Temporomandibular hastalıklarda oklüzal splint ve oklüzal dengeleme ile yapılan tedavi sonuçlarının karşılaştırılması

Abstract

63 9. SUMMARY Temporomandibular disorders include internal derangements, muscle disorders, inflammatory diseases of TMJ, chronic mandibular hypomobility and growth disorders. In this investigation, the aetiologic role of occlusal problems on temporomandibular disorders were examined. The patients with interferences on nonworking (balancing) side were included but all the other inflammatory or growth disorders of TMJ, chronic mandibular hypomobility and internal derangements were excluded from this study. Anterior bite plane (diagnostic) splints were constructed for all of the patients and these were used for 24-48 hours. From these patients 32 of them declared some improvement in their symptoms. These patients were then divided randomly into two groups. The patients in the first group used a bite plane (therapeutic) splint for at least 2 months. After removal of their splints all of these patients were undertaken in control for 12 months. In the second group no bite-plane splint was utilized but direct occlusal equilibriation was performed according to Dawson's technique. These patients were also under professional control for 12 months. The following criteria were evaluated before the therapy; after the diagnostic and therapeutic attempts and at the end of 12 months:62 Tanı splinti sonrası oklüzal dengeleme uygulanan II.grubun semptomlarında yalnızca tanı ve tedavi splinti uygulanan I.gruba oranla daha fazla iyileşme olduğu bulundu.

63 9. SUMMARY Temporomandibular disorders include internal derangements, muscle disorders, inflammatory diseases of TMJ, chronic mandibular hypomobility and growth disorders. In this investigation, the aetiologic role of occlusal problems on temporomandibular disorders were examined. The patients with interferences on nonworking (balancing) side were included but all the other inflammatory or growth disorders of TMJ, chronic mandibular hypomobility and internal derangements were excluded from this study. Anterior bite plane (diagnostic) splints were constructed for all of the patients and these were used for 24-48 hours. From these patients 32 of them declared some improvement in their symptoms. These patients were then divided randomly into two groups. The patients in the first group used a bite plane (therapeutic) splint for at least 2 months. After removal of their splints all of these patients were undertaken in control for 12 months. In the second group no bite-plane splint was utilized but direct occlusal equilibriation was performed according to Dawson's technique. These patients were also under professional control for 12 months. The following criteria were evaluated before the therapy; after the diagnostic and therapeutic attempts and at the end of 12 months:62 Tanı splinti sonrası oklüzal dengeleme uygulanan II.grubun semptomlarında yalnızca tanı ve tedavi splinti uygulanan I.gruba oranla daha fazla iyileşme olduğu bulundu.