Oral and Maxillofacial Surgery Department, Faculty of Hamidiye Dentistry, University Health Sciences, İstanbul, Turkey.
Prosthodontic Department, Faculty of Dentistry, Van Yuzuncu Yil University, Van, Turkey.
Medicine (Baltimore). 2024 Oct 25;103(43):e40052. doi: 10.1097/MD.0000000000040052.
This study aimed to compare extracorporeal shock wave therapy (ESWT) with the use of stabilization splint in nonsurgical temporomandibular disorders treatments, and to evaluate the effects.
In this study, individuals, who are diagnosed with disc displacements with reduction according to the diagnostic criteria for temporomandibular disorder examination criteria. The patients in the first control group (n = 36) were applied a medical treatment + stabilization splint. The second group (n = 25) was applied the ESWT (2 days a week for 4 weeks) + medical treatment + stabilization splint. Visual Analog Scale scores, painless maximum painless mouth opening, and passive-forced mouth opening measurements were recorded for the first and second weeks.
The ESWT application significantly contributed to pain-reducing (Visual Analog Scale) in patients at short notice (P = .030) in the second group. There were statistically significant differences between the groups in painless maximum active mouth opening (P = .009) and passive forced measurements (P = .004) in the second week.
This pilot study showed that short-term ESWT addition to stabilization splint and medical treatment may yield satisfactory outcomes.
本研究旨在比较体外冲击波疗法（ESWT）与稳定夹板在非手术治疗颞下颌关节紊乱病中的应用，并评估其疗效。
本研究中，根据颞下颌关节紊乱病检查标准的诊断标准，将诊断为盘移位伴复位的患者纳入研究。第一对照组（n=36）患者接受药物治疗+稳定夹板治疗。第二组（n=25）接受 ESWT（每周 2 次，共 4 周）+药物治疗+稳定夹板治疗。在第一和第二周记录视觉模拟评分、无痛最大张口度和被动开口测量值。
在第二组中，ESWT 应用在短期内显著有助于减轻疼痛（视觉模拟评分）（P=0.030）。在第二周，两组之间在无痛最大张口度（P=0.009）和被动开口测量（P=0.004）方面存在统计学差异。
这项初步研究表明，短期 ESWT 联合稳定夹板和药物治疗可能会取得令人满意的效果。
