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Abstract
Four hundred consecutive classic closed lock cases were examined. Of these, 301 were
treated Mandibular range of motion was restored by condylar distraction during jaw
opening, anterior, and lateral movements. Mandibular appliances were used to prevent
complete closure during healing. Of the 45 males and 355 females examined, almost
all reported jaw restrictions, but 38% reported little or no pain. Secondary disorders
of temporomandibular joint inflammation, muscle spasm, trigger points, and cervical
dysfunction were seen on patients with temporomandibular joint pain. Of the 301 conservatively
treated patients, 209 were successfully treated, 55 were moderately successful, and
37 failed. Occlusal factors did not appear as primary etiologic factors. Because all
locks were preceded by clicking, treatment is recommended for clicking temporomandibular
joint's that lock however briefly, to prevent future locking. Conservative closed
lock treatment is successful in many cases.
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References
- A review of the considerations in the diagnosis of limited mandibular opening.J Craniomandib Pract. 1991; 9: 137-144
- Etiology of the pain-dysfunction syndrome.J Am Dent Assoc. 1969; 79: 147-153
- Temporomandibular joint afflictions.N Engl J Med. 1978; 299: 123-129
- Diagnosis and treatment of painful temporomandibular joints.J Prosthet Dent. 1968; 20: 345-351
- Friedman M.H. Weisberg J. Temporomandibular joint disorders: diagnosis and treatment. Quintessence Publishing, Chicago1985: 84-86
- Diagnosis and treatment of inflammation of the temporomandibular joint.Semin Arthritis Rheum. 1982; 12: 44-51
- Screening procedures for temporomandibular joint dysfunction.Am Fam Physician. 1982; 25: 157-160
- Neglected conditions producing preauricular and referred pain.J Neurol Neurosurg Psychiatry. 1983; 46: 1067-1072
- Pitfalls of muscle palpation in TMJ diagnosis.J Prosthet Dent. 1982; 48: 331
- Myofascial pain syndromes.Neurology. 1956; 6: 91-95
- Measurement of pain.Lancet. 1974; 2: 1127-1131
- The value of arthrography in the decision-making process regarding surgery for internal derangements of the temporomandibular joint.J Oral Maxillofac Surg. 1991; 49: 375-379
- Case report: treatment of a disk dysfunction.J Clin Orthodont. 1982; 16: 408-411
- Displaced disk preventing mandibular condyle translation: mobilization technique.J Orthop Sports Phys Ther. 1981; 3: 62-66
- The treatment of internal derangement of the temporomandibular joint: a survey of 300 cases.J Craniomandib Pract. 1987; 5: 119-124
- Joint play movements of the temporomandibular joint.Arch Phys Med Rehabil. 1984; 65: 413-417
- Postsurgical temporomandibular joint hypomobility: rehabilitation technique.Oral Surg Oral Med Oral Pathol. 1993; 75: 24-28
- Therapeutic injection of the temporomandibular joint.Oral Surg Oral Med Oral Pathol. 1983; 55: 553-555
- Temporomandibular joint disk displacement without reduction.Oral Surg Oral Med Oral Pathol. 1992; 73: 655-658
- The posterior joint palpation technique.J Clin Orthodont. 1988; 22: 770-771
- Long-term status of TMJ clicking in patients with myofascial pain dysfunction.J Am Dent Assoc. 1988; 117: 461-465
- Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistant closed lock.J Oral Maxillofac Surg. 1986; 62: 361-372
- Arthroscopic surgery for treatment of closed lock.J Oral Maxillofac Surg. 1991; 49: 704-707
- Internal derangements of the temporomandibular joint.Arch Otolaryngol Head Neck Surg. 1989; 115: 469-477
- Surgical management.in: Helms C.A. Katzberg R.W. Dolwick M.F. Internal derangements of the temporomandibular joint. Radiology Research and Education Foundation, San Francisco1983: 168
- Nonsurgical management.in: Helms C.A. Katzberg R.W. Dolwick M.F. Internal derangements of the temporomandibular joint. Radiology Research and Education Foundation, San Francisco1983: 198-203
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© 1993 Published by Elsevier Inc.
