Effect of laser irradiation versus anterior repositioning splint in treatment of disc displacement with reduction : A randomized controlled clinical trial / Nada Omar Elzawahry ; Supervised Amr Abouelezz , Mona Salah Fayed , Mai Hamdy Aboulfotouh
Material type: TextLanguage: English Publication details: Cairo : Nada Omar Elzawahry , 2018Description: 319 P. : charts , fascimiles , photoghraphs ; 2018Other title:- تأثير إشعاع الليزر مقابل جبيرة إعادة الموضع الأمامى فى علاج إزاحة القرص الفكى المفصلى المرتد : دراسة إكلينيكية عشوائية مراقبة [Added title page title]
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Item type | Current library | Home library | Call number | Copy number | Status | Date due | Barcode | |
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Thesis | قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.09.06.Ph.D.2018.Na.E (Browse shelf(Opens below)) | Not for loan | 01010110083413000 | |||
CD - Rom | مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.09.06.Ph.D.2018.Na.E (Browse shelf(Opens below)) | 83413.CD | Not for loan | 01020110083413000 |
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Thesis (Ph.D.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Orthodontics
Aim: To evaluate the effects of laser versus anterior repositioning splint (ARS) in the treatment of disc displacement with reduction (DDWR) on the improvement of signs and symptoms of Temporomandibular Disorders (TMD) as well as articular disc position and morphology. Methods: A total of 30 TMD patients diagnosed with DDwR according to the research diagnostic criteria of TMD (RDC/TMD) and confirmed by magnetic resonance imaging were randomly divided into 3 groups: Group (1) received an anterior repositioning splint (ARS) worn at night for 3 months, Group (2) received low-level laser therapy (InGaAsP Semi-conductor diode, n=940 nm, P=40 mW, CW, ED= 1.8 KJ) while Group (3) received placebo laser therapy. Both laser and placebo groups received 12 laser/sham sessions over 3 months. Measurement of Pain Visual Analogue Scale, presence or absence of joint sounds, jaw opening, and disc recapture (change in the articular disc position and configuration) on MRI using a 2D imaging software, were performed before treatment (T1) and repeated after treatment (T2). Results: Despite that statistically significant improvements were found within the laser and splint groups after treatment concerning characteristic pain intensity, joint sounds, and mouth opening; no significant inter-group differences were found. MRI measurements showed improvements in the angular deviation of the articular disc within the splint and laser groups, yet on comparing the 3 groups no statistically significant differences were noted. Conclusions: Although not statistically significant, clinically beneficial effects were noted for both LLLT and ARS, Clinically beneficial results were noted which require further investigation
Issued also as CD
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