TEMPOROMANDİBULAR EKLEM BOZUKLUKLARINDA TEDAVİ SEÇENEKLERİ

Öz

Günümüzün önemli bir sorunu olan temoporomandibular bozukluklar, çiğneme kaslarının, temoporomandibular eklem ve ilişkili yapıların bozuklukları, ya da her ikisini içeren klinik sorunlar gibi tanımlanır. Temporomandibular hastalıkların tedavisi yumuşak diyet, davranış değiştirme, ilaçlar (NSAİİ, kas gevşeticiler, antidepresanlar), interoklüzal splint, enjeksiyonlar (steroidler, botoks), fiziksel tedavi ve cerrahi yaklaşımlardan (artrosentez, artroskopi, açık eklem cerrahisi) oluşmaktadır. Bu yazıda, temporomandibular eklem ve ilişkili yapıların bozukluklarının tedavi seçeneklerini gözden geçirmek amaçlanmıştır. Anahtar Kelimeler:Temporomandibular eklem, temporomandibular bozukluklar, fiziksel tedavi, carrahi

Anahtar Kelimeler

• Temporomandibular eklem, temporomandibular bozukluklar, fiziksel tedavi, cerrahi

THE TREATMENT CHOICES IN TEMPOROMANDIBULAR DISORDERS

Öz

Abstract Temoporomandibular disorders, which is an important issue today are defined as clinical problems involving the masticatory musculature, the temoporomandibular joints and associated structures, or both. The treatment of temporomandibular disorders are involved soft diet, behavior modification, pharmacotherapy (NSAIDs, muscle relaxants, antidepressants), interocclusal splints, injections (steroids, botox), phisical therapy and surgical approachs (arthrocentesis, arthroscopy, open joint surgery). The aim of this paper was to review the treatment choices of temporomandibular joint and associated structures disorders. Keywords: Temporomandibular joint, temporomandibular disorders, phisical therapy, surgery

Anahtar Kelimeler

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Kaynakça

1. Griffiths RH. Report of the President’s conference on examination, diagnosis and management of temporomandibular disorders. J Am Dent Assoc l983; 106(1):75–77.
2. Nicolakis P, Erdogmus B, Kopf A, et al. Effectiveness of exercise therapy in patients with internal derangemant of the temporomandibular joint. J Oral Rehabil 2001; 28(2):1158–1164.
3. Cahlin BJ, Dahlström L. No effect of glucosamine sulfate on osteoarthritis in the temporomandibular joints—a randomized, controlled, short–term study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112 (6):760–766.
4. Dym H, Israel H. Diagnosis and treatment of temporomandibular disorders. Dent Clin N Am 2012; 56(1): 149–161. 5. Kavuncu V.
5. Temporomandibular eklem
6. disfonksiyon sendromu. In: Göksoy T, ed.
7. Romatizmal Hastalıkların Tanı ve Tedavisi.
8. İstanbul: Yüce Basımevi; 2002; 791–802

9. Meyers RA, Schellhas KP, Hall HD, et al. Guidelines for diagnosis and management of disorders involving the temporomandibular joint and related musculoskeletal structures. American Society of Temporomandibular Joint Surgeons. Northwest Dent. 1992; 71(5):21–27
10. Kalamir A, Bonello R, Graham P, Vitiello AL, Pollard H. Intraoral myofascial therapy for chronic myogenous temporomandibular disorder: a randomized controlled trial. J Manipulative Physiol Ther. 2012; 35(1):26-37.
11. Alpaslan GH, Alpaslan C. Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillofac Surg 2001;59(6):613–8.
12. Özcan B. Bruksizme eşlik eden miyofasyal ağrı sendromlu ve temporomandibular rahatsızlığı olan hastalarda oklüzal splint ve tens tedavilerinin klinik ve ağrı eşiği üzerine olan etkinliklerinin karşılaştırılması. Uzmanlık tezi Fizik Tedavi Ve Rehabilitasyon Kliniği, İstanbul, 2005.
13. McNeill C. Management of temporomandibular disorders: Concepts and controversies. J Prosthet Dent 1997; 77(5):510–522.
14. Karan A ve Aksoy C. Temporomandibular eklem rehabilitasyonu. In: Oğuz H, Dursun E, Dursun N, ed.Tıbbi Rehabilitasyon. İstanbul: Nobel Kitabevi 2004; 1061–1079.
15. Mc Neely ML, Olivo SA, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical Therapy 2006; 86(5):710–725.
16. Venancio Rde A, Camparis CM, Lizarelli Rde F. Low intensity laser therapy in the treatment of temporomandibular disorders:A double–blind study. J Oral Rehabil 2005; 32(11):800–807.
17. Topuz O. Temporomandibular hastalıklarda rehabilitasyon. Türkiye Klinikleri J Int Med Sci 2006; 2(45):57–67.
18. Dionne R.A. Pharmacologic treatments for temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83(1):134– 142.
19. Dolwick M.F. The role of temporomandibular joint surgery in treatment of patients with internal derangement. Oral Surg Oral Med Oral Pathol Oral Radiol Endol 1997; 83(1):150–155.
20. Phero J.C. Pharmacotherapy for chronic facial pain. Dent Clin North Am 1984; 28(3): 471–491.
21. Marbach JJ. Temporomandibular pain and dysfunction examination, and treatment. Rheumatic Disease Clinics of North America 1996; 22(3): 477–498.
22. Gerber PE, Lynd LD. Selective serotonin–reuptake inhibitor–induced movement disorders. Ann Pharmacother 1998; 32(6):692–698.
23. Laskin DM. Temporomandibular joint pain. In: Kelley’s Textbook of Rheumatology. Sixth edition. Edit: Ruddy S, Harris ED, Sledge CB. Philadelphia: W.B. 2001: 557–567.
24. Sato S, Sakamoto M, Kawamura H, Motegi K. Disc position and morphology in patients with nonreducing disc displacement treated by injection of sodium hyaluronate. Int J Oral Maxillofac Surg. 1999; 28(4):253-257.
25. Milam S.B. Pathogenesis of degenerative temporomandibular joint arthritides: Review Article. Odontology 2005; 93(1):7–15.
26. Nguyen P, Mohamed SE, Gardiner D, Salinas T. A randomized double-blind clinical trial of the effect of chondroitin sulfate and glucosamine hydrochloride on temporomandibular joint disorders: a pilot study. Cranio. 2001; 19(2):130- 139.
27. Thie NM, Prasad NG, Major PW. Evaluation of glucosamine sulfate compared to ibuprofen for the treatment of temporomandibular joint osteoarthritis: a randomized double blind controlled 3 month clinical trial. J Rheumatol 2001; 28(6):1347–1355.
28. Shankland WE, 2nd. The effects of glucosamine and chondroitin sulfate on osteoarthritis of the TMJ: a preliminary report of 50 patients. Cranio 1998; 16(4):230–235.
29. Adlam DM. Temporomandibular pain syndrome. In: Klippel JH, Dieppe PA, ed. 2nd edition. London: Mosby International Lynton House,1998: 4(13):16.
30. Kurita H, Ikeda K, Kurashina K. Evaluation of the effect of a stabilization splint on occlusal force in patients with masticatory muscle disorders, J Oral Rehabil 2000; 27(1):79–82.
31. Dimitroulis G. Temporomandibular joint surgery: what does it mean to the dental practitioner? Aust Dent J 2011; 56(3): 257–64
32. McCain JP, Hossameldin RH. Advanced arthroscopy of the temporomandibular joint Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):145–167.
33. Guarda-Nardini L, Ferronato G, Manfredini D. Two-needle vs. single-needle technique for TMJ arthrocentesis plus hyaluronic acid injections: a comparative trial over a six-month follow up Int J Oral Maxillatac Surg 2012; 41(4):506 -513
34. Garcia JRG, Usandizaga JLG, Campo FJR. Arthroscopic anatomy and lysis and lavage of the temporomandibular joint. Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):131–144
35. Bouloux GF, Modified condylotomy for temporomandibular joint dysfunction. Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):169– 175.
36. Dattilo DJ. Resection of the severely ankylosed temporomandibular joint. Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):207–220.
37. Granquist JE, Quinn PD. Total reconstruction of the temporomandibular joint with a stock prosthesis. Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):221–232.
38. Mercuri LG. Patient–Fitted (“Custom”) Alloplastic Temporomandibular joint replacement technique. Atlas Oral Maxillofacial Surg Clin N Am 2011; 19(2):233–242.
39. Laskin DM. Temporomandibular disorders:the past, the present and future. Review Article. Odontology 2007; 95(1):10–15.