SỰ THAY ĐỔI ĐẶC ĐIỂM LÂM SÀNG TRÊN BỆNH NHÂN TRƯỞNG THÀNH BỊ RỐI LOẠN KHỚP THÁI DƯƠNG HÀM (TMD) ĐƯỢC ĐIỀU TRỊ BẰNG MÁNG ỔN ĐỊNH (SS) 6 THÁNG

Abstract

Objective: To evaluate certain clinical characteristics in adult patients with temporomandibular disorders (TMD) treated with a stabilization splint (SS) over a 6-month period from 2022 to 2024. Subject and methods: This interventional study was conducted on 31 adult patients (7 males and 24 females) treated with a hard stabilization splint (SS). Clinical characteristics were compared before and after 6 months of treatment. Results: Joint pain (arthralgia) before treatment: 90,32%; after treatment: 16,12%. Myofascial pain before treatment: 80,65%; after treatment: 9,68%. Joint sounds before treatment: 83,87%; after treatment: 61,29%. Limited mouth opening before treatment: 33,62 ± 2,34 mm; after treatment: 38,71 ± 2,65 mm. Temporal muscle pain before treatment: 88%; after treatment: 32%. Conclusions: Functional symptoms, including joint pain, joint sounds, and muscle pain, were the most common. Localized pain around the joint, particularly in the temporomandibular joint, temporalis muscle, and masseter muscle, was most frequently observed. After 6 months of treatment with a stabilization splint (SS), there was a statistically significant reduction in functional symptoms. The VAS pain score in patients with functional symptoms such as muscle pain, joint pain, and joint sounds-showed a marked decrease.