Occlusal Splints, Temporomandibular Disorders (TMD)
Conditions
Keywords
temporomandibular disorders, rocabado, occlusal splints, posture excercise
Brief summary
Fifty-seven patients diagnosed with internal temporomandibular derangement will be included in the study and divided into three groups. All patients will be treated with a proven-effective occlusal splint. The first group will receive only occlusal splint therapy and will serve as the control group. The second group will receive occlusal splint therapy combined with Rocabado exercises, while the third group will receive occlusal splint therapy combined with postural exercises. Before the treatment process, all patients will complete the Temporomandibular Disorders Diagnostic Criteria (TMD-DC) form. Pain intensity will be measured using the Visual Analog Scale (VAS), pain thresholds will be assessed using an algometer, and the following evaluations will be performed: Cervical Posture Assessment (Craniovertebral Angle with Goniometer)-Cervical Range of Motion Assessment (C-ROM)-Cervical Deep Flexor Muscle Endurance Test-Neck Disability Assessment (NDI - Neck Disability Index)-Psychiatric Assessment (HADS - Hospital Anxiety and Depression Scale). After two months, patients will be recalled, and all tests will be repeated. The effectiveness of the three treatment protocols will then be evaluated.
Interventions
OTHERocclusal splint
nineteen patients diagnosed with internal temporomandibular derangement will receive occlusal splint therapy, a treatment method with proven effectiveness.
OTHERocclusal splints combined with rocabado exercise
Nineteen patients diagnosed with internal temporomandibular derangement will be provided with Rocabado exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether Rocabado exercises have a positive effect on the treatment process.
OTHERocclusal splint combined with posture exercise
Nineteen patients diagnosed with internal temporomandibular derangement will be provided with posture exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether posture exercises have a positive effect on the treatment process.
Sponsors
Istanbul University
Bandırma Onyedi Eylül University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Patients with internal temporomandibular derangement are divided into three groups. The first group receives only occlusal splint therapy. The second group undergoes occlusal splint therapy combined with Rocabado exercises, while the third group is treated with occlusal splint therapy combined with postural exercises. The effectiveness of the treatment protocols is evaluated.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being diagnosed with internal temporomandibular disarrangement * aged 18 years or older * Willingness to participate in the study * Ability to speak and understand Turkish, with no communication difficulties severe enough to impede understanding of the exercises
Exclusion criteria
* History of acute trauma in the TMJ or surrounding area * TMJ dysfunction caused by a neurological condition * History of surgical/invasive procedures or treatments on the TMJ * Presence of infection or tumoral structures within intraoral structures * History of tooth loss or use of dental prostheses * History of surgical procedures in the cervical region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Investigation of the Effect of Postural Exercises and Rocabado Exercises on Pain Reduction | 2 months | Three different treatment protocols will be applied to patients with internal temporomandibular derangement, and the results obtained after a 2-month treatment period will be compared to determine which method is the most effective. To evaluate treatment outcomes, the patients' pre- and post-treatment Visual Analog Scale (VAS) scores will be assessed, with a decrease in the mean VAS score indicating a reduction in pain. Additionally, the pain threshold in various facial regions will be measured with an algometer before and after treatment to identify which treatment protocol is more effective in reducing pain. By combining both outcomes, the most effective method for pain reduction will be determined. |
| Investigation of the Effect of Postural Exercises and Rocabado Exercises on Physiological Movements | 2 months | Changes in cervical range of motion (C-ROM) and the craniovertebral angle will also be evaluated to determine the impact of the treatment methods on these parameters. In this way, the method that is more effective in improving physiological movements will be identified. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Investigation of the Secondary Effects of Postural Exercises and Rocabado Exercises on Patient's Psychology | 2 months | The effect of the treatment protocols applied to the three different groups on the general psychology of the patients will be measured using the Hospital Anxiety and Depression Scale (HADS). In this test, a higher score indicates a higher level of depressive symptoms, and a successful treatment is expected to result in a decrease in the test score. |
| Investigation of the Effect of Postural Exercises and Rocabado Exercises on the Mobility of the Neck and Jaw | 2 month | The patient's neck movements will be assessed, and the range of jaw movements will be evaluated. The study aims to identify which treatment protocol leads to the most significant improvement in jaw and neck mobility. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTOREbru K Mutlu, Clinical Prof.
Bandırma Onyedi Eylül University
Outcome results
None listed