Ear Protective Devices, Physical Therapy Modalities, Temporomandibular Joint Disorders
Conditions
Keywords
Splints
Brief summary
The term temporomandibular joint disorder (TMD) refers to a group of disorders affecting the temporomandibular joint and/or muscles of mastication. Typical symptoms are; joint noises, pain, and limited mouth opening. Many therapeutic modalities have been advocated for the treatment of TMD as intraoral splints, laser, ultrasound, physical therapy, surgery, and medications with inconsistent reported results due to the multifactorial etiology of this disorder. Although intraoral splints are the most widely used therapy, it has some drawbacks as being inconvenient for the patient due to their relatively large size interferes with eating and affects speech, therefore their use is mostly limited to sleeping time, which decreases its effectiveness. Recently some commercial earplugs that claim to treat TMD have been introduced, however, there is no validated data regarding these appliances. Thus, this study aimss to evaluate the possible effect of earplugs on myogenous TMD.
Interventions
DEVICEEarplug
Using earplugs to reduce the symptoms of temporomandibular disorder
DEVICEocclusal splint
Using occlusal splints to reduce the symptoms of temporomandibular disorder
OTHERexercise
Applying exercise to reduce the symptoms of temporomandibular disorder
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Intervention model description
randomised controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Pain in masticatory muscles for at least 3 months according to the DC/TMD * Having a stable medication regimen for at least 1 month * Age of 18-65 years * Minimum pain intensity of 50 mm on a 100 mm visual analog scale (VAS) * No concomitant systemic disease * Natural posterior occlusion.
Exclusion criteria
* Undergoing physical therapy * Using muscle relaxants and/or NSAIDs * Previous TMD treatment more recently than one year * Major psychosocial problems * Undergoing orthodontic treatment * Wearing removable prosthesis * Pregnancy * History of facial trauma.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Values of maximal mouth opening(millimeter) | 2 months | Evaluating mouth opening by using digital caliper |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain perception | 2 months | Evaluating pain perception of the patients by using visual analogue scale and measuring pain response with self-evaluation and reporting (Minimum value: 0; maximum value:10) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Symptom Severity | 2 months | Evaluating temporomandibuler symptoms by using Symptom Severity Index |
Countries
Turkey (Türkiye)
Outcome results
None listed