The efficacy of Osteopathic treatment on TMJ with disk displacement without reduction with limited mouth opening. A case study
Journal Title: ΑΡΧΕΙΑ ΕΛΛΗΝΙΚΗΣ ΣΤΟΜΑΤΙΚΗΣ ΚΑΙ ΓΝΑΘΟΠΡΟΣΩΠΙΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ - Year 2018, Vol 19, Issue 1
Abstract
Temporomandibular joint (TMJ) dysfunction, which is very common in recent years, is a disorder of the jaw's motor system, characterized by a restriction of mobility, mandibular deviation in mouth opening, periarticular pain that can extend to the face, arthritic sounds and headache. However, there is no research data on the application of the Osteopathic Approach to the treatment of conditions in which classical conservative therapy fails. This case study refers to a 50 year-old lady with intense chronic pain of the TMJ, and very limited mouth opening with anterior dislocation of the disc. A 4-week treatment protocol was applied by direct and indirect techniques. The evaluation was done with the DC / TMD (Schiffman et al. 2016), the SQ, the JFLS-20 functional assessment scale, the GROC scale, the NPRS pain rating scale, the DC / TMD Examination Form and Wilkes (1989) diagnostic categories. The results showed significant changes in the parameters evaluated. This study argues that osteopathic therapy may be an alternative to the treatment of temporomandibular dysfunction.
Authors and Affiliations
Konstantinos VATHRAKOKOILIS, Torsten LIEM, Ioannis AETOPOULOS, Ekaterini TRIANTAFYLLIDOU
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