Effectiveness of a Jaw Exercise Program in Temporomandibular Disorders Patients
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|ClinicalTrials.gov Identifier: NCT02397070|
Recruitment Status : Unknown
Verified March 2015 by Wagner Araujo de Negrieiros, Universidade Federal do Ceara.
Recruitment status was: Recruiting
First Posted : March 24, 2015
Last Update Posted : March 24, 2015
|Condition or disease||Intervention/treatment||Phase|
|Temporomandibular Joint Disorders Musculoskeletal Diseases||Procedure: Jaw exercise program Device: Occlusal Splint and counseling||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||30 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Effectiveness of a Jaw Exercise Program in Temporomandibular Disorders Patients|
|Study Start Date :||January 2015|
|Estimated Primary Completion Date :||April 2015|
|Estimated Study Completion Date :||July 2015|
|Experimental: Jaw exercise program||
Procedure: Jaw exercise program
The jaw exercise program will consist of three cycles: 1st CYCLE - simple opening and closing mouth, right and left lateral excursions with mechanisms of proprioceptive neuromuscular facilitation and muscle coordination; 2 ° CYCLE - opening and closing exercises, right and left lateral excursions with a counter-resistance force imposed by the participant, with reciprocal inhibition, stretching, and muscular endurance mechanisms; 3rd CYCLE - specific exercises to disk capture attempt in cases of disk displacement with reduction and acute disk displacement without reduction (mouth opening and closing in protrusion) or chronic disk displacement without reduction (forced mouth opening in order to push the disc), with remodeling articulate mechanisms. The conduct will be individualized according to the need and symptoms of patients, which will be monitored fortnightly. It will be proposed 3 times a day, lasting a minute and a half per turn, in front of the mirror, during three months.
|Active Comparator: Occlusal splint and counseling||
Device: Occlusal Splint and counseling
The occlusal splints will be made from obtaining a plaster type IV model of upper arch using alginate and metal stock tray. A 2mm thick polyacetate blade will be adapted to the vacuum device plasticizer, heated and pressed over the previously cut U-shaped plaster model. After cooling, it will be added the self-curing acrylic resin on occlusal surface in order to increase the vertical dimension of occlusion in 2mm (anterior region). After polishing, the splints will be intraorally adjusted using carbon paper and clamp Muller, and installed obtaining maximum tooth contacts in centric relation. The splints will be flat and of full coverage for night use. Patients will be monitored every two weeks for the occlusal adjustment for three months. It will also be done counseling measures through a printed guide in relation to the daily care and the various contributing factors of TMD (diet, stress reduction, elimination of parafunctions and posture correction).
- Muscular pain [ Time Frame: Three months ]Pain on masticatory muscles (masseter and temporal) pressure, scored 0-3 (0=no pain, 3= severe pain).
- Articular pain [ Time Frame: Three months ]Pain on bilateral digital pressure on articular region, scored 0-3 (0=no pain, 3= severe pain).
- Maximum mouth opening [ Time Frame: Three months ]Mouth opening amplitude, measured with a millimeter ruler from the tip of the lower incisors to the tip of the upper incisors, counting the vertical crossover.
- Mandibular excursions [ Time Frame: Three months ]Lateral and protrusive movement, measured with a millimeter ruler considering the right and left lateral excursion and protrusive excursion.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02397070
|Contact: Wagner A Negreiros, PhD||55 85 firstname.lastname@example.org|
|Contact: Romulo R Regis, PhD||55 85 email@example.com|
|Federal University of Ceara||Recruiting|
|Fortaleza, Ceara, Brazil, 60430-160|
|Contact: Jose ET Rocha, Master 55 88 99353502 firstname.lastname@example.org|
|Principal Investigator:||Wagner A Negreiros, PhD||Universidade Federal do Ceara|