Temporomandibular Joint Dysfunction Syndrome, Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
60 individuals with internal joint disorders with pain and mouth opening limitation will be random in 4 groups of 15 patients each for treatment of joint disorder:
1. Control group
Exclusive conservative treatment consisting of pasty diet, compresses, physiotherapy and habit control.
2. Joint washing
In addition to conservative treatment, a single wash of the affected temporomandibular joint with 200 ml of saline will be performed.
3. Wash with 200 ml of saline, conservative treatment and therap
Drug
Procedure/surgery
E02.779
Sponsors
Faculdade de Odontologia da Universidade Estadual do Rio de Janeiro
Faculdade de Odontologia da Universidade Estadual do Rio de Janeiro
Eligibility
Age
18 Years to 67 Years
Inclusion criteria
Inclusion criteria: Patients older than 18 years and younger than 67; presenting at least 4 points corresponding to joint pain in the visual analogue scale (VAS); with mouth opening at less or equal than to 35 mm; with a history of joint locking; progressive decrease of mouth opening and joint noises
Exclusion criteria
Exclusion criteria: History of TMJ surgery or with an absolute indication of surgical treatment; joint systemic diseases; gastric disease or other condition that contraindicate the use of NSAIDs; muscular pain as the main source of the symptomatology and patients with psychological compromises that would make treatment impossible
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effectiveness of each treatment in reducing temporomandibular pain during mandibular opening using the visual analog scale (VAS) method, where we will observe on a scale from 0 to 10 the rate of auricular pain decrease over a period of six months.;To evaluate the effectiveness of each treatment in increasing the mandibular opening verified by the interincisal distance in millimeters over a period of six months | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the influence of the instituted treatments on the reduction of inflammatory agents (immunoglobulins) in the synovial fluid, comparing the preoperative samples and one month after treatment. Identify the inflammatory molecules present in temporomandibular disorders.;To evaluate the effectiveness of each treatment in reducing temporomandibular pain during mandibular protrusion and laterality using the analogous visual scale (VAS) method, where we will observe on a scale from 0 to 10 the rate of pre-auricular pain decrease over a period of six months;To evaluate the influence of changes in the position of the articular disc in the treatment to reduce temporomandibular pain and increase mandibular opening using the analogous visual scale (VAS) 0 to 10 and interincisal distance in millimeters comparing the the presence or absence of any internal joint change. | — |
Countries
Brazil
Contacts
Public ContactAlexander Pomares Cueto
Faculdade de Odontologia da Universidade Estadual do Rio de Janeiro
Outcome results
None listed