Temporomandibular Disorders
Conditions
Brief summary
If etiologies of temporomandibular disorders (TMD) are various, parafunctions become more and more important. Treatment of patients presenting TMD is based on conservative and reversible therapeutics. The behavioural reeducation of these patients which aims at decreasing their parafunctions is a treatment often performed.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female over 18, * Patient who was informed about the protocol and who did not refuse to take part in the programme, * Patient who suffers of dysfunctions of masticatory apparatus: myofascial pain, joint clicking or crepitations, disc deplacement with reduction, mandibular limitation and/or deviation, * Patient who presents more or less obvious parafunctions, which are associated or not to other etiologies * Patient consulting for the 1st time for TMD
Exclusion criteria
* Persons over 18 who are under legal protection (guardianship), persons who are deprived of their freedom, * Patient who is already followed in the consultation of dysfunctions of masticatory apparatus and who is under treatment, * Patient who is under treatment of occlusal splint (not in the framework of the consultation of TMD * Patient with pains other than orofacial pains (cephalalgia, neuralgia, vascular algia of the face, migraine), * Patient who needs a treatment other than a behavioural reeducation (pharmacological treatment, occlusal splint , addressed to another therapist, prosthetic treatment)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of pain based on the analogical visual scale | 1 year | To know the incidence of a treatment which is unique, reversible and performed in first intention: behavioural reeducation in the evolution of clinical signs of TMD : pain; disc deplacement with reduction, limitation or mandibular deviation during mouth opening. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Amplitude of mouth opening, mandibular deviation, joint clicking or crepitations,disc deplacement with reduction | 1 year | Evaluation of parafunctions as an etiological factor of dysfunctions of masticatory apparatus. |
| Assessment of behavioural reeducation | 1 year | Interest of diagnosis criteria of investigation on temporomandibular disorders. |
Countries
France