Myogenous temporomandibular disorders (TMD), I. physiotherapy compared with occlusal splint therapy, and II. occlusal adjustment compared with occlusal splint therapy combined with occlusal adjustment, using therapy-and-patient-specific treatment durations

Completed

• Conditions: Chronic orofacial pain; Oral Health; Temporomandibular joint dysfunction

• Registration Number: ISRCTN17469828
• Lead Sponsor: niversity Medical Centre Utrecht

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2016-11-11
• Last Update Posted: 27 February 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1. Age between 18 and 65 years
2. Female or male
3. Pain and tenderness of the masticatory muscles (in the absence of Temporomandibular Joint pathology, solely myogenous TMD), of 3 months duration or longer
4. A good understanding of Dutch

Added 07/12/2016:
5. Only for group II: Pronounced occlusal interferences, i.e. (i) a forward sliding of at least 2 mm and/or lateral sliding of at least 1 mm with respect to centric occlusion; and (ii) an interference on the non-active side that is not accompanied with contact on the active side
6. Only for group II: Feasibility of occlusal adjustment by grinding in a conservative way; assessment by mounting the patient’s dental casts in a semi-adjustable articulator

Exclusion Criteria

1. Clinical and/or radiographic evidence of organic changes in the temporomandibular Joints
2. Previous treatment with an occlusal stabilization appliance, occlusal adjustment, or physiotherapy of the masticatory system
3. Other treatments for pain (also nonfacial pain) more recent than a year
4. Predominant craniovertebral dysfunction (pain of neck and/or shoulders that predominates that of facial areas)
5. Metabolic, neurologic, vascular disease, or disorders (eg, diabetes, neuralgia, migraine)
6. Recent dramatic life event (divorce, bereavement, physical abuse by partner, incest, and victim of criminal assault) and/or psychotherapy and/or use of psycho-medication
7. Odd sleep/wake cycles due to work shift
8. Gross anomalies of the natural dentition: full/partial denture, loss of dorsal support, collapsed bite, extensive migrations, or morphological malocclusion (eg, cross bite)
9. Only for group I: Pronounced occlusal interferences, i.e. (i) ) a forward sliding of at least 2 mm and/or lateral sliding of at least 1 mm with respect to centric occlusion; and (2) an interference on the non-active side that is not accompanied with contact on the active side

Study & Design

• Study Type: Interventional
• Study Design: Not specified