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Comparative study of two treatment methods for internal derangement of the temporomandibular joint
Anderson GC, Schulte JK, Goodkind RJ
The Journal of Prosthetic Dentistry 1985 Mar;53(3):392-397
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Orthopedic mandibular repositioning and flat plane occlusal splint therapy were compared in the treatment of 20 patients with internal TMJ derangement with reduction. The following conclusions can be drawn. (1) Mandibular repositioning treatment produces significant subjective and objective improvement in the dysfunction of patients with internal joint derangements with reduction. (2) Flat plane occlusal splint treatment produces no significant change in the dysfunction level of patients with internal joint derangements with reduction. (3) Mandibular repositioning treatment may eliminate the reciprocal click of internal joint derangement with reduction. (4) To realize improvement in dysfunction of internal joint derangement, it appears that the reciprocal click must be eliminated. (5) Mandibular repositioning treatment produces a significant improvement in muscle pain associated with internal joint derangement.

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