Orofacial Pain, Temporomandibular Joint Disorders
Conditions
Keywords
Ozone
Brief summary
This study investigates the efficacy of bio-oxidative ozone application in the treatment of TMD of muscular origin.
Detailed description
Ozone is a natural pale blue gas that can be found in the atmosphere. Medical grade ozone is a powerful oxidizing agent which can be produced commercially in ozone generators. Ozone can have effects on blood components and positively affect oxygen metabolism, cell energy, immunomodulation and microcirculation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of myofascial pain according to the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD) * Natural posterior occlusion.
Exclusion criteria
* Any TMJ internal derangement * Inflammatory connective tissue disease * Psychiatric problem * Tumour * Hearth disease or pacemaker * Pregnancy * Other orofacial region disease symptoms (e.g. toothache, neuralgia, migraine) * Treatment or medication use for headache or bruxism in the last 2 years * Local skin infection over the masseter or temporal muscle
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Pain Values (kg/cm2) on the Pressure pain threshold measurement (PPT) using a Pressure Algometry at 1 month | Change from Baseline Pain Values (kg/cm2) at 1 month | Patient-reported pain intensity data when the feeling of pressure become painful, at which time the pressure is stopped. Measurements were separated by 30-s rest periods. |
| Change From Baseline in Pain Values (kg/cm2) on the Pressure pain threshold measurement (PPT) using a Pressure Algometry at 3 months | Change from Baseline Pain Values (kg/cm2) at 3 months | Patient-reported pain intensity data when the feeling of pressure become painful, at which time the pressure is stopped. Measurements were separated by 30-s rest periods. |
| Change From Baseline in Pain Scores on the Visual Analog Scale at 1 month | Change from Baseline Pain Scores at 1 month | The measurement of subjective pain intensity is done using a 100-mm visual analogue scale. |
| Change From Baseline in Pain Scores on the Visual Analog Scale at 3 months | Change from Baseline Pain Scores at 3 months | The measurement of subjective pain intensity is done using a 100-mm visual analogue scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional examination | Baseline, 1 month and 3 months | Functional examination is based on Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD) including extra-oral and cervical muscle pains, joint pains, mouth openings, lateral excursions and protrusion. Vertical and horizontal movements are measured with a plastic millimetre-scale ruler. Participants are asked to report any pain during muscle and joint palpation, and this information is recorded using a verbal scale: 0, no pain; 1, mild pain; 2, moderate pain; and 3, severe pain. |