Studies of occlusal adjustment therapy in patients with craniomandibular disorders
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/29609
- author
- Vallon, Danila LU
- supervisor
- opponent
-
- Professor Eriksson, Per-Olof, Faculty of Odontology, Umeå University, Umeå, Sweden
- organization
- publishing date
- 1997
- 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 10:15:00
- 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
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Faculty of Odontology (ceased) (LUR000034)
- id
- 9c01237a-941b-4b5c-9cda-2935a2cdf4ac (old id 29609)
- date added to LUP
- 2016-04-01 15:19:31
- date last changed
- 2022-01-28 04:48:41
@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}}, keywords = {{controlled clinical trial.; Occlusal adjustment; treatment outcome; Odontology; stomatology; Odontologi}}, language = {{eng}}, 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}}, }