TMD
Conditions
Brief summary
TMD involves a set of multiple clinical manifestations where the pain is prevalent. Treatment ideally should be noninvasive and innocuous such as photobiomodulation
Interventions
patients from those diagnosed with TMD will receive Nd YAG laser 1064 nm
patients from those diagnosed with TMD will receive a diode laser (980 nm)
patients from those diagnosed with TMD will receive a diode laser (940 nm)
patients from those diagnosed with TMD will receive a diode laser (660 nm)
patients from those diagnosed with TMD will receive a diode laser (635 nm)
Sponsors
Study design
Eligibility
Inclusion criteria
* Pain at TMJ area. * Pain at masseter and temporalis muscles. * Age ranges between 20 and 40 years old. * Presence of full or nearly full complement of natural teeth
Exclusion criteria
* Patients who have radiographic evidence of degenerative conditions of TMJ. * Patients under current dental or physical therapy that could affect TMD. * History of recent trauma. * The presence of systemic diseases (i.e. rheumatoid arthritis, osteoarthritis). * Pregnant and lactating females
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pain | Baseline and 1 month | Visual analogue scale of pain (VAS),using a 0-10-point scale 0 score means no pain and score 10 means worst pain |
| Chaneg in pressure pain threshold | Baseline and 1 month | The pressure pain threshold measurements for the trapezius, infraspinatus, and extensor carpi radialis muscles were performed at the center of the upper trapezius, at a position 2-3 fingers below the center of the spine of scapula, and at a position 3-4 fingers below the lateral epicondyle of the humerus, respectively. The pressure pain threshold of the extensor indicis proprius was measured by pressing toward the medial side of the radius from a position 3 fingers above the radial styloid process. The investigator placed the digital pressure algometer on a site to be inspected and pressed against the tester in a vertical direction while increasing the force at a constant rate of 1 kg/cm2. The investigator instructed the subjects to express pain either by saying ouch or raising their hands when only slight pain was felt. After all 8 muscles were investigated, the subjects were allowed to rest for 5 min. This procedure was repeated a total of 3 times. |
| Change in Oral-health Related Quality of life (OHRQoL) | Baseline and 1 month | The OHIP-14 has 14 questions related to the evaluation of OHRQoL. The responses were recorded in a 5-point Likert scale ranging from never to very often (score is 0 to 4). Then, we calculated the total scores of all domains, and a higher score indicated poor OHRQoL. The highest possible total score of all the OHIP-14 domains is 56 |
Countries
Egypt