ANTERIOR REPOSITIONING PLATE TREATMENT IN DISC DISLOCATION WITH REDUCTION

Year 2022, Volume: 9 Issue: 1, 259 - 267, 27.04.2022

Nurcan Kaya , Serkan Sarıdağ

https://doi.org/10.15311/selcukdentj.831849

Cited By: 1

Abstract

The most common disorders of temporomandibular joint (TMJ) problems is disc dislocation with reduction and is a common problem in the population. Joint sounds and pain symptoms in disc dislocation with reduction may not be eliminated by adjusting occlusal contacts and increasing the vertical dimension together with the stabilization plates used routinely. In these cases, if the symptoms cannot be relieved, anterior repositioned plates (ARP) can be used. The point where the pain in TMJ decreases and joint sounds are not heard is determined and the mandible is positioned at minimum protrusion. In this way, ARPs reduce the force on retrodiscal structures and allow the relief of pain and regeneration of these tissues. At the same time, a new and more stable condyle-disc relationship can be created by enabling the condyle to catch the disc. However, asymptomatic joint sounds continue as the condyle functions on adapted retrodiscal structures. As a result of ARP treatment, it has been observed that voice types change more positively, even if joint sounds do not disappear completely. The aim of this review is to reveal the effects of ARP on the elimination of joint sounds and pain symptoms in the reduction of disc dislocation and the duration of use under the light of previous studies.

Keywords

Anterior repositional splint, Condyle, Intracapsular, Joint, Temporomandibular

REDÜKSİYONLU DİSK DİSLOKASYONUNDA ANTERİOR REPOZİSYONE PLAK TEDAVİSİ

Abstract

Temporomandibular eklem (TME) problemlerinin en yaygın düzensizliği redüksiyonlu disk dislokasyonudur ve toplumda oldukça yaygın görülen bir problemdir. Redüksiyonlu disk dislokasyonunda varolan eklem sesleri ve ağrı semptomu rutin olarak kullanılan stabilizasyon plaklarıyla beraber okluzal temasların uyumlanması ve dikey boyutun arttırılmasıyla ortadan kaldırılamayabilir. Semptomların giderilemediği bu durumlarda anterior repozisyone plak (ARP)’lar kullanılabilmektedir. TME’deki ağrının azaldığı ve eklem seslerinin gelmediği nokta tespit edilerek mandibula minimum protrüzyonda konumlandırılır. Bu sayede ARP’ler retrodiskal yapılar üzerine gelen kuvveti azaltarak ağrı semptomumun giderilmesine ve bu dokuların rejenerasyonuna imkan tanımaktadır. Aynı zamanda kondilin diski yakalaması sağlanarak yeni ve daha stabil bir kondil-disk ilişkisi oluşturulabilmektedir. Ancak kondil adapte olmuş retrodiskal yapıların üzerinde işlev gördüğü için asemptomatik eklem sesleri devam etmektedir. ARP tedavisi sonucunda eklem sesleri tamamen ortadan kalkmasa bile eklem seslerinin azaldığı görülmüştür. Bu derlemede amaç redüksiyonlu disk dislokasyonunda ARP’nin eklem sesleri ve ağrı semptomunun ortadan kaldırılmasındaki etkilerinin ve kullanım süresinin yapılan önceki çalışmalar ışığında ortaya konmasındır.

Keywords

Eklem, İntrakapsüler, Kondil, Temporomandibular, Anteior repozisyone splint

References

• Pihut M, Gorecka M, Ceranowicz P, Wieckiewicz M. The efficiency of anterior repositioning splints in the management of pain related to temporomandibular joint disc displacement with reduction. Pain Res Manag. 2018;2:1–6.
• Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications. J Oral Facial Pain Headache. 2014;28:6–27.
• Odabaş B, Arslan SG. Temporomandibular eklem anatomisi ve rahatsızlıkları. Dicle Tıp Dergisi. 2008;35:77–85.
• Slusarenko da Silva Y, Borba AM, Naclério-Homem MG. A clinical-based protocol of diagnosis of temporomandibular joint open lock and treatment with arthrocentesis. Oral Maxillofac Surg. 2020;24:211–215.
• Chen HM, Liu MQ, Yap AUJ, Fu KY. Physiological effects of anterior repositioning splint on temporomandibular joint disc displacement: a quantitative analysis. J Oral Rehabil. 2017;44:664–672.
• Ma Z, Xie Q, Yang C, Zhang S, Shen Y, Abdelrehem A. Can anterior repositioning splint effectively treat temporomandibular joint disc displacement? Sci Rep. 2019;9:8–15.
• Kurita H, Kurashina K, Ohtsuka A, Kotani A. Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:142–145.
• Okeson JP. Joint intracapsular disorders: diagnostic and nonsurgical management considerations. Dent Clin North Am. 2007;51:85–103.
• Okeson JP. Management of temporomandibular disorders and occlusion, 6th Edn. China: Mosby-Year Book Inc,2008.
• Mahan PE, Wilkinson TM, Gibbs C, Mauderli HA, Brannon LS. Superior and inferior bellies of the lateral pterygoid muscle EMG activity at basic jaw positions. J Prosthet Dent. 1983;50:710–718.
• Rayne J. Functional anatomy of the temporomandibular joint. J Oral Maxillofac Surg. 1987;25:92–99.
• Gülen H, Ataoğlu H, Haliloğlu S, Işık K. Proinflammatory cytokines in temporomandibular joint synovial fluid before and after arthrocentesis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:1–4.
• Shinohara E, Pardo-Kaba S, Martini M, Horikawa F. Single puncture for TMJ arthrocentesis: an effective technique for hydraulic distention of the superior joint space. J Maxillofac Surg. 2012;3:96– 97.
• Nitzan DW. The process of lubrication impairment and its involvement in temporomandibular joint disc displacement. A theoretical concept. J Oral Maxillofac Surg. 2001;59:36–45.
• Yaltırık M, Palancıoğlu A, Koray M, Turgut CT. Temporomandibular joint disorders and diagnosis. Yeditepe Dental Journal. 2017;13:43–50.
• Tecco S, Tet S, D’Attilio M, Perillo L, Festa F. Surface electromyographic patterns of masticatory, neck, and trunk muscles in temporomandibular joint dysfunction patients undergoing anterior repositioning splint therapy. Eur J Orthod. 2008;30:592–597.
• Kaymak D, Karakış D, Doğan A. Evolutionary spectral analysis of temporomandibular joint sounds before and after anterior repositioning splint therapy in patients with internal derangement. Int J Prosthodont. 2019;32:475–481.
• Nitzan DW. “Friction and adhesive forces” - Possible underlying causes for temporomandibular joint internal derangement. Cells Tissues Organs. 2003;174:6–16.
• Fayed MMS, El-Mangoury NH, El-Bokle DN, Belal AI. Occlusal splint therapy and magnetic resonance imaging. World J Orthod. 2004;5:133–140.
• Okeson JP. Bell’s orofacial pains: the clinical management of orofacial pain,7th edn. Chicago:Quintessence Publishing Co,2014.
• Yun PY, Kim YK. The role of facial trauma as a possible etiologic factor in temporomandibular joint disorder. J Oral Maxillofac Surg. 2005;63:1576–1583.
• Nitzan DW. Arthrocentesis-incentives for using this minimally invasive approach for temporomandibular disorders. Oral Maxillofac Surg Clin North Am. 2006;18:311–328.
• Gazit E, Lieberman M, Eini R, Hirsch N, Serfaty V, Fuchs C, Lilos P. Prevalence of mandibular dysfunction in 10–18 year old Israeli schoolchildren. J Oral Rehabil. 1984;11:307–317.
• Vincent SD, Lilly GE. Incidence and characterization of temporomandibular joint sounds in adults. J Am Dent Assoc. 1988;116:203–206.
• Magnusson T, Egermark I, Carlsson GE. A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary. Acta Odontol Scand. 2005;63:99–109.
• Schmitter M, Rammelsberg P, Hassel A. The prevalence of signs and symptoms of temporomandibular disorders in very old subjects. J Oral Rehabil. 2005;32:467–473.
• Aksüzek Ö, Mumcu E, Ceylan G, Aktaş B, Ünalan F. Temporomandibular rahatsızlıkların tedavisinde kullanılan okluzal splintler. İstanbul Üniversitesi Dişhekimliği Fakültesi Dergisi. 2009;43:53–57.
• Farrar WB. Differentiation of temporomandibular joint dysfunction to simplify treatment. J Prosthet Dent. 1972;28:629–636.
• Lundh H, Westesson PL, Kopp S, Tillström B. Anterior repositioning splint in the treatment of temporomandibular joints with reciprocal clicking: Comparison with a flat occlusal splint and an untreated control group. Oral Surg Oral Med Oral Pathol. 1985;60:131–136.
• Tallents RH, Katzberg RW, Miller TL, Manzione J, Macher DJ, Roberts C. Arthrographically assisted splint therapy: painful clicking with a nonreducing meniscus. Oral Surg Oral Med Oral Pathol. 1986;61:2–4.
• Raustia AM, Pyhtinen J. Direct sagittal computed tomography as a diagnostic aid in the treatment of an anteriorly displaced temporomandibular joint disk by splint therapy. J Craniomandib Pract. 1987;5:240–245.
• Ramoğlu S, Ozan O AM. Temporomandibuler eklem bozukluklarında konservatif tedavi yaklaşımları: okluzal splintler. ADO Klinik Bilimler Dergisi. 2011;5:913–923.
• Klasser GD, Greene CS. Oral appliances in the management of temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:212–223.
• Simmons HC, Gibbs SJ. Anterior repositioning appliance therapy for TMJ disorders: specific symptoms relieved and relationship to disk status on MRI. J Tenn Dent Assoc. 2009;89:89–99.
• Tecco S, Festa F, Salini V, Epifania E, D’Attilio M. Treatment of joint pain and joint noises associated with a recent TMJ internal derangement: a comparison of an anterior repositioning splint, a full-arch maxillary stabilization splint, and an untreated control group. J Craniomandib Pract. 2004;22:209–219.
• Williamson EH, Navarro EZ, Zwemer JD. A comparison of electromyographic activity between anterior repositioning splint therapy and a centric relation splint. J Craniomandib Pract. 1993;11:178–183.
• Okeson JP. Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints. J Prosthet Dent. 1988;60:611–616.
• Pereira FJ, Lundh H, Eriksson L, Westesson P. Microscopic changes in the retrodiscal tissues of painful temporomandibular joints. J Oral Maxillofac Surg. 1996;54:209–219.
• Choi BH, Yoo JH, Lee WY. Comparison of magnetic resonance imaging before and after nonsurgical treatment of closed lock. Oral Surg Oral Med Oral Pathol. 1994;78:301–305.
• Conti PCR, da Corrêa ASM, Lauris JRP, Stuginskibarbosa J. Management of painful temporomandibular joint clicking with different intraoral devices and counseling: A controlled study. J Appl Oral Sci. 2015;23:529–535.