Temporomandibular Disorders (TMDs)
Conditions
Keywords
Hard Occlusal splint, Conservative therapy, Visual Analogue Scale, Facial pain
Brief summary
The purpose of this study is to compare the efficacy of a hard occlusal splint versus conservative therapy (using topical Ibuprofen gel and counseling) in the management of patients with temporomandibular (TMJ) joint disorders. The study aims to determine which treatment is more effective at reducing pain, measured by Visual Analogue Scale (VAS), at 1 week and 4 weeks post therapy.
Detailed description
This randomized controlled trial will be conducted at the department of Prosthodontics, Khyber College of Dentistry, Peshawar. Patients diagnosed with TMJ disorders based on clinical examination will be randomly assigned to two groups. GROUP A: Patients will receive a hard occlusal splint made of heat cure acrylic resin to be worn at night. GROUP B: Patients will receive conservative therapy consisting of topical 5% Ibuprofen gel application three times daily and counseling regarding habit modification(soft diet ,avoiding wide mouth opening). Pain intensity will be recorded for both groups at baseline , 1 week and 4 week followup visit using a 10cm Visual Analogue Scale. the data will be analyzed using SPSS version 22.0.
Interventions
DEVICEHard occlusal splint
A custom fabricated heat cure acrylic resin splint
OTHERCounseling and Habit Modification
Counseling regarding soft diet and avoidance of wide mouth opening.
DRUGTopical Ibuprofen gel
5% Ibuprofen gel applied three times daily over the affected TMJ area.
Sponsors
Khyber College of dentistry
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with TMJ disorders based on clinical examination. Patients willing to participate and provide informed consent.
Exclusion criteria
* Patient with a history of recent TMJ surgery or trauma. Patients with systemic joint diseases (e.g Rheumatoid Arthritis, Osteoporosis, Osteopetrosis, Osteomalacia). Patients currently using other occlusal appliances or undergoing active orthodontic treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | baseline, 1 week and 4 weeks | Pain will be assessed using a 10cm Visual Analogue Scale (VAS), where 0 represents no pain and 10 represents worst possible pain. |
Outcome results
None listed