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The Clinical Effects of Myofascial Trigger Points in Disc Replacement With Reduction

Completed
Conditions
Myofascial Trigger Point Pain
Pain
Jaw Diseases
Temporomandibular Joint Disorders
Interventions
Other: no intervention
Registration Number
NCT05187325
Lead Sponsor
Kanuni Sultan Suleyman Training and Research Hospital
Brief Summary

This is a prospective, and controlled trial. 60 participants with myofascial trigger points and disc displacement with reduction and 60 participants with disc displacement with reduction will be included in the study. These two groups will be compared for clinical findings, pain severity and limitation of the temporomadibular function.

Detailed Description

This is a prospective, and controlled trial. 60 participants with myofascial trigger points and disc displacement with reduction and 60 participants with disc displacement with reduction will be included in the study. The participants' ages will be between 18-65 years of both genders.

These two groups will be compared for clinical findings with DC/TMD Axis I- Symptom Questionnaire, pain levels in the last 1 month with DC/TMD Axis II-Graded Chronic Pain Scale, and limitation of the temporomadibular function with DC/TMD Axis II-Jaw Functional Limitation Scale-8.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • 18-65 years old of both genders.
  • Presence of disc displacement with reduction with/without myofascial trigger points in master muscles.
  • Being accepted of the participation in the study.
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Exclusion Criteria
  • Lack of cognitive ability to understand test instructions, illiteracy, aphasia, presence of a known psychiatric illness
  • Refusal to participate in the study
  • Patients under the age of 18 and over the age of 65
  • Having other temporomandibular joint disorders other than the diagnosis of RDD and/or myofascial trigger points
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
disc displacement with reductionno interventionthe participants have only temporomandibular joint disc displacement with reduction.
myofascial trigger point and disc displacement with reductionno interventionthe participants have myofascial trigger points in master muscle and also temporomandibular joint disc displacement with reduction.
Primary Outcome Measures
NameTimeMethod
limitation of the movement of the temporomandibular joint1 day

limitation of the movement of the temporomandibular joint

locking of the temporomandibular joint1 day

locking of the temporomandibular joint

mouth opening distance1 day

Maximal opening of mouth is described as the greatest distance between incisal edge of maxillary central incisor to the incisal edge of mandibular central incisor, when the mouth is opened as wide as possible painlessly or as the inter incisal distance plus the overbite.

bruxism1 day

bruxism is a stereotyped movement disorder characterized by grinding or clenching of the teeth

temporomandibular joint noises1 day

noises of the temporomandibular joint

Graded Chronic pain Scale v.2.01 day

Version 2 of the GCPS includes, in addition to the 3 items for pain intensity and 4 items for function, one item for number of days of pain.

Jaw Functional Limitation Scale-81 day

The JFLS was initially developed as an 8-item global scale for overall functional limitation of the masticatory system; based on the resultant items and supporting psychometric data, the instrument was re-developed in order to expand measured constructs to also include masticatory limitation, vertical mobility limitation, and verbal and non-verbal communication limitation.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kanuni Sultan Suleyman Training and Research Hospital

🇹🇷

Istanbul, Kucukcekmece, Turkey

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