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The aim of this study was to evaluate the effect of two consecutive arthrocenteses and NSAIDs administration as a primary treatment for temporomandibular joint disk displacement with reduction and with pain.<BR>Seventeen patients with moderate and severe TMJ dysfunction were selected from a consecutive series of new patients who were seen in TMD clinic at Aichi-Gakuin University Hospital during a one-year period. The patients that had unilateral TMJ symptoms were diagnosed as having TMJ disk displacement with reduction by MR imaging.<BR>Arthrocentesis was performed twice at an interval of 2 weeks. In addition, the NSAIDs, COX-2 inhibiter was given daily, orally, until the each patient's symptoms improved during follow-up for 12 weeks. Postoperatively, the patients were seen every 2 weeks, for 12 weeks. This therapy was continued for a maximum of 12 weeks unless TMJ symptoms were improved. The patients who resulted in no or slight disturbance in TMJ dysfunction were classified as improved. Similarly, the patients who resulted in moderate or severe disturbance were classified as not improved.<BR>The improvement rates were 35%, 59%, 65%, 65%, 65%, and 71% after 2, 4, 6, 8, 10, and 12 weeks, respectively.<BR>The combination therapy appears to be effective for temporomandibular joint disk displacement with reduction and with pain.
一般社団法人日本顎関節学会の論文