stiesch-Scholz received her D.D.S. degree from the Medical University of Hamburg in 1994. She is presently a senior lecturer and researcher in the Department of Prosthodontics, Medical University of Hannover and a member of the interdisciplinary clinic for craniomandibular disorder (CMD) outpatients. Dr. Stiesch-Scholz received her dental prosthodontics specialist degree in 2000.
Matthias Fink
Dr. Matthias Fink is a fellow of the Department for Physical Medicine and Rehabilitation, Medical School Hannover since 1993. He is a member of the interdisciplinary pain unit focusing on craniomandibular disorder patients since 1994, since 1997 has been organizing postgraduate education for the interdisciplinary treatment of CMD, and since 1995 has been a member of the interdisciplinary clinic for CMD outpatients.
Harald Tschernitschek
Dr. Harald Tschernitschek is currently an Associate Professor in the Department of Prosthodontics, Medical University of Hannover Dental School. He is a past secretary to the German Prosthodontic Association and since 1993, a member of the interdisciplinary clinic for craniomandibular disorder (CMD) outpatients.
Albrecht Roßbach
Dr. Albrecht Roßbach is a Professor in the Department of Prosthodontics, Medical University of Hannover since 1980. He is past vice president of the German Prosthodontic Association and served as president of the association from 1990 to 1994. Currently, he is head of the Dental Departments of the Medical University of Hannover.