Temporomandibular Disorder
Conditions
Keywords
Dry needling, occlusal splint, NSAID, nimesulide
Brief summary
The aim of this study was to compare the effectiveness of myofascial pain treatment methods.
Detailed description
Three different metoda were taken into account: dry needling, occlusal sprint therapy and NSAID therapy.
Interventions
Nimesulide has anti-inflammatory and analgesic properties. Like other NSAIDs it inhibits the action of COX . If prostaglandins can not be further synthesized, so there is no factor able to excite local nociceptors. According to t must be taken regularly for a minimum 2 weeks to achieve appropriate blood concentration.
The stabilization appliance used in this study was a removable device for maxillary arch, made of hard acrylic. Appliance was fitted over occlusal and incisal surfaces of the teeth and precisely contacted with the teeth of opposing arch. It provided canine disocclusion of the posterior teeth during eccentric movements.
Equipment: acupuncture needle 0,6\*13 e.g. Dragon Medical Device, Visits schedule:( 1st visit - Day 1st , 2nd visit- 7 days after the 1st, 3rd visit- 7 days after the 2nd)
Sponsors
Study design
Eligibility
Inclusion criteria
* pain localized in the TMJ or in the preauricular area. * no other analgesic treatment in the area of head and neck during last 12 months
Exclusion criteria
* inflammation in the oral cavity that emerge as a myofascial pain * earlier splint therapy * pharmacotherapy e.g oral contraception, hormone replacement therapy, -antidepressants * systemic diseases e.g. rheumatic, metabolic * lack of stability in the masticatory organ motor system * masticatory organ injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 6 months | It is a continuous scale comprised of a horizontal line, usually 10 cm in length. no pain (score of 0) and pain as bad as it could be (score of 10) |