Comparison of the Effectiveness of Three Different Treatment Methods in Myofascial Pain Patients

Pomeranian Medical University Szczecin

Status: Completed

Conditions: Temporomandibular Disorder

Treatments: Device: oral appliance; Other: dry needling; Drug: NSAID

Study type: Interventional

Funder types: Other

Identifiers

NCT03400462

KB-0012/83/16

Details and patient eligibility

About

The aim of this study was to compare the effectiveness of myofascial pain treatment methods.

Full description

Three different metoda were taken into account: dry needling, occlusal sprint therapy and NSAID therapy.

Enrollment: 90 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pain localized in the TMJ or in the preauricular area.
• no other analgesic treatment in the area of head and neck during last 12 months

Exclusion criteria

• inflammation in the oral cavity that emerge as a myofascial pain
• earlier splint therapy
• pharmacotherapy e.g oral contraception, hormone replacement therapy, -antidepressants
• systemic diseases e.g. rheumatic, metabolic
• lack of stability in the masticatory organ motor system
• masticatory organ injury

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

dry needling + oral appliance

Experimental group

Description:

Three visits are needed in this therapy method. Visits schedule:( 1st visit - Day 1st , 2nd visit- 7 days after the 1st, 3rd visit- 7 days after the 2nd) Equipment: acupuncture needle 0,6\*13 e.g. Dragon Medical Device, solution for skin disinfection, sterile gauze. Exposition time : 30 minutes once a week

Treatment:

Device: oral appliance

Other: dry needling

antiinflammatory drugs + splint therapy

Experimental group

Description:

Patient's instruction for NSAID use: Nimesulide 2\*100 mg/ 24 h- twice a day one pill of the 100 mg Nimesulide during 14 days

Treatment:

Device: oral appliance

Drug: NSAID

splint therapy

Active Comparator group

Description:

Splint therapy is an useful treatment method for several group of patients e.g TMD patients, patients with retrodiscitis, patients with muscle pain disorders like local muscle soreness or chronic myalgia. The patients have been instructed to use the appliance during nighttime. After 7 days the patient had to came back for a control visit.

Treatment:

Device: oral appliance