ANTERIOR REPOSITIONING PLATE TREATMENT IN DISC DISLOCATION WITH REDUCTION

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

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