The New Serial Treatment of Temporomandibular Disorders

Sun Yat-sen University

Status: Enrolling

Conditions: Temporomandibular Disorder

Treatments: Procedure: Adjust the TMJ Pressure to Normal Value; Other: Do not adjust the pressure of TMJ

Study type: Interventional

Funder types: Other

Identifiers

NCT00932594

SYSU-5010

Details and patient eligibility

About

The purpose of this study is to look at temporomandibular joint (TMJ) pressure as a guideline to analyze the different treatments for temporomandibular disorder (TMD), and judge the feasibility of the adjust TMJ pressure treatment and to reach a conclusion on the different treatments for different types of TMD, and determine the new serial treatment of temporomandibular disorders.

Full description

Temporomandibular Disorder is a common disease nowadays, but there is no guideline for the treatment of TMD. TMD can be divided into masticating muscles dysfunction; internal derangement; inflammation; osteoarthrosis, this study will classify the internal derangement, inflammation and osteoarthrosis into three types according to the TMJ pressure. Then the patient will receive the adjust pressure treatment according to their TMJ pressure. The first part of the TMD patients will receive psychogenic treatment, medicine, physical treatment, bite plate, occlusion treatment, rebuilding occlusion treatment, orthodontic treatment, et. If the patients do not have a good curative effect, part of them will change the treatment into arthrocentesis, arthroscopic treatment or operation treatment, the other part of patients, according to their TMJ pressure, receiving the associated adjust pressure treatment or adjust pressure treatment only. This study will call on the patients for three years and collect the clinical information, then doing the medical statistics.

Enrollment: 4 estimated patients

Sex: All

Ages: 16 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Limited Month Opening
• Abnormal of the Month Opening Type
• Paint During the Month Open or Close
• Condylar Position Paint
• Clicking of the Temporomandibular Joint
• Enlargement of the Upper Temporomandibular Joint Gap
• Dislocation of the Temporomandibular Disc
• Bone of the Temporomandibular Joint Changement
• Patient in the Age of 16-60
• Voluntary Patient

Exclusion criteria

• Dysimmunity Disease
• Dysfunction of Heart Liver and Kidney Disease
• Patient can not do the Guide Line
• Life-threatening Patient
• Serious Limited Mouth Opening
• Epilepsy
• Tetanus
• Pregnancy or Women in the Pregnancy Period
• Supportive Temporomandibular Disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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4 participants in 8 patient groups

1.Arthrocentesis only

Active Comparator group

Description:

Patients only have Arthrocentesis, but without adjusting the pressure of the TMJ

Treatment:

Other: Do not adjust the pressure of TMJ

3.Arthroscopic Treatment

Active Comparator group

Description:

Patient receives Arthroscopic treatments without adjusting the TMJ pressure

Treatment:

Other: Do not adjust the pressure of TMJ

4.Arthroscopic with Adjust Pressure

Active Comparator group

Description:

Arthroscopic Treatment with Adjust TMJ Pressure Treatment, during the Arthroscopic treatment adjust the pressure of TMJ to normal value

Treatment:

Procedure: Adjust the TMJ Pressure to Normal Value

5.The TMJ Orperation Treatment

Active Comparator group

Description:

The TMJ Operation Treatment without adjusting the pressure of TMJ

Treatment:

Other: Do not adjust the pressure of TMJ

6.The TMJ Operation with Adjust Pressure

Active Comparator group

Description:

The TMJ Operation with Adjust TMJ Pressure Treatment, during the treatments to adjust the TMJ pressure to normal value

Treatment:

Procedure: Adjust the TMJ Pressure to Normal Value

7.Bite Plate Treatment

Active Comparator group

Description:

Bite Plate Treatment for Temporomandibular Disorders without adjusting the pressure of TMJ

Treatment:

Other: Do not adjust the pressure of TMJ

8.Bite Plate with Adjust pressure

Active Comparator group

Description:

Bite Plate and Adjust Pressure Treatment for Temporomandibular Disorders, during the treatments adjust the pressure of TMJ to normal value

Treatment:

Procedure: Adjust the TMJ Pressure to Normal Value

2.Arthrocentesis with adjust pressure

Active Comparator group

Description:

Arthrocentesis with adjust pressure according to the pressure of TMJ

Treatment:

Procedure: Adjust the TMJ Pressure to Normal Value