Poster 249: Effect of NSAIDs on Pain in TMJ Internal Derangement

Abstract

Statement of the ProblemThe effect of intraorally administrated NSAIDs (Amfenac Sodium) was evaluated in patients with disc displacement with reduction (DDwR), disc displacement without reduction (DDw/oR), and osteoarthrosis (OA).Materials and MethodsTMJ pain level was classified into none, slight, moderate, and severe using visual analog scales. One hundred and eleven patients with moderate or severe TMJ pain were classified into DDwR, DDw/oR, and OA using MRI. Amfenac Sodium, 200 mg, was given orally 4 times a day for 2 weeks. Maximal mouth opening range was measured during the two weeks.Method of Data AnalysisTMJ pain was considered improved when pain decreased to none or slight. Total TMJ dysfunction was considered improved when the maximal mouth opening increased by more than 35 mm and pain decreased to none or slight.Results1Pain improvements were: DDwR:69.7%, DDw/oR:48.3%, and OA:60%.2Maximal mouth openings before and after treatment were 33mm and 40mm in DDwR, 29mm and 33mm in DDw/oR, and 30mm and 33mm, respectively, in OA.3The improvement rates of Total TMJ dysfunction were: DDwR:54.5%, DDw/oR:20.7%, and OA:25.0%.ConclusionTMD pain was relieved by Amfenac Sodium. However, there was just a low level of improvement of maximal mouth opening. The study suggests that physical therapy such as mouth opening exercises be added to increase jaw mobility for DDw/oR and OA. Statement of the ProblemThe effect of intraorally administrated NSAIDs (Amfenac Sodium) was evaluated in patients with disc displacement with reduction (DDwR), disc displacement without reduction (DDw/oR), and osteoarthrosis (OA). The effect of intraorally administrated NSAIDs (Amfenac Sodium) was evaluated in patients with disc displacement with reduction (DDwR), disc displacement without reduction (DDw/oR), and osteoarthrosis (OA). Materials and MethodsTMJ pain level was classified into none, slight, moderate, and severe using visual analog scales. One hundred and eleven patients with moderate or severe TMJ pain were classified into DDwR, DDw/oR, and OA using MRI. Amfenac Sodium, 200 mg, was given orally 4 times a day for 2 weeks. Maximal mouth opening range was measured during the two weeks. TMJ pain level was classified into none, slight, moderate, and severe using visual analog scales. One hundred and eleven patients with moderate or severe TMJ pain were classified into DDwR, DDw/oR, and OA using MRI. Amfenac Sodium, 200 mg, was given orally 4 times a day for 2 weeks. Maximal mouth opening range was measured during the two weeks. Method of Data AnalysisTMJ pain was considered improved when pain decreased to none or slight. Total TMJ dysfunction was considered improved when the maximal mouth opening increased by more than 35 mm and pain decreased to none or slight. TMJ pain was considered improved when pain decreased to none or slight. Total TMJ dysfunction was considered improved when the maximal mouth opening increased by more than 35 mm and pain decreased to none or slight. Results1Pain improvements were: DDwR:69.7%, DDw/oR:48.3%, and OA:60%.2Maximal mouth openings before and after treatment were 33mm and 40mm in DDwR, 29mm and 33mm in DDw/oR, and 30mm and 33mm, respectively, in OA.3The improvement rates of Total TMJ dysfunction were: DDwR:54.5%, DDw/oR:20.7%, and OA:25.0%. 1Pain improvements were: DDwR:69.7%, DDw/oR:48.3%, and OA:60%.2Maximal mouth openings before and after treatment were 33mm and 40mm in DDwR, 29mm and 33mm in DDw/oR, and 30mm and 33mm, respectively, in OA.3The improvement rates of Total TMJ dysfunction were: DDwR:54.5%, DDw/oR:20.7%, and OA:25.0%. ConclusionTMD pain was relieved by Amfenac Sodium. However, there was just a low level of improvement of maximal mouth opening. The study suggests that physical therapy such as mouth opening exercises be added to increase jaw mobility for DDw/oR and OA. TMD pain was relieved by Amfenac Sodium. However, there was just a low level of improvement of maximal mouth opening. The study suggests that physical therapy such as mouth opening exercises be added to increase jaw mobility for DDw/oR and OA.