Osteopathy in Temporomandibular Disorders, Temporomandibular Disorders, Articular Disc Disorder (Reducing or Non-Reducing)
Conditions
Keywords
temporomandibular disorders, anterior disc displacement with reduction, MRI analyses, Osteopathy
Brief summary
The aim of this study is to assess the impact of osteopathic manual treatment in patients with an anterior disc displacement over sleep and health quality, pain scores and the movement of the condyle and disc of the temporomandibular joint (TMJ) quantitatively.
Detailed description
Patients with TMD will involve to this study. After having the diagnose in Yeditepe U. Dental Hospital patients will be sent to the Radiology Department. MRI images will be gathered in sagittal, coronal and axial plane for each patient before and after treatment. Volunteers will be divided into two groups; (1) splint therapy for 6 weeks, (2) splint therapy + osteopathy 2 times a week for 6 weeks randomly. At the end of the treatment, patients will be sent to Radiology for the second images. Health Survey and pain scores, Disc condyle angle, disc and condyle displacements will be measured and compared inter and intra groups.
Interventions
Occlusal splint is used by a dentist during sleep or day time to protect the teeth and temporomandibular joint. Manufactured individually by the technicians according to the dentists measurement procedure.
Osteopathy treats the body as a whole and applied by hands over the related structures of the body. TMJ, Cervical, Thoracal, Lumbar vertebra mobilization was applied as well as the fascial and visceral mobilization. Patients also used occlusal splint for 6 weeks during the intervention.
Sponsors
Yeditepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
The Radiologist who evaluates the MRI results was blinded about the group of participants and also blinded about the diagnosis of the dentist.
Intervention model description
Both groups receive splint treatment, but study group also receives osteopathic manual treatment
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
• Clinical diagnosis of TMD (anterior disc displacement)
Exclusion criteria
* Active orthodontic treatment * Systemic diseases * Oral or dental pathologies * Dental implant placement * Exodontia within 6 months * Cranial and cervical trauma or surgery * Taking antidepressant medication * Contraindication of MRI scans
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Temporomandibular Joint Pain | 6 weeks after the first measurement | 10 point scale 0- no pain 10- severe pain |
| Change in TMJ MR images | 6 weeks after the first measurement | Disc-condyle angle, disc and condyle positions were measured over TMJ images |
| Change in Mandibular Movements | 6 weeks after the first measurement | Depression, Left and Right lateralization of the mandibula was measured by the caliper |
| Change in Cervical Movement | 6 weeks after the first measurement | Cervical Region range of motions was measured by a goniometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in bodily pain | 6 weeks after the first measurement | 10 point scale 0- no pain 10- severe pain |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in sleep quality score | 6 weeks after the first measurement | A high score corresponds to a low quality of the sleep |
| Change in Life Quality score | 6 weeks after the first measurement | A high score corresponds to a good quality of life |
Countries
Turkey (Türkiye)
Outcome results
None listed