Should Discectomy Performed Without Replacement be the First Choice in Patients with Pain and Reduced Mouth Opening?
Journal Title: Meandros Medical and Dental Journal - Year 2020, Vol 21, Issue 2
Abstract
Objective: In this study, we evaluated the pain and functional development of patients with internal derangements before and after discectomy. Materials and Methods: This was a retrospective cohort study in which patients with internal derangement underwent discectomy without replacement. The main primary variables were pre- and post-operative maximum mouth opening (MMO) and pain according to the Visual Analogue scale (VAS). Paired t-test was used to compare means to determine the differences between pre- and post-operative mouth opening and pre- and post-operative VAS. Results: Among the 20 patients included in this study, six and 14 underwent bilateral and unilateral discectomy without replacement, respectively. Paired sample t-test results revealed that there was a difference in MMO pre- and postoperatively, whereas the VAS scale showed no difference in terms of pain. According to the Wilkes classification, the difference between pre- and post-operative MMO of the patients was recorded. Based on these findings, no difference was observed between the mean pre- and post-operative MMOs of Wilkes stage III and IV patients, whereas a significant difference was found between Wilkes stage V and III patients (p<0.05). No significant difference was found between Wilkes stage IV and V patients (p>0.05). Conclusion: In Wilkes stage III and IV subjects, discectomy without replacement is a good treatment option to relieve pain and improve functions in cases where conservative treatment fails.
Authors and Affiliations
Burcu Gürsoytrak, Umut Demetoğlu
Keywords
Related Articles
- EP ID EP688735
- DOI 10.4274/meandros.galenos.2020.40327
- Views 185
- Downloads 0
Ceasing Vitamin D Replacement in Infants with Premature Closure of Front Fontanelle: True or False?
Objective: The purpose of this study was to determine whether fontanelle closure in neonatal and early infantry periods was related to vitamin D levels and the prophylaxis of vitamin D intake. Moreover, our analysis was...
Evaluation of the Clinical Success of Implant - Supported Restorations- A Retrospective Study with at Least Two Years of Follow-up
Objective: This retrospective clinical study aimed to investigate the long-term clinical success of dental implants restored with splinted or non-splinted posterior prostheses with different retention systems. Materials...
Effects of Visual and Auditory Stimuli on Performance During Sustained Attention Task
Objective:Although many studies are investigating the effects of stimuli on sustained attention performance, only a few studies compare auditory, visual and neutral conditions. Thus, this study aimed to investigate the e...
Should Discectomy Performed Without Replacement be the First Choice in Patients with Pain and Reduced Mouth Opening?
Objective: In this study, we evaluated the pain and functional development of patients with internal derangements before and after discectomy. Materials and Methods: This was a retrospective cohort study in which patien...
Evaluation of Pharyngeal Airway Volume in Individuals with Different Skeletal Patterns
Objective: This retrospective study aimed to evaluate and compare the airway shape and volume using cone-beam computed tomography (CBCT), which allows three-dimensional examination of the airway in individuals with diffe...