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Lavage question in treatment of painful reduced mouth opening capacity
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0001-5635-1887
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0002-9638-4648
Malmö högskola, Faculty of Odontology (OD).
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2008 (English)In: Journal of Cranio-Maxillofacial Surgery, ISSN 1010-5182, E-ISSN 1878-4119, Vol. 36, no Suppl 1, p. 162-163Article in journal, Meeting abstract (Other academic)
Abstract [en]

OBJECTIVES: To compare treatment with local anaesthetics and local anaesthetics and lavage in patients with temporomandibular joint (TMJ) pain and reduced mouth opening in a randomized controlled trial. METHODS: Forty-one women and four men (mean age 35 years) participated. All patients had had TMJ pain för more than 3 months, had reduced mouth opening capacity, and had non-reducin disc displacement confirmed by magnetic resonance imaging. The patient were randomized to treatment with extra-articular local anaesthetics alone (control) or with extra-articular local anaesthetics and lavage (treatment). All patients were examined at basline and at 1 and 3 months by an examiner blind to treatment. Successful treatment was determined as 30% or more pain reduction on a 100-mm visual analog scale (VAS). RESULTS: At baseline, mean pain intensity (VAS) on movement of the TMJ was 58 among the controls and 61 in the treatment group. At the 3-month folow-up, treatment was considered succesful in 76% of the controls and 50% of the treatment group. Mouth opening capacity without assistance was 34 mm and 33 mm at baseline and 43 mm and 38 mm after 3 months among the controls and in the treatment group, respectively. These differences between groups in median pain intesity, successful treatment outcome, and mouth opening capacity with assistance were nonsignificant. CONLUSIONS: Use of lavage to supplement extra-articular local anaesthetic treatment of painful reduced mouth opening at non-reducing discs does not appear to improve treatment outcome.

Place, publisher, year, edition, pages
2008. Vol. 36, no Suppl 1, p. 162-163
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-15387DOI: 10.1016/S1010-5182(08)71773-6Local ID: 7152OAI: oai:DiVA.org:mau-15387DiVA, id: diva2:1418908
Conference
Congress of the European Association for Cranio-Maxillofacial Surgery, Bologna, Italy (2008)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2023-07-05Bibliographically approved

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Ekberg, EwaCarinList, ThomasPetersson, ArneEriksson, Lars

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