Quantitative Evaluation of Osteopathic Treatment in Temporomandibular Joint Disorders Using Magnetic Resonance Imaging

Not Applicable

• Conditions: Temporomandibular Disorders, Articular Disc Disorder (Reducing or Non-Reducing); Osteopathy in Temporomandibular Disorders
• Interventions: Other: Occlusal Splint Treatment; Other: Osteopathic Manual Treatment

• Registration Number: NCT04468464
• Lead Sponsor: Yeditepe University

Brief Summary

The aim of this study is to assess the impact of osteopathic manual treatment in patients with an anterior disc displacement over sleep and health quality, pain scores and the movement of the condyle and disc of the temporomandibular joint (TMJ) quantitatively.

Detailed Description

Patients with TMD will involve to this study. After having the diagnose in Yeditepe U. Dental Hospital patients will be sent to the Radiology Department. MRI images will be gathered in sagittal, coronal and axial plane for each patient before and after treatment. Volunteers will be divided into two groups; (1) splint therapy for 6 weeks, (2) splint therapy + osteopathy 2 times a week for 6 weeks randomly. At the end of the treatment, patients will be sent to Radiology for the second images. Health Survey and pain scores, Disc condyle angle, disc and condyle displacements will be measured and compared inter and intra groups.

Study Timeline

• Study Start: 2018-09-15
• Primary Completion: 2019-09-20
• Status Verified: 2020-07
• Study First Submitted: 2020-07-06
• Study First Submitted QC: 2020-07-10
• Last Update Submitted: 2020-07-10
• Study First Posted: 2020-07-13
• Last Update Posted: 2020-07-13
• Study Completion: 2020-08-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 19

Inclusion Criteria

• Clinical diagnosis of TMD (anterior disc displacement)

Exclusion Criteria

• Active orthodontic treatment
• Systemic diseases
• Oral or dental pathologies
• Dental implant placement
• Exodontia within 6 months
• Cranial and cervical trauma or surgery
• Taking antidepressant medication
• Contraindication of MRI scans

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	Occlusal Splint Treatment	Occlusal Splint
Study Group	Occlusal Splint Treatment	Osteopathic Manuel Therapy
Study Group	Osteopathic Manual Treatment	Osteopathic Manuel Therapy

Primary Outcome Measures

Name	Time	Method
Change in Mandibular Movements	6 weeks after the first measurement	Depression, Left and Right lateralization of the mandibula was measured by the caliper
Change in Cervical Movement	6 weeks after the first measurement	Cervical Region range of motions was measured by a goniometer
Change in TMJ MR images	6 weeks after the first measurement	Disc-condyle angle, disc and condyle positions were measured over TMJ images
Change in Temporomandibular Joint Pain	6 weeks after the first measurement	10 point scale 0- no pain 10- severe pain

Secondary Outcome Measures

Name	Time	Method
Changes in bodily pain	6 weeks after the first measurement	10 point scale 0- no pain 10- severe pain

Trial Locations

Locations (1)

Yeditepe University; 🇹🇷 İstanbul, Ataşehir, Turkey