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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-4-16
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pubmed:abstractText |
Fifty-one subjects with documented intra-articular pathology refractory to non-surgical therapy underwent temporomandibular joint (TMJ) disc repositioning surgery. Following surgery, subjects were evaluated for 6 months to 6 years by clinical examinations and questionnaires at designated times, and by postsurgical joint imaging. Significant decreases were noted in pain (headache, TMJ pain, ear pain, and neck/shoulder pain), the incidence of joint sounds and locking, and the presence of dietary restrictions. However, 35% of the subjects continued to have residual TMJ pain, and a similar percentage continued to need periodic nonsteroidal anti-inflammatory drugs for analgesia. Some degree of dietary restriction remained in approximately 50% of the subjects, and joint sounds persisted in a similar percentage following surgery. Mean mouth opening was improved by 8 mm, although lateral movements were increased by less than 0.5 mm. Surgery did not decrease the occurrence of jaw deviation, and disc position was unchanged in 86% of the joints imaged at an average of 2 years following surgery. Although TMJ disc repositioning surgery significantly improved pain and dysfunction in TMJ surgery patients, the improvement in disc position was not maintained in most subjects following surgery.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0278-2391
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
320-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1545284-Adolescent,
pubmed-meshheading:1545284-Adult,
pubmed-meshheading:1545284-Analysis of Variance,
pubmed-meshheading:1545284-Cartilage, Articular,
pubmed-meshheading:1545284-Chi-Square Distribution,
pubmed-meshheading:1545284-Dislocations,
pubmed-meshheading:1545284-Eating,
pubmed-meshheading:1545284-Female,
pubmed-meshheading:1545284-Follow-Up Studies,
pubmed-meshheading:1545284-Humans,
pubmed-meshheading:1545284-Magnetic Resonance Imaging,
pubmed-meshheading:1545284-Male,
pubmed-meshheading:1545284-Middle Aged,
pubmed-meshheading:1545284-Pain Measurement,
pubmed-meshheading:1545284-Patient Satisfaction,
pubmed-meshheading:1545284-Postoperative Care,
pubmed-meshheading:1545284-Questionnaires,
pubmed-meshheading:1545284-Range of Motion, Articular,
pubmed-meshheading:1545284-Recurrence,
pubmed-meshheading:1545284-Sound,
pubmed-meshheading:1545284-Temporomandibular Joint Disorders,
pubmed-meshheading:1545284-Treatment Outcome
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pubmed:year |
1992
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pubmed:articleTitle |
Changes in signs and symptoms following temporomandibular joint disc repositioning surgery.
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pubmed:affiliation |
Department of General Practice, Dental School, University of Texas Health Science Center, San Antonio 78284-7914.
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pubmed:publicationType |
Journal Article
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