Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods

Fatma DUMAN; Aynur ÇİÇEKCİBAŞI; Nesrin ATCİ; Fatma ÖZTÜRK KELEŞ; Bircan YUCEKAYA; Esra Doğru HÜZMELİ; İbrahim DAMLAR

Makale detayları

Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods

Yazarlar:

Fatma DUMAN | Aynur ÇİÇEKCİBAŞI | Nesrin ATCİ | Fatma ÖZTÜRK KELEŞ | Bircan YUCEKAYA | Esra Doğru HÜZMELİ | İbrahim DAMLAR

Yayıncı:

Society of Anatomy and Clinical Anatomy

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Anatomy 2020 Vol.14 Issue 2, pp.102-110

Belge Tipi:

Makale

Yayın Tarihi:

8/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000667834

Sıklık:

Üç Yıllık

eISSN:

1308-8459

Özet:

 

Objectives: Temporomandibular joint dysfunction (TMD) results in changes in anatomical structures. The aim of this study was to examine the morphological changes using magnetic resonance imaging (MRI) and evaluate the effectiveness of different treatment methods in patients with TMD. 
Methods: 34 TMD patients (18–62 years of age) were randomly divided into two treatment groups. Group A (n=18) was subjected to dry needling (DN) and mobilization for 10 sessions, Group B (n=16) was instructed to use occlusal splint with home exercises for one month. The control group included MRIs of 17 healthy adults that were randomly selected from the archives of Radiology Department of Mustafa Kemal University. The length and width of the masseter, lateral and medial pterygoid muscles and the depth of the mandibular fossa were measured and mandibular condyle types were recorded. Range of motion of each temporomandibular joint was evaluated in pre- and post-treatment periods to test the effectiveness of the treatment methods. 
Results: The size of the masticatory muscles in TMD group was significantly smaller than the control group (p0.05). However, the fossa depth showed a significant correlation with muscle size (p<0.05) and this correlation decreased with dysfunction. Dry needling and mobilization significantly decreased pain and increased mandibular movements (p<0.05); however, there was no significant change for Group B. 
Conclusion: The anatomical structures associated with the temporomandibular joint seems to be affected in patients with TMD. We suggest that the limited movement of the temporomandibular joint may cause atrophy of the masticatory muscles, affecting the range of motion of the joint. Dry needling and mobilization techniques might be a more effective alternative than occlusal splint in the treatment of TMD.

Makale detayları

Morphological changes in temporomandibular joint dysfunction and effectiveness of different treatment methods

Yazarlar: Fatma DUMAN | Aynur ÇİÇEKCİBAŞI | Nesrin ATCİ | Fatma ÖZTÜRK KELEŞ | Bircan YUCEKAYA | Esra Doğru HÜZMELİ | İbrahim DAMLAR

Yayıncı: Society of Anatomy and Clinical Anatomy

Ana Başlıklar: Sağlık teşvikleri

Dergi: Anatomy 2020 Vol.14 Issue 2, pp.102-110

Belge Tipi: Makale

Yayın Tarihi: 8/2020

Belge Dili: İngilizce

Document ID (Org No.): 2000667834

Sıklık: Üç Yıllık

eISSN: 1308-8459

Sayı

Yazarlar:

Fatma DUMAN | Aynur ÇİÇEKCİBAŞI | Nesrin ATCİ | Fatma ÖZTÜRK KELEŞ | Bircan YUCEKAYA | Esra Doğru HÜZMELİ | İbrahim DAMLAR

Yayıncı:

Society of Anatomy and Clinical Anatomy

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Anatomy 2020 Vol.14 Issue 2, pp.102-110

Belge Tipi:

Makale

Yayın Tarihi:

8/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000667834

Sıklık:

Üç Yıllık

eISSN:

1308-8459