Turkish Journal of Physical Medicine and Rehabilitation 2011 , Vol 57 , Num 1

Comparison of Effectiveness of Stabilization Splint, Anterior Repositioning Splint and Behavioral Therapy in Treatment of Disc Displacement with Reductio

Hanefi Kurt 1 ,Emre Mumcu 2 ,Tonguç Sülün 3 ,Demirhan DIRAÇOĞLU 4 ,Fatma Ünalan 2 ,Cihan Aksoy 5 ,Necat Tuncer 2
1 İstanbul Üniversitesi Diş Hekimliği Fakültesi, Total Parsiyel Protez Bilim Dalı, İstanbul, Türkiye
2 Istanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Bölümü, Istanbul, Türkiye
3 İstanbul Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, Total Parsiyel Protezler Bilim Dalı, İstanbul, Türkiye
4 Department of Physical Medicine and Rehabilitation, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey
5 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
DOI : 10.4274/tftr.57.05

Objective: Splint therapy is a proven modality for many types of temporomandibular joint (TMJ) disorders. Stabilization and anterior repositioning splints are often the choice of treatment for disc displacement with reduction. The aim of this study was to compare the efficacy of behavioral therapy, stabilization and anterior repositioning splints in patients with disc displacement with reduction.


Materials and Methods: The subjects (n=105) were selected from the patients who were referred to the TMJ Diseases Clinic over a period of two years. The Research Diagnostic Criteria for Temporomandibular Disorders were used for evaluation. The patients were instructed to use their splints only during the night. All patients were scheduled for a total of seven follow-up visits within six months. Seventy-two patients who completed their scheduled visits were examined for subjective and

objective symptoms.


Results: The subjective symptoms (graded chronic pain scale) and objective symptoms (assisted and unassisted maximum opening, TMJ sounds, muscle and joint palpation tenderness) improved in all treatment groups. However, no significant differences have been observed between the groups.


Conclusion: According to the results of this study, it can be concluded that behavioral therapy and splint therapies are both good choices for the treatment of disc displacement with reduction. 

Keywords : Temporomandibular joint disorders, occlusal splints, disc displacement, behavior therapy