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Dentistry | ISSN: 2161-1122 | Volume: 8
&
Dentistry & Dental Marketing
36
th
International Conference on
Oral Care & Oral Cancer
18
th
Annual Meeting on
October 24- 25, 2018 | Boston, USA
Notes:
Mri-based determination of occlusal splint thickness for temporomandibular joint disk derangement: A
randomized controlled clinical trial
T
his prospective study examined a method using magnetic resonance imaging (MRI) to assess the appropriate effective
occlusal splint vertical thickness in the management of disk derangement.
Study Design:
Patients were diagnosed as having internal disk displacement of the temporomandibular joint and were divided
into 2 groups. GroupI (disk displacement with reduction) was subdivided randomly into 2 subgroups: subgroup IA (control
group) comprising patients treated with 3-mm-thick splints; and subgroup IB (study group) comprising patients treated with
MRI-based splint thickness. Group II (disk displacement without reduction) was subdivided randomly into 2 subgroups:
subgroup IIA (control group) comprising patients treated with 3-mm-thick splints; and subgroup IIB (study group) comprising
patients treated with MRI-based splint thickness. The primary outcome variables were maximum voluntary mouth opening
and visual analog scale scores for pain. The secondary outcome variable was joint sound. The final sample was composed of 162
patients (Group I=90 and Group II=72).
Results:
Statistical analysis showed significant improvement of the clinical outcomes in subgroups IB and IIB compared with
that in subgroups IA and IIA.
Conclusions:
On the basis of MRI measurements and clinical outcome, the present study we recommend 4mm and 6mm
vertical splint thickness for disk displacement with reduction and disk displacement without reduction, respectively, for 1 year.
sciencedirect.com/topics/medicine-and-dentistry/magnetic-resonance-imaging" \o "Learn more about Magnetic resonance
imaging" MRI measurements and clinical outcome, the present study we recommend 4mm and 6mm vertical splint thickness
for disk displacement with reduction and disk displacement without reduction, respectively, for 1 year.
Biography
Ayman Hegab is a clinical associate professor of Oral & Maxillofacial Surgery, Faculty of Dental Medicine. Al-Azhar University, Cairo, Egypt. Member of Egyptian
Dental Association. Member of the Egyptian Society of Oral & Maxillofacial Surgeon. Doctor’s Degree (PhD) of Oral & Maxillofacial Surgery focuses on the Alveolar
Cleft, Faculty of Dental Medicine. Al-Azhar University, Cairo, February May 2007. Master’s Degree (MSc) of Oral & Maxillofacial Surgery focuses on the TMJ
Surgeries, Faculty of Dental Medicine, Al-Azhar University, Cairo, December 2003. Bachelor Degree (BDS) of Dental Medicine & Oral Surgery, Faculty of Dental
Medicine, Al-Azhar University, Cairo, May 1997. He has the privilege to design and introduce Tooth-Borne, Custom-Made Distraction Device for closure of the
alveolar cleft which is approved by American Journal of Oral and Maxillofacial surgery (Hegab Alveolar Distraction Device). Also, he has the privilege design and
introduces split acrylic splint for treatment of pediatric mandibular fracture which approved by the British Journal of Oral and Maxillofacial Surgery (Hegab Pediatric
Mandibular Fracture Device). He has over 20 publications in peer-reviewed journals. He is one of AEEDC Young Researcher Award Participants for 2012 & 2013.
He was speaker in many of the international conferences in USA, Qatar and UAE.
hegab@mail.comAyman Hegab
Al-Azhar University, Egypt
Ayman Hegab, Dentistry 2018, Volume 8
DOI: 10.4172/2161-1122-C7-046