Comparison of three different options for immediate treatment of painful temporomandibular disorders: a randomized, controlled pilot trial
Objective: The purpose of this study was to compare the short-term effectiveness of three different types of immediate, non-pharmacological intervention for alleviation of the painful symptoms of temporomandibular disorders (TMD).Material and methods: Thirty-six patients (mean age 41.6 ± 16.7 years,...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
13 Jul 2016
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| In: |
Acta odontologica Scandinavica
Year: 2016, Volume: 74, Issue: 6, Pages: 480-486 |
| ISSN: | 1502-3850 |
| DOI: | 10.1080/00016357.2016.1204558 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1080/00016357.2016.1204558
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| Author Notes: | Nikolaos N. Giannakopoulos, Eleni N. Katsikogianni, Daniel Hellmann, Lydia Eberhard, Michael Leckel, Hans J. Schindler and Marc Schmitter |
| Summary: | Objective: The purpose of this study was to compare the short-term effectiveness of three different types of immediate, non-pharmacological intervention for alleviation of the painful symptoms of temporomandibular disorders (TMD).Material and methods: Thirty-six patients (mean age 41.6 ± 16.7 years, 25 females) diagnosed with non-dysfunctional painful TMD received counselling and subsequently were randomly allocated to three treatment groups: patients in Group A received prefabricated oral splints with water-filled elastic pads (Aqualizer®), those in Group B were provided with vacuum-formed co-polyester oral splints and those in Group C were given appointments to receive Michigan-type hard splints. Clinical examination was conducted, at baseline and after 2 weeks, by use of the RDC/TMD. Current pain intensity was determined by evaluation of graded chronic pain status (GCPS) on a numerical rating scale (NRS). Active maximum mouth opening without pain (AMMOP) was also measured. Paired sample t-tests and one-way analysis of variance with a significance level of p ≤ 0.05 were conducted.Results: After 2 weeks, overall mean current pain was reduced by 41.95% (p < 0.001). Current pain reduction was significant for Group B (66.6%, p < 0.001) but not for Groups A (37.88%, p = 0.56) and C (22.29%, p = 0.26). After 2 weeks, current pain level for Group B was significantly lower than that for Group C (p = 0.041). Overall, there was a statistically significant increase of AMMOP (p = 0.01).Conclusion: All therapeutic options were pain-reducing. The results from this study suggest that cost-effective and time-effective intervention of counselling combined with use of a vacuum-formed splint is a favourable option for initial, short-term treatment of painful TMD. |
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| Item Description: | Gesehen am 08.06.2020 |
| Physical Description: | Online Resource |
| ISSN: | 1502-3850 |
| DOI: | 10.1080/00016357.2016.1204558 |