Ozonun Temporomandibular Eklem Bozukluklarının Tedavisindeki Yeri

Temporomandibular bozukluk; temporomandibular eklem ve/veya çiğneme kasları ile ilişkili çeşitli klinik problemleri kapsayan bir terimdir. Temporomandibular bozuklukların tedavisinde; fizik tedavi, farmakolojik tedavi, bilişsel davranışçı terapi, ve intraoral apareyler gibi konservatif tedaviler veya cerrahi tedaviler uygulanabilir. Son zamanlarda temporomandibular bozuklukların tedavisinde; düşük seviyeli lazer tedavisi, transkutanöz elektriksel sinir stimülasyonu, ultrason ve ozon tedavisi gibi alternatif tedavi yöntemleri de uygulanmaktadır. Ozon, üç oksijen atomundan oluşan kararsız yapıdaki bir bileşiktir ve güçlü oksidan özelliği sayesinde tıpta uzun yıllardır kullanılmaktadır. Ozon, kas-iskelet sistemi hastalıklarında 1980’li yıllardan beri kullanılmakla birlikte, temporomandibular eklem bozukluklarının tedavisindeki kullanımı nispeten yenidir. Bu derlemenin amacı; ozonun temporomandibular eklem bozukluklarının tedavisindeki yerinin literatür ışığında değerlendirilmesidir.

The Role of the Ozone in Management of Temporomandibular Joint Disorders

Temporomandibular disorder is a term that include a variety of clinical problems related with the temporomandibular joint and/ or masticatory muscles. In the treatment of temporomandibular disorders; conservative treatments such as physical therapy, pharmacological therapy, cognitive behavioral therapy, and intraoral appliances or surgical treatments can be performed. Recently in the treatment of temporomandibular disorders; alternative treatment methods such as low-level laser therapy, transcutaneous electrical nerve stimulation, ultrasound, and ozone therapy are also being used. Ozone is an unstable compound consisting of three oxygen atoms and has been used in medicine for many years because of its strong oxidant properties. Although ozone has been used in musculoskeletal diseases since the 1980s, its use in the treatment of temporomandibular joint disorders is relatively new. The purpose of this review is to evaluate the role of ozone in the treatment of temporomandibular joint disorders in the light of the literature.

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