Temporomandibular muscle disorders Disorders, Temporomandibular Joint
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Willing to participate (consent). 2. Adults aged 18 to 60 years. 3. Systemically healthy (ASA I). 4. No TMD-directed treatment in the last 6 months. 5. Myogenous TMD (muscle pain positive) per DC/TMD (Turkish version). 6. Dentate (no missing teeth). 7. No psychiatric treatment in the last 6 months. 8. No degenerative joint disease or subluxation per DC/TMD
Exclusion criteria
Exclusion criteria: 1. Hypersensitivity to study drugs. 2. Currently using analgesics and/or drugs affecting muscle function. 3. Any adverse effect during study treatment. 4. Neurologic or psychiatric disorders that could prevent procedures or medication intake and affect the musculoskeletal system.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity (VAS, 0 100 mm) change from baseline Change from baseline to Week 4 (Day 28) 10-cm visual analogue scale (patient-reported jaw pain; mm). Record VAS at baseline and Week 4; compute VAS (Week 4 baseline). | — |
Secondary
| Measure | Time frame |
|---|---|
| Maximum pain-free mouth opening (mm) change from baseline Change from baseline to Week 4 (Day 28) Interincisal distance (mm) measured with ruler/caliper at pain-free limit; add overbite if applicable. Compute change (Week 4 baseline). | — |
Countries
Turkey
Contacts
Akdeniz University