Journal of Temporomandibular Joint
Online ISSN : 1884-4308
Print ISSN : 0915-3004
ISSN-L : 0915-3004
educational article
The situation of appliance therapy corresponding to conditions:
response to masticatory muscle pain and intermittent lock
Shigemitsu SAKUMA
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2023 Volume 35 Issue 2 Pages 77-82

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Abstract

Since the pathology of temporomandibular disorders is diverse, it is necessary to provide prescriptions and specialized treatment through medical cooperation. In addition, it may be desirable to shift to treatment using a special oral appliance (OA), and when selecting a treatment method such as appliance therapy in clinical practice, it depends on the experience of the operator. This paper focuses on appliance therapy among various treatment methods and explains the program for selecting OA according to the pathology of masticatory muscle pain disorder and transitioning to the end of treatment. Intermittent lock, which is a type of temporomandibular joint disc disorder (Type IIIa: anterior disk displacement with reduction), shows pain in the temporomandibular joint and disturbance of mouth opening or mastication when locking occurs. Patients with intermittent lock often suffer in daily life and should be treated. Therefore, this paper introduces the clinical treatment and delves into appliance therapy.

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© 2023 Japanese Society for Temporomandibular Joint
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