Resilient Occlusal and Patients With Temporomandibular Disorder (TMD)
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Purpose
The purpose of this study was to compare the effectiveness of soft occlusal splint therapy on the electromyographic activity of masticatory muscles (ateriors temporalis and masseter) before and after the application of a muscle relaxation splint. Electromyography recordings from the masseter and anterior temporalis muscles were analyzed quantitatively during maximal clench, rest and mastication usual, before and after the treatment without a splint. Ten patients whose chief complaint was Temporomandibular Disorders (TMD) were selected for the study. After the initial evaluations soft occlusal splints (muscle relaxation splints) were applied, and the patients were instructed to use the splints for four weeks. Surface electromyographic recordings were taken from each patient, as clinical evaluations of TMD (Index of Helkimo), both evaluations before the beginning of clinical therapy and after four weeks of wearing splints. The data obtained were analyzed by Wilcoxon´s and Friedman´s tests.
| Condition | Intervention | Phase |
|---|---|---|
|
Temporomandibular Disorders |
Device: resilient occlusal splints |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | Evaluation of Resilient Occlusal Splints in the Control of Patients With Temporomandibular Disorder (TMD) |
| Study Start Date: | July 2007 |
| Study Completion Date: | July 2008 |
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Device: resilient occlusal splints
A resilient occlusal splints (silicone 2mm) was fabricated on the maxillary arch, using a vacuum pressing machine. The occlusal splints were adjusted to eliminate the gross interferences and to obtain occlusal stability with maximum posterior bilateral contacts.
Patients were instructed to use the occlusal splints for 24 hours during 30 days. The use was interrupted only during meals.
Eligibility| Ages Eligible for Study: | 19 Years to 50 Years |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- Patients with clinical and/or diagnosis of TMD
- With complaints of muscle disorders and / or joint pain, pain symptoms
- Presence of occlusal interferences
- Minimum of 20 functional teeth in the oral cavity with subsequent bilateral occlusion
Exclusion Criteria:
- Individuals with extensive dental flaws
- Orthodontic treatment in progress
- History of systemic diseases as advanced arthritis, diabetes and conservative and reversible treatments such as occlusal splints are recommended
Contacts and Locations| Brazil | |
| Germana De Villa camargos | |
| Uberlandia, Minas Gerais, Brazil, 39400-082 | |
| Principal Investigator: | Germana Camargos, academic | Federal University of Uberlandia |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT01150110 History of Changes |
| Other Study ID Numbers: | 432 |
| Study First Received: | June 23, 2010 |
| Last Updated: | June 23, 2010 |
| Health Authority: | Brazil: Comitê de ética em pesquisa |
Keywords provided by Federal University of Uberlandia:
|
Temporomandibular disorders occlusal splints electromyography TMD (muscle and joint dysfunction) masseteres e anterior temporalis muscles. |
Additional relevant MeSH terms:
|
Temporomandibular Joint Disorders Temporomandibular Joint Dysfunction Syndrome Craniomandibular Disorders Mandibular Diseases Jaw Diseases Musculoskeletal Diseases Joint Diseases Muscular Diseases Stomatognathic Diseases |
Myofascial Pain Syndromes Salicylic Acid Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antifungal Agents Keratolytic Agents Dermatologic Agents |
ClinicalTrials.gov processed this record on May 19, 2013