EFFICACY OF MODIFIED CLOSED REDUCTION MANEUVER IN TEMPOROMANDIBULAR DISEASES OTHER THAN JOINT DISLOCATION
1İzmir Katip Çelebi Üniversitesi Atatürk EAH, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, İzmir, Turkey2Manisa Celal Bayar Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Manisa, Turkey Objective: The aim of the study is to evaluate the effectiveness of the modified closed reduction maneuver in patients with temporomandibular disease other than joint dislocation.
Material and Methods: 218 patients with suspected temporomandibular disease who applied to the outpatient clinic with complaints of earache, jaw pain, noise in the joint, and pain radiating to the head, face, and neck were reviewed. The data of 153 patients who underwent the modified closed reduction maneuver were included. These patients were divided into two groups according to their short-term or long-term complaints. The patients" visual analog scale scores before and after undergoing the modified closed reduction maneuver were compared within and between groups.
Results: The overall mean visual analog scale scores of both groups before and after undergoing the maneuver were 7.54±1.07 and 1.82±1.09, respectively (p<0.001). The visual analog scale scores were significantly decreased after the maneuver in each group (p<0.001). The overall scores of both groups were also found to be significantly decreased after the maneuver (p<0.001).
Conclusion: According to the current study, the modified closed reduction maneuver is effective for symptom control in patients with temporomandibular diseases (other than joint dislocation). It may be proposed as an alternative to the other treatment modalities or used in combination with them.
Keywords : Temporomandibular disease, temporomandibular joint dysfunction, visual analog scale, modified closed reduction maneuver