Comparison of the efficacy of ultrasound therapy, night guard (plaque) and flurbiprofen (majezik 100 MG tablet sanovel ®) on "anterior disc displacement with reduction of temporomandibular joint'' retrospectively.

Anterior Disc Displacement with Reduction of the Temporomandibular Joint usually characterized by reciprocal clique needed in both the opening and closing of the mouth. Anteromedial Disc Displacement (ADD) click heard during closing of the mouth as a sign and prognosis which given how late it is so good clique received during closing. If the click is heard during the opening of the displaced disc corresponding to the sharp reduction refers to the upper part of the condyle. If intra-articular pressure is low, replace the disk does not occur on the way back clique, clique occurs during early opening and this is a sign of a slight add'n click, now click on the received phase is further indication of a serious displacement. On click of the condyle disc morphology, opening depending on the muscle shooting and superior lamina retrodiskal shooting occurs at any stage. Patients may be restricted mouth opening. In the first phase of the opening of the mouth and the protrusion of the movement can be traced to the parties affected by the deviation of the mandible. In the early stages of the disorder pain usually do not happen, in the later stage may occur due to secondary muscle spasm and pain caused by soft tissue surrounding the TMJ. Anterior disc displacement with reduction in temporomandibular joint of the parafunctions tension in the muscles may be a symptom. Muscle spasms can change the position of the mandible postural.In this case, the occlusion will change . Difficult to open the mouth is result to elevator muscle spasm. In the treatment night guard, ultrasonic therapy and the efficacy of flurbiprofen will be explored. Night Guard is adapted to the upper teeth, made on model by polyester material the thick of plaque about 2mm. Ultrasoun is commonly used in physical therapy of muskuloiskeletsel problem. Ultrasound produce deep heat in joints.With this method; we can treat joint structures by increasing extracapsular soft tissue tension. The study was carried out on 64 patients, age over 18, 54 female (84.4%) and 10 male (15.6%) According to the results, there are differences between the measurement time of mouth opening, protrusive, VAS and right/left lateral movement of the jaw in all groups except the control group. According to the results, There are differences between the measurement time of mouth opening, protrusive, VAS and right/left lateral movement of the jaw in all groups except the control group. Key words:Ultrasound, Night Guard, Flurbiprofen, Anterior Disc Displacement with Reduction.