Factors Affecting Patients With Myofascial Temporomandibular Disorders

Hasan Kalyoncu University

Status: Completed

Conditions: Jaw Spasm; Myofascial Temporomandibular Disorder; Sleep Disturbance; Headache; Bruxism, Sleep

Treatments: Other: Scales and indexes

Study type: Observational

Funder types: Other

Identifiers

NCT04842136

2020/026

Details and patient eligibility

About

The aim of the study was to assess and compare the relationship between jaw function, neck disability, sleep quality, fatigue, and headache in patients with myofascial Temporomandibular Disorder (TMD) with Sleep Bruxism (SB) and without (non-SB).

Full description

The study was conducted on TMD patients who were willing to participate in the study between January and December 2020.

The case-control study included patients diagnosed with myofascial TMD by dental practitioners at regional hospitals referred for physiotherapy. Total of 200 myofascial TMD patients, comprising 91 identified as SB and 109 as non-SB were included in the study.

The Jaw Function Limitations Scale (JFLS), Neck Disability Index (NDI), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), and Headache Impact Test-6 (HIT-6) scales and indexes were used for both groups.

The effect of Sleep Bruxism (SB) on jaw function, neck problems, sleep quality, fatigue, and tension headache were evaluated.

The interactions of these factors and the importance of taking SB into consideration when evaluating and treating patients with TMD were examined.

Enrollment: 200 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• diagnosis of myofascial TMD according to Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
• pain for more than 6 months
• no therapeutic interventions reported for TMD or the neck in the last 6 months
• intellectual capacity to provide informed consent

Exclusion criteria

• not meeting the DC/TMD criteria
• diagnosis of psychiatric disease
• history of surgery related to the cervical region and/or TMJ
• cervical and/or TMJ malignancy
• trauma history
• proven specific pathologies such as fracture, or rheumatoid disease
• history of facial paralysis
• pregnancy

Trial design

200 participants in 2 patient groups

Myofascial Temporomandibular Disorder (TMD) with Sleep Bruxism (SB)

Description:

Patients with Myofascial TMD and with sleep bruxism with the diagnosis of regular or frequent teeth grinding sounds during the sleep, and one or more following clinical signs, such as jaw muscle pain or fatigue on waking up in the morning, temporal headache, hypertrophy of the masseter muscle, abnormal tooth wear, and/or jaw locking were included in the group.

Treatment:

Other: Scales and indexes

Myofascial Temporomandibular Disorder (TMD) without Sleep Bruxism (SB)

Description:

Patients with Myofascial TMD without sleep bruxism were included in the group.

Treatment:

Other: Scales and indexes