Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning
Background: Occlusal splints and anterior repositioning splints (ARSs) are widely accepted treatments for temporomandibular disorders (TMDs). However, there is uncertainty with regard to the most suitable amount of mandibular repositioning. The aim of this study is to evaluate the clinical and funct...
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| Format: | Article |
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MDPI AG
2024-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/6/572 |
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| author | Diwakar Singh Alain Landry Martina Schmid-Schwap Eva Piehslinger André Gahleitner Jiang Chen Xiaohui Rausch-Fan |
| author_facet | Diwakar Singh Alain Landry Martina Schmid-Schwap Eva Piehslinger André Gahleitner Jiang Chen Xiaohui Rausch-Fan |
| author_sort | Diwakar Singh |
| collection | DOAJ |
| description | Background: Occlusal splints and anterior repositioning splints (ARSs) are widely accepted treatments for temporomandibular disorders (TMDs). However, there is uncertainty with regard to the most suitable amount of mandibular repositioning. The aim of this study is to evaluate the clinical and functional effects of the therapeutic position (ThP) established based on the Controlled Mandibular Repositioning (CMR) method. Methods: In this clinical trial, 20 subjects with 37 joints with disc displacement with reduction were recruited. The initial standard functional diagnostic protocol, MRI, and digital condylography were performed, and ThP was calculated with the CMR method. After a 6-month follow-up, the standard diagnostic protocol was repeated. The change in disc position was evaluated by means of MRI after 6 months of CMR therapy. Results: The MRI findings in the parasagittal plane demonstrated that out of the 37 joints presenting disc displacement, 36 discs were successfully repositioned; thus, the condyle–disc–fossa relationship was re-established. Therefore, the success rate of this pilot study was 97.3%. The mean position of the displaced discs was at 10:30 o’clock of the TMJ joint and at 12:00 o’clock after CMR therapy. Conclusions: The ThP determined using the CMR approach reduced all of the anteriorly displaced discs (except one). The CMR method allowed to define an optimum ThP of the mandible thus supporting patients’ effective adaptation to treatment position. |
| first_indexed | 2024-04-24T18:23:34Z |
| format | Article |
| id | doaj.art-798eaa06a04d4e83b6f48bd4533c0abc |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-24T18:23:34Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-798eaa06a04d4e83b6f48bd4533c0abc2024-03-27T13:33:11ZengMDPI AGDiagnostics2075-44182024-03-0114657210.3390/diagnostics14060572Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular RepositioningDiwakar Singh0Alain Landry1Martina Schmid-Schwap2Eva Piehslinger3André Gahleitner4Jiang Chen5Xiaohui Rausch-Fan6Center for Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Education in Occlusion Medicine, Vienna School of Interdisciplinary Dentistry (VieSID), 3400 Klosterneuburg, AustriaDivision of Prosthodontics, University Clinic of Dentistry, Medical University of Vienna, 1090 Wien, AustriaDivision of Prosthodontics, University Clinic of Dentistry, Medical University of Vienna, 1090 Wien, AustriaDivision of Radiology, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaSchool and Hospital of Stomatology, Fujian Medical University China, Fuzhou 350122, ChinaCenter for Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, AustriaBackground: Occlusal splints and anterior repositioning splints (ARSs) are widely accepted treatments for temporomandibular disorders (TMDs). However, there is uncertainty with regard to the most suitable amount of mandibular repositioning. The aim of this study is to evaluate the clinical and functional effects of the therapeutic position (ThP) established based on the Controlled Mandibular Repositioning (CMR) method. Methods: In this clinical trial, 20 subjects with 37 joints with disc displacement with reduction were recruited. The initial standard functional diagnostic protocol, MRI, and digital condylography were performed, and ThP was calculated with the CMR method. After a 6-month follow-up, the standard diagnostic protocol was repeated. The change in disc position was evaluated by means of MRI after 6 months of CMR therapy. Results: The MRI findings in the parasagittal plane demonstrated that out of the 37 joints presenting disc displacement, 36 discs were successfully repositioned; thus, the condyle–disc–fossa relationship was re-established. Therefore, the success rate of this pilot study was 97.3%. The mean position of the displaced discs was at 10:30 o’clock of the TMJ joint and at 12:00 o’clock after CMR therapy. Conclusions: The ThP determined using the CMR approach reduced all of the anteriorly displaced discs (except one). The CMR method allowed to define an optimum ThP of the mandible thus supporting patients’ effective adaptation to treatment position.https://www.mdpi.com/2075-4418/14/6/572temporomandibular disorderControlled Mandibular Repositioningdisc displacement with reductionMRIcondylography |
| spellingShingle | Diwakar Singh Alain Landry Martina Schmid-Schwap Eva Piehslinger André Gahleitner Jiang Chen Xiaohui Rausch-Fan Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning Diagnostics temporomandibular disorder Controlled Mandibular Repositioning disc displacement with reduction MRI condylography |
| title | Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning |
| title_full | Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning |
| title_fullStr | Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning |
| title_full_unstemmed | Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning |
| title_short | Clinical and MRI-Based Assessment of Patients with Temporomandibular Disorders Treated by Controlled Mandibular Repositioning |
| title_sort | clinical and mri based assessment of patients with temporomandibular disorders treated by controlled mandibular repositioning |
| topic | temporomandibular disorder Controlled Mandibular Repositioning disc displacement with reduction MRI condylography |
| url | https://www.mdpi.com/2075-4418/14/6/572 |
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