Effect of Laser Therapy Versus Anterior Re-positioning Splint in the Treatment of Disc Displacement With Reduction

Cairo University (CU)

Status: Completed

Conditions: Temporomandibular Joint Disorders

Treatments: Device: inactive Laser therapy; Device: anterior re-positioning splint; Device: Laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03576079

CEBD-CU-2015-02-25

Details and patient eligibility

About

comparing the effects of Laser therapy with anterior re-positioning splint and a placebo group on clinical signs and symptoms of temporo-mandibular dis-function and assessing articular disc morphology and configuration with magnetic resonance imaging.

Full description

to compare the clinical effects of Laser therapy as assessed with research diagnostic criteria of temporo-mandibular disorders to a group that received anterior re-positioning splint therapy and a control group that received placebo Laser. Diagnosis for disc displacement with reduction was performed with magnetic resonance imaging before treatment. assessment of the clinical and MRI findings was again performed after a 3 months observation period.

Enrollment: 30 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients having TMD in the form of disc displacement with reduction as verified from signs and symptoms during clinical examination and confirmed from the MRI.
2. Good general health: The patient must be medically free from any systemic disease or health problems.
3. Adult patients 18 years old and above.
4. No previous orthodontic treatment.
5. No previous TMJ treatment or surgery.

Exclusion criteria

1. Patients with multiple missing posterior teeth.
2. Muscle pain due to systemic disease.
3. Dental related pain.
4. Congenital abnormality, neoplasia or acute trauma.
5. Previous TMJ treatment or surgery.
6. Any medical condition that prohibits MRI acquisition.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 3 patient groups, including a placebo group

Laser therapy

Experimental group

Description:

12 laser sessions over 3 months

Treatment:

Device: Laser therapy

anterior re-positioning splint therapy

Active Comparator group

Description:

anterior re-positioning splint worn for 8 hours during night time for 3 months

Treatment:

Device: anterior re-positioning splint

inactive laser therapy

Placebo Comparator group

Description:

placebo laser for 12 sessions over 3 months

Treatment:

Device: inactive Laser therapy