Complex treatment of internal disorders of the temporomandibular joint using occlusive splint therapy, arthrocentesis and arthroscopy

Gհaramyan B. G., Chkhikvadze T. V., Bekreev V. V.

Diseases of the temporomandibular joint are complex and polyetiologic disorders. Among these diseases, the first place in terms of distribution is occupied by internal disorders of the temporomandibular joint (ID TMJ), which mean intra-articular changes, both anatomical and functional. Treatment of ID TMJ requires the use of a whole arsenal of methods. A staged treatment was carried out, including occlusive splint therapy (stage I), with insufficient effectiveness of occlusive splint therapy, additional arthrocentesis (stage II), occlusive splint therapy and arthrocentesis in combination with arthroscopy (stage III of treatment) were included. As a result of the use of complex treatment, the normalization of TMJ function was achieved in 98,44% of patients, the rest showed a significant improvement.

Keywords:temporomandibular joint, TMJ, occlusive splint therapy, arthrocentesis, arthropuncture, arthroscopy.