The New Serial Treatment of Temporomandibular Disorders

Not Applicable

Recruiting

• Conditions: Temporomandibular Disorder
• Interventions: Other: Do not adjust the pressure of TMJ; Procedure: Adjust the TMJ Pressure to Normal Value

• Registration Number: NCT00932594
• Lead Sponsor: Sun Yat-sen University

Brief Summary

The purpose of this study is to look at temporomandibular joint (TMJ) pressure as a guideline to analyze the different treatments for temporomandibular disorder (TMD), and judge the feasibility of the adjust TMJ pressure treatment and to reach a conclusion on the different treatments for different types of TMD, and determine the new serial treatment of temporomandibular disorders.

Detailed Description

Temporomandibular Disorder is a common disease nowadays, but there is no guideline for the treatment of TMD. TMD can be divided into masticating muscles dysfunction; internal derangement; inflammation; osteoarthrosis, this study will classify the internal derangement, inflammation and osteoarthrosis into three types according to the TMJ pressure. Then the patient will receive the adjust pressure treatment according to their TMJ pressure. The first part of the TMD patients will receive psychogenic treatment, medicine, physical treatment, bite plate, occlusion treatment, rebuilding occlusion treatment, orthodontic treatment, et. If the patients do not have a good curative effect, part of them will change the treatment into arthrocentesis, arthroscopic treatment or operation treatment, the other part of patients, according to their TMJ pressure, receiving the associated adjust pressure treatment or adjust pressure treatment only. This study will call on the patients for three years and collect the clinical information, then doing the medical statistics.

Study Timeline

• Study Start: 2006-01
• Study First Submitted: 2009-06-29
• Study First Submitted QC: 2009-07-02
• Study First Posted: 2009-07-03
• Status Verified: 2015-05
• Last Update Submitted: 2015-05-19
• Last Update Posted: 2015-05-20
• Primary Completion: 2018-12
• Study Completion: 2026-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 4

Inclusion Criteria

• Limited Month Opening
• Abnormal of the Month Opening Type
• Paint During the Month Open or Close
• Condylar Position Paint
• Clicking of the Temporomandibular Joint
• Enlargement of the Upper Temporomandibular Joint Gap
• Dislocation of the Temporomandibular Disc
• Bone of the Temporomandibular Joint Changement
• Patient in the Age of 16-60
• Voluntary Patient

Exclusion Criteria

• Dysimmunity Disease
• Dysfunction of Heart Liver and Kidney Disease
• Patient can not do the Guide Line
• Life-threatening Patient
• Serious Limited Mouth Opening
• Epilepsy
• Tetanus
• Pregnancy or Women in the Pregnancy Period
• Supportive Temporomandibular Disease

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
3.Arthroscopic Treatment	Do not adjust the pressure of TMJ	Patient receives Arthroscopic treatments without adjusting the TMJ pressure
1.Arthrocentesis only	Do not adjust the pressure of TMJ	Patients only have Arthrocentesis, but without adjusting the pressure of the TMJ
4.Arthroscopic with Adjust Pressure	Adjust the TMJ Pressure to Normal Value	Arthroscopic Treatment with Adjust TMJ Pressure Treatment, during the Arthroscopic treatment adjust the pressure of TMJ to normal value
5.The TMJ Orperation Treatment	Do not adjust the pressure of TMJ	The TMJ Operation Treatment without adjusting the pressure of TMJ
6.The TMJ Operation with Adjust Pressure	Adjust the TMJ Pressure to Normal Value	The TMJ Operation with Adjust TMJ Pressure Treatment, during the treatments to adjust the TMJ pressure to normal value
8.Bite Plate with Adjust pressure	Adjust the TMJ Pressure to Normal Value	Bite Plate and Adjust Pressure Treatment for Temporomandibular Disorders, during the treatments adjust the pressure of TMJ to normal value
7.Bite Plate Treatment	Do not adjust the pressure of TMJ	Bite Plate Treatment for Temporomandibular Disorders without adjusting the pressure of TMJ
2.Arthrocentesis with adjust pressure	Adjust the TMJ Pressure to Normal Value	Arthrocentesis with adjust pressure according to the pressure of TMJ

Primary Outcome Measures

Name	Time	Method
all cause mortality	24 hours

Trial Locations

Locations (1)

Guanghua School of Stomatology and Hospital of Stomatology; 🇨🇳 Guangzhou, Guangdong, China