Anterior repositioning splint treatment consideration for cases of disc displacement with reduction

Abstract

The focus of this literature review is to explore the process of disc displacement with reduction (DDWR) and how the treatment using anterior repositioning splint (ARS) can positively affect patients who are diagnosed with DDWR. The use of MRI as the gold standard of TMJ study allows current researcher to reconsider the common theory whereby DDWR ultimately progresses into disc displacement without reduction or other advanced internal derangement process. The use of ARS can produce resolution of pain in patients who are experiencing DDWR with joint pain. However, the use of ARS is shown to be effective on short term only, and its use must be accompanied by other modalities such as physical self-regulation (PSR). The lack of gold standard for the treatment of DDWR prompts healthcare worker to provide patients with conservative treatment before offering more advanced and surgical procedure, both of which carries additional unwanted risk. Overall, the use of ARS is shown to be very effective and non-invasive.

Occlusal Splints versus Ultrasound therapy in management of Anterior Disc Displacement with Reduction. A Randomized clinical trial.

“…4 Observation of the condition of the DDwR under magnetic resonance imaging (MRI) show articular disc position located more anteriorly than normal in maximum intercuspation. 5 The DC/TMD defines DDwR as an intracapsular biomechanical disorder when, in closed mouth position, the disc is in an anterior position relative to the condylar head, and the disc reduces upon opening of the mouth (medial and lateral displacement of the disc may also be present; clicking, popping, or snapping noises may occur with disc reduction. 3 Clicking occurs when the condylar head of the mandible pass over the rear edge of the displaced articular disc during mouth opening and/or closing.…”