The Clinical Indications and Treatment Results of the Table Shaped Pivoting Splint for Internal Derangement of the Temporomandibular Joint

Abstract

The modified shaped (table shaped) Pivoting splint was used to treat for internal derangement of the temporomandibular joint.
We applied to this splint for the following purpose.
1) The unlocking to cases of the closed locking.
2) The prevention for the reccurence on the patients that unlocked by the mandibular manipulation technique.
3) The prevention for the reccurence on the patients that unlocked by the mandbular manipulation technique with the pumping into upper joint space of the TMJ.
4) The improvement of the displaced disk on the cases of late opening clicking of the TMJ.
This splint was adapted on 98 cases of the Internal derangement of the TMJ.
The treatment results wers as following.
1) In 23 cases of unilateral closed locking, the unlocking was obtainted in 6 cases (26%).
2) 35 cases of unlocked by means of the manipulation technique were applied for the pivoting splint in purpose of prevention of the reccurence. In 16 cases (46%), the reccurences was not appeaed.
3) In 23 cases of remaining unlocked by the means of pumping manipulation, 19 cases (82%) showed no reccurence.
4) In 9 (53%) among 17 cases of late opening clicking, the late opening clickings changed to the early or intermediate opening clickings.