The clinical efficacy of intra-articular irrigation combining with passive mouth-opening training in the treatment of acute temporomandibular anterior disc displacement without reduction in elderly patients

Subjects: Nursing >> Nursing submitted time 2023-04-24

HAN Bingxue LI Shu ZHANG Jinyuan HU Ning CHENG Wen ZHANG Weihong

Abstract： ABSTRACT: Objective? To investigate the clinical efficacy of intra-articular irrigation combining with passive mouth-opening training in the treatment of acute temporomandibular anterior disc displacement without reduction concomitant with limited mouth opening in elderly patients. Methods? From January 2019 to January 2022, 16 elderly patients diagnosed as acute temporomandibular anterior disc displacement concomitant with limited mouth opening and underwent intra-articular irrigation and passive muscle stretching were retrospectively reviewed. General information, past history, history of present disease, clinical and radiologic examinations were collected. Maximum mouth opening and pain degree (VAS score) were recorded before, immediately after and 1 week after treatment. Results? The mean maximum mouth opening of 16 patients was (25.13±1.93) mm before treatment, (37.31±1.82) mm immediately after treatment and (43.56±2.61) mm at 1 week, respectively, with significant difference (P <0.01). The mean VAS score of the 16 patients was (6.50±1.10) before treatment and (2.75±0.78) 1 week after treatment, with significant difference (P <0.01). Conclusion? Intra-articular irrigation combining with passive muscle stretching can effectively improve the maximum mouth opening and pain symptoms of patients with acute temporomandibular anterior disc displacement concomitant with limited mouth opening, and it is a minimally invasive and effective treatment method worth popularizing.

Peer Review Status:Awaiting Review

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