TMJ Disc Disorder
Conditions
Brief summary
Stabilization splint therapy and Low-level laser therapy may serve as non-invasive intervention for painful temporomandibular disorders, but its efficacy is still debated. This study compared the effect of stabilization splint and low-level laser therapy alone or in combination in patients with painful chronic closed lock of temporomandibular joints disc displacement without Reduction 42 patients diagnosed with chronic closed lock of disc displacement without reduction were allocated equally and randomly into three treatment groups: group I received combined stabilization splint and low- level laser therapy, group II received low - level laser therapy and group III received stabilization splint. They were evaluated at baseline and one week, two weeks, four weeks, three months, and six months after the intervention.
Detailed description
Objectives: Stabilization splint therapy and low- level laser therapy may serve as non-invasive intervention for painful temporomandibular disorders, but its efficacy is still debated. This study compared the effect of stabilization splint and low- level laser therapy alone or in combination in patients with painful chronic closed lock of temporomandibular joints disc displacement without Reduction. Patients and methods: 42 patients diagnosed with chronic closed lock of disc displacement without reduction were allocated equally and randomly into three treatment groups: group I received combined stabilization splint and low-level laser therapy, group II received low-level laser therapy and group III received stabilization splint. They were evaluated at baseline and one week, two weeks, four weeks, three months, and six months after the intervention. Time of being normal was also evaluated.
Interventions
DEVICEstabilization splint
upper acrylic splint rest on the maxillary teeth and had flat surface
DEVICElaser therapy
The laser apparatus had a hand piece on which either a specially designed optic prism was attached to transfer laser energy to the tip of the prism
DEVICEstabilization splint and laser therapy
the stabilization splint used in combination of treatment with laser therapy
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Parallel clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of chronic closed lock patients * Must not be able to open their mouth
Exclusion criteria
* neurologic diseases * TMJ pathologic lesions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of mouth opening | 6 months | improvement in mouth opening or not |
| Masticatory muscles palpation | 6 months | the masticatory muscles were palpated bilaterally with firm and constant pressure of one kg lasted two seconds to define painful areas |
| temporomandibular joint palpation | 6 months | joint pain was achieved by first palpating the temporomandibular joint lateral pole by placing the index finger with firm and constant pressure of half kg lasted two seconds over the condyle in front of the tragus |
Countries
Egypt
Outcome results
None listed