The study of extraoral manual reposition approach in the treatment of acute anterior dislocation of tem-poromandibular joint
10.3969/j.issn.1001-3733.2016.06.022
- VernacularTitle:口内、口外手法复位在颞下颌关节急性前脱位中的临床疗效观察
- Author:
Zhengmou DONG
;
Xia ZHOU
;
Luchuan LIU
;
Hetian JIANG
- Keywords:
Temporomandibular joint dislocation;
Manipulative reduction;
Extraoral manual reposition approach
- From:
Journal of Practical Stomatology
2016;32(6):848-851
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effects of extraoral manual reposition approach in the treatment of acute anterior disloca-tion of temporomandibular joint. Methods:98 patients with acute anterior dislocation of temporomandibular joint were divided into 2 groups(n=49) by random digit table and treated by manual reposition through intraoral and extraoral approach respectively. The suc-cess rate, success time, patient pain during treatment, SBP, DBP, HR and patient satisfaction were evaluated respectively. Results:The success rate(95. 92%) and the patient satisfaction rate(76%) of extraoral method group were higher than those of the intraoral method group (81. 63% and 66%);success time(3. 91 ± 0. 55)s and patient pain during treatment(3. 51 ± 0. 25) in extraoral method group were less than those in the intraoral method group[(5. 57 ± 0. 51) s and (6. 6 ± 0. 21)]. The degree of changes of SBP, DBP and HR in extraoral method group were less than those in the intraoral method group(P<0. 05). Conclusion:Extraoral manual reposi-tion approach is more effective than intraoral approach in the treatment of acute anterior dislocation of temporomandibular joint.