IADR Abstract Archives

Performance of Noninvasive Therapies in Treatment of Temporomandibular Joint Osteoarthrosis.

Objectives: To determine the performance of noninvasive therapies in the treatment of osteoarthrosis (OA) of the temporomandibular joint (TMJ).
Methods: Seventy patients (average=30.32 years old ±12.32), who consulted for the first time for internal TMJ disorders, were assessed clinically (k=0.82) and imaging (k=0.86). They were evaluated at baseline and one year later according to DC-TMD and Ahmad-2009 criteria. Inclusion criteria were: patients of both sexes, 13-62 years old, complete clinical record, clinical/imaging diagnosis of TMJ OA, with non-invasive treatment, with computed tomography and magnetic resonance examinations at baseline and one year later. Exclusion criteria: history of TMJ fractures/surgeries, history of the oncologic disease, corticoid intake, facial malformations. The therapeutic objectives were pain control, return to normal functional range, limit the degenerative process, control its progression and perform prospective screening of axis 2 (HADS Test). Data were analyzed descriptively, compared with the Wilcoxon test, and correlated with the Spearman test (SPSS v15.0).
Results: Comparison at baseline and post-treatment clinical/imaging data determined significant improvements by non-invasive treatment of degenerative bone alterations: pain (p=0.0001), headache (p=0.0001), joint synovitis (p=0.01), condylar erosion (p=0.083) and condylar bone sclerosis (p=0.001). Adherence to treatment was 76.7% Joint pain was associated at baseline with anxiety: Rho 0.883, self-reported stress: Rho=0.717, female sex: Rho=0.849 and headache: Rho=0.780.
Conclusions: The non-invasive treatment of TMJ OA, presents high performance in modifying the variables joint pain and joint synovitis, after one year of treatment returning to normal functional range, limiting the degenerative process and controlling its progression. HADS test supported the diagnostic evaluation of axis 2.

2021 Chilean Division Annual Meeting (Virtual) 2021

2021

International Network for Orofacial Pain and Related Disorders Methodology (INfORM)
  • Moncada, Gustavo  ( Universidad de Los Andes, Santiago, Chile , Santiago , RM/Santiago , Chile )
  • Valdes, Constanza  ( Universidad de Los Andes, Santiago, Chile , Santiago , RM/Santiago , Chile )
  • Casals, Montserrat  ( Universidad Andrés Bello , Santiago , RM/Santiago , Chile )
  • Marholz, Carlos  ( Universidad Andres Bello , Santiago , RM/Santiago , Chile )
  • Vallejos, Felipe  ( Universidad de Los Andes, Santiago, Chile , Santiago , RM/Santiago , Chile )
  • NONE
    Poster Session
    Posters 2