Surveys on splint therapy for temporomandibular disorders (TMD) -A comparison of chair time for TMD patients at university TMD clinics and private dental offices-

  • KODAMA Naoki
    Department of Occlusal and Oral Functional Rehabilitation, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • TSUKIYAMA Yoshihiro
    Section of Removable Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University
  • ARIMA Taro
    Department of Oral Rehabilitation, Graduate School of Dental Medicine, Hokkaido University
  • ICHIKAWA Tetsuo
    Department of Oral and Maxillofacial Prosthodontics, Institute of Health Biosciences, The University of Tokushima Graduate School
  • KUBOKI Takuo
    Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • SAKUMA Shigemitsu
    Department of Fixed Prosthodontics, School of Dentistry, Aichi-Gakuin University
  • SHINYA Akiyoshi
    Department of Crown and Bridge, The Nippon Dental University, School of Life Dentistry at Tokyo
  • TAKATSU Masaki
    Department of Complete Denture Prosthodontics, Nihon University School of Dentistry
  • TSUGA Kazuhiro
    Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical Sciences
  • TSUBOI Akito
    Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry
  • NAKANO Masanori
    Department of Functional Oral Care and Welfare, Institute of Health Biosciences, The University of Tokushima Graduate School
  • NARITA Noriyuki
    Department of Stomatognathic Science and Occlusion, Nihon University School of Dentistry at Matsudo
  • HATANO Yasuo
    Department of Crown and Bridge, The Nippon Dental University, School of Life Dentistry at Tokyo
  • FUJISAWA Masanori
    Division of Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry
  • FUNATO Masahiko
    Department of Prosthodontics, Showa University School of Dentistry
  • MASUMI Shin-ichi
    Division of Occlusion and Maxillofacial Reconstruction, Kyushu Dental College
  • MATSUKA Yoshizo
    Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • MINAGI Shogo
    Department of Occlusal and Oral Functional Rehabilitation, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

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Other Title
  • 顎関節症のスプリント治療に関する実態調査-大学病院顎関節症外来および一般開業歯科医院における診療時間の比較-

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Abstract

Purpose: There has been no report on the chair time for temporomandibular disorders (TMD). The purpose of this study was to survey chair times for splint therapy at university TMD clinics and private dental offices.<br> Method: A survey on the clinical practice for TMD was conducted for 14 university TMD clinics and 33 private dental offices for two months. At both types of clinic, we investigated the chair time for each TMD patient who was selected for splint therapy, and compared the two groups in terms of the type of splint, the details of the chair time of each practical session (i.e. first visit, examination, insertion of splint, adjustment of splint, observation, consultation and so forth) and each chair time.<br> Result: There was a significant difference between the mean chair time between the university TMD clinics (hereafter "university group") and the private dental offices (hereafter "dental office group") (p=0.0005). The time for the first visit for the university group was longer than that for the dental office group (p=0.000029). There was no significant difference in the chair time for insertion of splint (p=0.137) and adjustment of it (p=0.482) between both groups.<br> Conclusion: This study revealed that it took a long time to perform the physical examination for both groups. In addition, 44% of the university group and 22% of the dental office group required over 30 minutes to insert splints. Furthermore, 48% of the university group and 33% of the dental office group required over 20 minutes to adjust splints.<br>

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