Effects of Occlusal Splint and Therapeutic Home Exercises

Ankara Training and Research Hospital

Status: Completed

Conditions: Quality of Life; Neuropathic Pain; Somatic Pain

Treatments: Other: Mandibular oral occlusal splint; Other: Temporomandibular joint Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT04116255

14719

Details and patient eligibility

About

In this randomized controlled study, investigators planned to investigate the efficacy of oral occlusive splint and therapeutic home exercises in increasing the quality of life and reducing somatic and neuropathic pain in patients with temporomandibular joint dysfunction, determine their effects on other clinical data, and report long-term outcomes

Full description

The aim of the present study to compare the efficacy of oral occlusive splint and therapeutic home exercises in increasing the quality of life and reducing somatic and neuropathic pain in patients with temporomandibular joint dysfunction and report long-term outcomes.

One hundred and one patients with temporomandibular joint dysfunction were included in the study. The patients were randomly divided into two groups: The first group received a mandibular oral occlusal splint and the second group was given a home exercise program for the temporomandibular joint. The patients were evaluated based on their maximum mouth opening, visual analog scale, short-form McGill pain questionnaire, painDETECT, oral health-related quality of health and hospital anxiety and depression scale scores at the beginning of treatment and at the end of the first and sixth months.

Enrollment: 101 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of temporomandibular joint disorders for more than one month
• Being aged 18 to 60 years

Exclusion criteria

• History of trauma to temporomandibular joint or face
• History of an inflammatory joint disease
• Chronic analgesic use lasting more than six months
• Previous treatment for temporomandibular joint disorders
• History of a major psychiatric, neurological or neuromuscular disease (Lambert-Eaton syndrome, orofacial or tardive dyskinesia, myasthenia gravis)
• Migraine diagnosis
• Chronic headache or neck pain
• Chronic pain syndrome
• Pregnancy
• Disc displacement with or without reduction

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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101 participants in 2 patient groups

exercises group

Experimental group

Description:

exercises group apply regular therapeutic home exercises programme

Treatment:

Other: Temporomandibular joint Exercises

splint group

Experimental group

Description:

splint group use mandibular oral occlusal splint

Treatment:

Other: Mandibular oral occlusal splint