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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 26 (1999), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In permanent temporomandibular disc displacement (TMJ-DD) outcome studies many authors claim positive effects of arthroscopic surgery, arthrocentesis and physical therapy. This literature review was undertaken to analyse whether the claimed effects are based on acceptable methodology. The recorded papers were analysed by two independent observers according to (1) method of investigation, (2) therapeutic intervention studied, (3) therapeutic outcome variables used, and (4) claimed effectiveness of the intervention. Agreement between observers was calculated. Twenty-four papers were found in which therapeutic outcome of interventions on temporomandibular disorders were studied. Six studies applied a true experimental design. Each of these six studies compared a different set of interventions. Twenty-two papers used maximal mouth opening (MMO) as an outcome variable, nine studied pain intensity on a visual analogue scale, one paper assessed the mandibular function impairment questionnaire. Kappa for overall agreement concerning the reviewing criteria was 0·82 (P≦0·001). No distinguishing effects on MMO, pain or function impairment were reported between arthroscopic surgery, arthrocentesis and physical therapy. Results of methodological sound outcome studies evaluating the effects of arthroscopic surgery, arthrocentesis and physical therapy are needed.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd, UK
    Journal of oral rehabilitation 25 (1998), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Mandibular range of motion (ROM), vertical and horizontal, is often measured as a part of a diagnostic assessment of temporomandibular joint disorders. In the literature, a fixed ratio between the vertical and the horizontal ROM has been suggested, i.e. 4 : 1. The ratio is frequently used to predict the vertical ROM on the basis of the horizontal ROM and vice versa. However, no scientific data are available to substantiate the ratio suggested. The aim of this study was to determine whether the fixed ratio of 4 : 1 exists and, if so, whether this ratio has a predictive value. Vertical and horizontal mandibular ROM was measured in 91 healthy subjects, 59 women, and 32 men (mean age 27·2 years, s.d. 7·4 years) using vernier callipers. We found a mean ratio between vertical and horizontal ROM ranging from 6·0 : 1–6·6 : 1. On an individual basis the ratio ranged from 3·6–15·5. Correlations between vertical and horizontal ROM were weak. On the basis of the results on this study it is concluded that the ratio between vertical and horizontal ROM is approximately 6 : 1 rather than 4 : 1, and that the ratio has poor predictive value.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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