The aim of this study was to evaluate the first and second treatments in the patients with TMJ pain and trismus.
Methods:
TMJ pain and trismus levels were classified into none, slight, moderate, and severe using visual analog scales. Ninety-eight patients with moderate or severe TMJ pain and trismus were classified into disk displacement with reduction (DDwR), disk displacement without reduction (DDw/oR), and osteoarthritis (OA) using MRI. As the first treatment, non-steroidal anti-inflammatory drug (NSAIDs) were given with mouth opening exercise for two weeks. Arthrocentesis was performed as the second treatment in the patients who had no effect from the first treatment.
Results:
1. The improvement rates of the first treatment: DDwR;89%, DDw/oR;51%, and OA;61%.
2. The improvement rates of the second treatment: DDwR;50%, DDw/oR;71%, and OA;56%.
3. The total improvement rates: DDwR;94.5%, DDw/oR;86%, and OA;83%.
Conclusions:
The results suggested that the first and second treatments are effective for TMD with TMJ pain and trismus.