Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study
<i>Background and Objectives</i>: The aim of the study was to assess the craniovertebral and craniomandibular changes in patients diagnosed with temporomandibular joint disorders (TMD) after physiotherapy combined with occlusal splint therapy. <i>Materials and Methods</i>: Th...
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MDPI AG
2022-05-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/5/684 |
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| author | Marcin Derwich Lawrence Gottesman Karolina Urbanska Elzbieta Pawlowska |
| author_facet | Marcin Derwich Lawrence Gottesman Karolina Urbanska Elzbieta Pawlowska |
| author_sort | Marcin Derwich |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The aim of the study was to assess the craniovertebral and craniomandibular changes in patients diagnosed with temporomandibular joint disorders (TMD) after physiotherapy combined with occlusal splint therapy. <i>Materials and Methods</i>: There were forty patients (32 females, 80%), diagnosed with TMD, included into the study group. After the initial series of physiotherapy, patients received maxillary occlusal splints to be worn day and night. Participants continued physiotherapy simultaneously with occlusal splint therapy for 6 months. Lateral cephalograms taken in natural head position before and after the end of the therapy were used for measurements. The control group consisted of 15 healthy participants (12 females, 80%), who had taken lateral cephalograms twice, and did not receive any type of occlusal treatment nor physiotherapy in the meantime. <i>Results</i>: Occlusal splint therapy and physiotherapy combined together significantly affected: the vertical position of the mandible (significant increase, <i>p</i> < 0.0001), the sagittal position of mandible (significant decrease, <i>p</i> = 0.0065), as well as the width of the functional space between C1 and C2 (significant decrease, <i>p</i> = 0.0042). Moreover, the cervical lordosis was restored after the end of the treatment (<i>p</i> < 0.0001). <i>Conclusions</i>: Cooperation of physiotherapists with dental practitioners is necessary in the treatment of patients with TMD, including temporomandibular joint osteoarthritis. |
| first_indexed | 2024-03-10T03:28:10Z |
| format | Article |
| id | doaj.art-a4c58a023f1b4f0696b8788c10c2d272 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T03:28:10Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-a4c58a023f1b4f0696b8788c10c2d2722023-11-23T12:04:32ZengMDPI AGMedicina1010-660X1648-91442022-05-0158568410.3390/medicina58050684Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control StudyMarcin Derwich0Lawrence Gottesman1Karolina Urbanska2Elzbieta Pawlowska3ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, PolandIndependent Researcher, New York, NY 11570, USAIndependent Researcher, 87-100 Torun, PolandDepartment of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland<i>Background and Objectives</i>: The aim of the study was to assess the craniovertebral and craniomandibular changes in patients diagnosed with temporomandibular joint disorders (TMD) after physiotherapy combined with occlusal splint therapy. <i>Materials and Methods</i>: There were forty patients (32 females, 80%), diagnosed with TMD, included into the study group. After the initial series of physiotherapy, patients received maxillary occlusal splints to be worn day and night. Participants continued physiotherapy simultaneously with occlusal splint therapy for 6 months. Lateral cephalograms taken in natural head position before and after the end of the therapy were used for measurements. The control group consisted of 15 healthy participants (12 females, 80%), who had taken lateral cephalograms twice, and did not receive any type of occlusal treatment nor physiotherapy in the meantime. <i>Results</i>: Occlusal splint therapy and physiotherapy combined together significantly affected: the vertical position of the mandible (significant increase, <i>p</i> < 0.0001), the sagittal position of mandible (significant decrease, <i>p</i> = 0.0065), as well as the width of the functional space between C1 and C2 (significant decrease, <i>p</i> = 0.0042). Moreover, the cervical lordosis was restored after the end of the treatment (<i>p</i> < 0.0001). <i>Conclusions</i>: Cooperation of physiotherapists with dental practitioners is necessary in the treatment of patients with TMD, including temporomandibular joint osteoarthritis.https://www.mdpi.com/1648-9144/58/5/684temporomandibular joint disordersocclusal splintsphysiotherapycervical vertebraecervical functional spaces |
| spellingShingle | Marcin Derwich Lawrence Gottesman Karolina Urbanska Elzbieta Pawlowska Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study Medicina temporomandibular joint disorders occlusal splints physiotherapy cervical vertebrae cervical functional spaces |
| title | Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study |
| title_full | Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study |
| title_fullStr | Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study |
| title_full_unstemmed | Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study |
| title_short | Craniovertebral and Craniomandibular Changes in Patients with Temporomandibular Joint Disorders after Physiotherapy Combined with Occlusal Splint Therapy: A Prospective Case Control Study |
| title_sort | craniovertebral and craniomandibular changes in patients with temporomandibular joint disorders after physiotherapy combined with occlusal splint therapy a prospective case control study |
| topic | temporomandibular joint disorders occlusal splints physiotherapy cervical vertebrae cervical functional spaces |
| url | https://www.mdpi.com/1648-9144/58/5/684 |
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