Abstract

The purpose of this study is to evaluate the responses of patients with anterior disk displacement without reduction to natural course, stabilization splint, and surgery. Thirty-one patients refused any treatment (natural course group), 20 patients were treated with a stabilization splint (stabilization splint group), and 24 patients who had not responded to nonsurgical treatment for a mean period of 19.0 months underwent surgery (surgical group). The success rate was evaluated in each of the three groups. The success rate was 41.9% in the natural course group, 55.0% in the stabilization splint group, and 76.9% in the surgical group. No statistically significant benefit from treatment with a stabilization splint over no treatment was identified although both groups of patients experienced alleviation of discomfort. The patients who had not responded to nonsurgical treatment for a mean period of .19 months benefited from surgery.

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