Health Condition 1: M279- Disease of jaws, unspecified
Conditions
Interventions
Intervention1: PhysiOsteopathic Program: The treatment duration for all intervention arms will follow a structured 4-week protocol. Participants in the cranio cervical physiotherapy and osteopathy gro
Sponsors
Dr Ramesh Chandra Patra
Eligibility
Inclusion criteria
Inclusion criteria: Participants will be adults aged 18 to 60 years who are scheduled to undergo dental procedures requiring at least 30 minutes of continuous mouth opening. Eligible participants must have no severe or active temporomandibular disorders (TMD) at baseline, as determined by the DC/TMD diagnostic criteria. They must be willing and able to attend physiotherapy sessions following their dental procedure.
Exclusion criteria
Exclusion criteria: Participants will be excluded if they have a history of temporomandibular joint (TMJ) surgery or craniofacial trauma, systemic inflammatory disorders such as rheumatoid arthritis or fibromyalgia, or if they are currently undergoing physiotherapy for TMD or neck pain. Individuals with cognitive or physical impairments that would limit their ability to participate in the study will also be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be the incidence of clinically significant temporomandibular disorder (TMD) at 3 months following the dental procedure. Clinically significant TMD will be defined as meeting the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for pain or dysfunction, accompanied by either a Numeric Rating Scale (NRS) pain score of 3 or higher (on a 0?10 scale) or a Jaw Functional Limitation Scale (JFLS) score of at least 10 points.Timepoint: At baseline,1 week, 4 weeks and 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| The study will assess pain trajectory in the jaw, face, & neck, using the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS). Maximum mouth opening (interincisal distance) & the Jaw Functional Limitation Scale (JFLS-20) will be used to evaluate jaw function, while the Neck Disability Index (NDI) will measure cervical function. Quality of life will be assessed with the Oral Health Impact Profile (OHIP-14) or EQ-5D. Additional parameters include muscle tenderness & trigger point scores, analgesic or rescue medication use, & documentation of any adverse eventsTimepoint: At baseline, 1 week, 4 weeks, & 8 weeks | — |
Countries
India
Contacts
Public ContactDr Ramesh Chandra Patra
Lovely Professional University Faculty of Applied Medical Sciences
Outcome results
None listed