Melita Valentić-Peruzović
Academy of Medical Sciences, United Kingdom
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Acta stomatologica Croatica | 2015
Iva Z. Alajbeg; Marijana Gikić; Melita Valentić-Peruzović
OBJECTIVEnTemporomandibular disorders (TMD) are the most common source of orofacial pain of a non-dental origin. The study was performed to investigate the therapeutic effect of the conventional occlusal splint therapy and the physical therapy. The hypothesis tested was that the simultaneous use of occlusal splint and physical therapy is an effective method for treatment of anterior disc displacement without reduction.nnnMATERIALS AND METHODSnTwelve patients (mean age =30.5 y) with anterior disc displacement without reduction (according to RDC/TMD and confirmed by magnetic resonance imaging) were randomly allocated into 2 groups: 6 received stabilization splint (SS) and 6 received both physical therapy and stabilization splint (SS&PT). Treatment outcomes included pain-free opening (MCO), maximum assisted opening (MAO), path of mouth opening and pain as reported on visual analogue scale (VAS).nnnRESULTSnAt baseline of treatment there were no significant differences among the groups for VAS scores, as well as for the range of mandibular movement. VAS scores improved significantly over time for the SS&PT group (F=28.964, p=0.0001, effect size =0.853) and SS group (F=8.794, p=0.001, effect size =0.638). The range of mouth opening improved significantly only in the SS&PT group (MCO: F=20.971, p=0.006; MAO: F=24.014, p=0.004) (Figure 2). Changes in path of mouth opening differ significantly between the groups (p=0.040). Only 1 patient in SS&PT group still presented deviations in mouth opening after completed therapy while in the SS group deviations were present in 5 patients after completed therapy.nnnCONCLUSIONnThis limited study gave evidence that during the treatment period lasting for 6 months, the simultaneous use of stabilization splint and physical therapy was more efficient in reducing deviations and improving range of mouth opening than the stabilization splint used alone. Both treatment options were efficient in reducing pain in patients with anterior disc displacement without reduction. Despite of objectively diagnosed disruption of temporomandibular joint anatomy, physiological function was regained.
81st General Session of the International Association for Dental Research | 2003
Davor Illeš; Iva Alajbeg; Melita Valentić-Peruzović
Archive | 2015
Iva Z. Alajbeg; Melita Valentić-Peruzović
Zbornik radova s V. znanstvenog skupa o temporomandibularnim poremećajima održanog 17. veljače 2012. u Zagrebu u tHrvatskoj akademiji znanosti i umjetnosti | 2013
Melita Valentić-Peruzović; Davor Illeš; Višnja Juroš
Archive | 2011
Melita Valentić-Peruzović; Davor Illeš; Alajbeg Iva; Pelivan Ivica
Archive | 2011
Melita Valentić-Peruzović; Davor Illeš; Alajbeg Iva; Pelivan Ivica
Sažeci 2. međunarodnog kongresa Hrvatskog društva za stomatološku protetiku Zagreb, Hrvatska, 11. - 12. 12.2009. | 2010
Ivica Pelivan; Melita Valentić-Peruzović
2. međunarodni kongres Hrvatskog društva za stomatološku protetiku | 2009
Ivica Pelivan; Melita Valentić-Peruzović
Medix: specijalizirani medicinski dvomjesečnik | 2008
Melita Valentić-Peruzović; Goranka Prpić-Mehičić; Iva Alajbeg; Ivica Pelivan; Davor Illeš; Višnja Juroš
General Session & Exhibition of the IADR (86 ; 2008) | 2008
Joško Viskić; Ivica Pelivan; Melita Valentić-Peruzović