We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
Journal of Craniomandibular Function



Forgotten password?


Dear readers,

our online journals are moving. The new (and old) issues of all journals can be found at
In most cases you can log in there directly with your e-mail address and your current password. Otherwise we ask you to register again. Thank you very much.

Your Quintessence Publishing House
J CranioMand Func 9 (2017), No. 1     6. Mar. 2017
J CranioMand Func 9 (2017), No. 1  (06.03.2017)

Page 39-56, Language: English/German

Successful conservative functional rehabilitation of a ruptured disc with joint effusion: a case study
Katzer, Lukasz / Ahlers, Oliver
Joint effusion associated with structural changes in the temporomandibular joint (TMJ) can result in severe pain and considerable functional impairment. This article describes the diagnostic and therapeutic approach used to treat a patient with severe structural damage to the TMJs in association with a ruptured disc and joint effusion. After describing the diagnostic procedures, the therapeutic procedures used in our purely conservative management approach are outlined. Treatment consisted of a combination of the following measures: 1) Information about the nature of the anatomical and dysfunctional events. 2) Fabrication and insertion of a special three-dimensionally aligned equilibration splint that was modified several times over the course of treatment. 3) Anti-inflammatory medication. Combination therapy resulted in the elimination of joint effusion, restoration of the original bite position, and subjective improvement of masticatory function. Consequently, there was no need for later restorative occlusal adjustment and/or surgical intervention.

Keywords: temporomandibular joint dysfunction (TMD), osteoarthrosis, posterior disc displacement, disc rupture, clinical functional analysis, manual structural analysis, condylar position analysis, jaw motion analysis, magnetic resonance imaging (MRI), functional
fulltext (no access granted) Endnote-Export