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Studies of occlusal adjustment therapy in patients with craniomandibular disorders

Vallon, Danila LU (1997) In Swedish Dental Journal 124.
Abstract
In the first part of this thesis, measurement and registration procedures of occlusal interferences and their inter and intraobserver variability were evaluated. In the second part of this thesis, the short and long-term effect of occlusal adjustment therapy was prospectively assessed in a controlled clinical trial in a selected group of 50 patients with myogeneous craniomandibular disorders (CMD). The treatment outcome of occlusal adjustment and combined treatment modes was investigated up to 7 years. The selcted patients were compared with a group of consecutive CMD patients.



Observer variability was the same for the different methods of registration and was acceptable for most of the occlusal variables investigated.... (More)
In the first part of this thesis, measurement and registration procedures of occlusal interferences and their inter and intraobserver variability were evaluated. In the second part of this thesis, the short and long-term effect of occlusal adjustment therapy was prospectively assessed in a controlled clinical trial in a selected group of 50 patients with myogeneous craniomandibular disorders (CMD). The treatment outcome of occlusal adjustment and combined treatment modes was investigated up to 7 years. The selcted patients were compared with a group of consecutive CMD patients.



Observer variability was the same for the different methods of registration and was acceptable for most of the occlusal variables investigated. As the intraobserver constancy was greater than that between observers repeated registrations in longitudinal studies should be done by the same observer.



Occlusal adjustment had in a short-term perspective of 1 to 3 months a positive effect on symptoms and clinical signs of CMD but had little or no effect in the long-term perspective in this group of muscular CMD patients. The usefulness of occlusal adjustment as the only form of treatment for this subgroup of CMD has limitations as the majority of patients had demanded several treatment modes in a 7-year perspective. The long-term effect of a combined treatment approach was good. The strongest associations in relation to treatment outcome were found for the variables stress and demand of treatment. The selected group was comparable to a consecutive CMD group with respect to background factors of socioeconomical character and the result from this selected group can therefore be applied to a broader group of CMD patients. (Less)
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author
opponent
  • Professor Eriksson, Per-Olof, Faculty of Odontology, Umeå University, Umeå, Sweden
organization
publishing date
type
Thesis
publication status
published
subject
keywords
controlled clinical trial., Occlusal adjustment, treatment outcome, Odontology, stomatology, Odontologi
in
Swedish Dental Journal
volume
124
pages
65 pages
publisher
Department of Stomatognathic Physiology, Centre for Oral Health Sciences, Carl Gustafs v 34, S-214 21 Malmö, Sweden
defense location
Faculty of Odontology, Centre for Oral Health Sciences, Malmö Sweden
defense date
1997-10-24 10:15
external identifiers
  • other:ISRN: SE-LUODD5/ODKB-97/1001+65P
  • scopus:0030625394
ISSN
0348-6672
ISBN
91-628-2683-2
language
English
LU publication?
yes
id
9c01237a-941b-4b5c-9cda-2935a2cdf4ac (old id 29609)
date added to LUP
2007-06-15 08:51:20
date last changed
2017-07-30 04:25:38
@phdthesis{9c01237a-941b-4b5c-9cda-2935a2cdf4ac,
  abstract     = {In the first part of this thesis, measurement and registration procedures of occlusal interferences and their inter and intraobserver variability were evaluated. In the second part of this thesis, the short and long-term effect of occlusal adjustment therapy was prospectively assessed in a controlled clinical trial in a selected group of 50 patients with myogeneous craniomandibular disorders (CMD). The treatment outcome of occlusal adjustment and combined treatment modes was investigated up to 7 years. The selcted patients were compared with a group of consecutive CMD patients.<br/><br>
<br/><br>
Observer variability was the same for the different methods of registration and was acceptable for most of the occlusal variables investigated. As the intraobserver constancy was greater than that between observers repeated registrations in longitudinal studies should be done by the same observer.<br/><br>
<br/><br>
Occlusal adjustment had in a short-term perspective of 1 to 3 months a positive effect on symptoms and clinical signs of CMD but had little or no effect in the long-term perspective in this group of muscular CMD patients. The usefulness of occlusal adjustment as the only form of treatment for this subgroup of CMD has limitations as the majority of patients had demanded several treatment modes in a 7-year perspective. The long-term effect of a combined treatment approach was good. The strongest associations in relation to treatment outcome were found for the variables stress and demand of treatment. The selected group was comparable to a consecutive CMD group with respect to background factors of socioeconomical character and the result from this selected group can therefore be applied to a broader group of CMD patients.},
  author       = {Vallon, Danila},
  isbn         = {91-628-2683-2},
  issn         = {0348-6672},
  keyword      = {controlled clinical trial.,Occlusal adjustment,treatment outcome,Odontology,stomatology,Odontologi},
  language     = {eng},
  pages        = {65},
  publisher    = {Department of Stomatognathic Physiology, Centre for Oral Health Sciences, Carl Gustafs v 34, S-214 21 Malmö, Sweden},
  school       = {Lund University},
  series       = {Swedish Dental Journal},
  title        = {Studies of occlusal adjustment therapy in patients with craniomandibular disorders},
  volume       = {124},
  year         = {1997},
}