クローズドロックを示した顎関節症に対する保存療法の経験

概要

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Non-surgical approach was performed in 10 cases of TMJ arthrosis with closed lock. Clinical studies on these cases gave the following results.<BR>1. Unlocking manipulation with or without unlocking appliance after pumping the upper joint cavity with local anesthetics, were performed successfully in eight cases, failed in one case, and temporarily effective in another case.<BR>2. Three of successfully manipulated eight patients had clicking noise in TMJ after manipulation, and one patient manifested hesitation in translation of the condyle. The other four patients had no TMJ noise.<BR>3. The new method of unilateral pivoting on the occlusal surface of molar tooth was applied to the eight successfully "unlocked" patient, and it worked very effectively.<BR>4. The active mouth opening exercise and extension of the TMJ were applied to the non-effective case and one recurring case and afterward the patients obtained the sufficient mobility of the condyle.
社団法人日本口腔外科学会の論文