The TMD patients selected on myofascial type (Axis I,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female and male age between 18 to 50 years 2. Present pain at masticatory muscles at least 1 point 3. Present with moderate pain (VAS score more than 3) 4. Present pain-free mouth opening less than 40 mm 5. Present TMD longer than 3 months 6. Patients must the 1st and the 2nd premolar teeth 7. Able to follow the instructions 8. Good consciousness and co-operation
Exclusion criteria
Exclusion criteria: 1. TMD with disc displacement and osteoarthritis (Axis I, group II, and group III) 2. A history of the following diseases or disorders - Other type of headache including migraine with aura, tension type headache with central sensitization, and cervicogenic headache. - Systemic disease including cardiovascular, pulmonary, gastrointestinal, urogenital, endocrine, nervous system, and integumentary disease. - Serious condition including accident, spinal fractures, spinal or central cord compression, neoplastic, vascular compromise, system or inflammatory diseases, and upper cervical spine ligamentous instability 3. Unable to follow the instructions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain intensity baseline, before the next visit within 6 week period, and at 3 months follow up visual analog scale ,maximum mouth openning baseline, before the next visit within 6 week period, and at 3 months follow up thera bite range of motion scale | — |
Secondary
| Measure | Time frame |
|---|---|
| pressure pain threshold baseline, before the next visit within 6 week period, and at 3 months follow up pressure algometer ,modified-avoidance beliefe questionnaires (modified-FABQ) baseline, after treatment at the last vist and at 3 months follow up modified-FABQ,bite force baseline, before the next visit within 6 week period, and at 3 months follow up occlusal force guage GM-10 force meter device | — |
Countries
Thailand
Contacts
Faculty of Associated Medical Science