Temporomandibular Disorders
Conditions
Brief summary
This study aims to evaluate the effectiveness of counseling on pain, function and well-fare outcomes for the management of patients with temporomandibular disorder (TMD).
Detailed description
In this study, 51 patients were allocated to one of the research groups. In Group I, it was instituted counseling therapy. For Group II was conducted treatment as usual with occlusal splint. Patients were followed for returns at 7, 15, 30 and 60 days after baseline. At baseline, all patients were examined and assessed Research Diagnostic Criteria/Temporomandibular Disorder (RDC/TMD form). In addition, the patients were referred for specific treatment according to the group to which belonged. In each session, patients were also surveyed about pain intensity using a Numeric Scale. To analyze the impact of pain on quality of life, Oral Health Impact Profile (OHIP-14) questionnaire was used.
Interventions
BEHAVIORALCounseling
Patients were informed of their condition and possible etiological factors contributing to the pathology. They were also educated about the postural rest position of the mandible and instructed to perform bilateral chewing and not overload the temporomandibular joint and masticatory muscles. Techniques to relieve pain and tension were taught to correct postural habits, food and sleep irregularities. The patients received written instructions for future reference, as a way of reinforcing the information provided during the initial consultation.
DEVICEInterocclusal Appliances
Patients were treated using interocclusal appliances
Sponsors
Universidade Federal do Rio Grande do Norte
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Female individuals * Positive diagnosis of TMD according to RDC/TMD * Presence of pain in the orofacial region persisting for at least a week of at least moderate intensity, according to the Numeric Scale of pain
Exclusion criteria
* TMD treatment for ongoing pain * Presence of pulpal or periodontal disease * Orthodontic treatment in progress * Daily use of analgesics, antidepressants or muscle relaxants * History of radiotherapy to the head and neck, or any adverse systemic condition that may favor presentation of symptoms involved
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain as measured by Visual Analogue Scale (VAS) | Baseline, 7, 15, 30, 60 days | Visual Analogue Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life measured by Oral Health Impact Profile (OHIP) | Baseline, 7, 15, 30, 60 days | Oral Health Impact Profile |
| Functional Evaluation measured by TemporoMandibular Index (TMI) | Baseline, 7, 15, 30, 60 days | Temporomandibular Index |
Outcome results
None listed