Hanefi KURT
(İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul, Türkiye)
Emre MUMCU
(İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul, Türkiye)
Tonguç SÜLÜN
(İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul, Türkiye)
DEMİRHAN DIRAÇOĞLU
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Fatma ÜNALAN
(İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul, Türkiye)
Cihan AKSOY
(İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)
Necat TUNCER
(İstanbul Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul, Türkiye)
Yıl: 2011Cilt: 57Sayı: 1ISSN: 1302-0234 / 1308-6316Sayfa Aralığı: 25 - 30İngilizce

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Comparison of effectiveness of stabilization splint, anterior repositioning splint and behavioral therapy in treatment of disc displacement with reduction
Amaç: Splint tedavisi birçok temporomandibular eklem rahatsızlığı için etkinliği kanıtlanmış bir tedavi seçeneğidir. Stabilizasyon ve ön konumlandırıcı splintler redüksiyonlu disk deplasmanında genellikle tercih edilen splint tipleridir. Bu çalışmanın amacı redüksiyonlu disk deplasmanı tedavisinde uygulanan davranışsal tedavi, stabilizasyon ve ön konumlandırcı splintlerin tedavi etkinliklerinin değerlendirilmesidir. Gereç ve Yöntem: Temporomandibular Rahatsızlıklar Teşhis ve Tedavi Kliniği’ne iki yıl içerisinde başvuranlar arasından seçilmiş hastalar çalışmaya dahil edildi (n=105). Hastaların değerlendirilmesinde “Temporomandibular Rahatsızlıklar Araştırma Teşhis Kriterleri” kullanıldı. Hastalara splintlerini yalnızca gece kullanmaları önerildi. Bütün hastalar altı ay boyunca toplam yedi kez kontrol edildi. Kontrollere düzenli devam eden yetmiş iki hasta objektif ve subjektif semptomlardaki değişiklikler açısından değerlendirildi. Bulgular: Bütün tedavi gruplarında hastaların subjektif semptomlarında (kronik disfonksiyonel ağrı derecesi) ve objektif semptomlarında (yardımlı ve yardımsız maksimum ağız açma miktarları, temporomandibular eklem sesleri, kas ve eklemlerde palpasyonda ağrı) iyileşme olduğu görüldü, ancak tedavi grupları arasında istatistiksel olarak anlamlı bir fark görülmedi. Sonuç: Bu çalışmanın bulguları ışığında davranışsal tedavi, stabilizasyon splinti ve ön konumlandırıcı splintlerin redüksiyonlu disk deplasmanı tedavisinde kullanılabilecek başarılı tedavi alternatifleri olduğu söylenebilir.
Fen > Tıp > Rehabilitasyon
DergiAraştırma MakalesiErişime Açık
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