Temporomandibular Joint Dysfunction Syndrome
Conditions
Interventions
The sample will be divided into two groups of 30 patients - Intervention and Control, selected randomly by lot: the patients sample files will be numbered and the corresponding numbers will be recorde
Ploquin, Kain, 2001
Teixeira, 2007) .
Needle details:
• nine needles will be used in t
Procedure/surgery
H02.004
Sponsors
Universidade Federal de Goiás
Universidade Federal de Goiás
Eligibility
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Agree to sign the consent form;Diagnosed with muscular TMD, joint or mixed, according to the criteria of the RDC-TMD;In the age group between 20-65 years;Both sexes;Symptomatic pain for more than six months
Exclusion criteria
Exclusion criteria: With a rheumatic diseases history affecting the muscles and joints;psychiatric or neurological conditions that complicate the diagnostic process;surgical implants for treatment of TMD; Blood coagulation disorders;Needle Phobia;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The intensity of spontaneous pain (joint at rest) and during masticatory function will be assessed by Visual Analogue Scale (EVA) before and after each acupuncture session for the intervention group and at the beginning and after the five-week waiting period for the Of the control group. The pain intensity at rest will be measured first, followed by pain at function. Spontaneous pain was defined as pain intensity without stress on the joint and mandibular muscles and would be measured in a mandibular rest position where the mandibles were in the neutral position without any contact between the mandible and upper teeth. Pain in function was considered as the intensity of pain during chewing. Participants were instructed to chew a chewing gum using both sides of their jaws for 60 seconds and immediately assess their pain. The EVA will be used to quantify pain subjectively, since it is a numerical scale from zero to ten, which indicates the severity of the symptom perceived by the patient. The absence of pain corresponds to the numerical value zero, a moderate / mild pain corresponds to the numeric values ??of one to three, a regular / uncomfortable pain corresponds to the numeric values ??of four to six, a strong / distressing pain corresponds to the numerical values ??of seven to Eight, a horrible / unbearable (excruciating) pain corresponds to the numerical values ??of nine to ten | — |
Secondary
| Measure | Time frame |
|---|---|
| The instrument chosen to evaluate quality of life will be the simplified form of the Oral Health Impact Profile (OHIP-49), composed of fourteen items, under the name of Oral Health Impact Profile - short form (OHIP-14). This OHIP-14 index, already translated into Portuguese, presents two items in each of the following dimensions: functional limitation, physical pain, psychological discomfort, physical incapacity, psychological incapacity, social incapacity and social disadvantage To calculate the impact of oral health on quality of life through OHIP-14, the so-called additive method will be used, in which the fourteen questions will have five response options according to the following Likert scale: zero for never, one for rarely, Two for sometimes, three for repeatedly and four for ever. At the end, all the values ??assigned to the answers will be summed up and the scores can range from zero to fifty-six. The higher the score, the greater the perception of the impact of oral health by the examined ones. This multiplication results in a maximum value variation for each question from 1.36 to 2.64 points. The sum gives a final score of all questions with values ??ranging from 0 to 28 points. The higher the score presented, the greater the negative repercussion on the quality of life The instrument will be applied at two different times for each group: group before the first and last acupuncture session for the test group and at the beginning and after the five-week waiting period for treatment. Before applying the questionnaire as an interview, the patient will receive guidance from the researcher on the application of the questionnaire in the form of an interview.; Subjective analysis of stress and anxiety For the subjective assessment of stress and anxiety, the Lipp Adult Stress Symptom Inventory (ISSL) and the Beck Anxiety Inventory (BAI) will be used. The inventories will be applied by two experienced psychologists in the area, individually and scheduled, in a | — |
Countries
Brazil
Contacts
Public ContactMOSIAH SILVA
Centro Goiano de Doenças da Boca
Outcome results
None listed