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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1.Arthrocentesis only | Active Comparator | Patients only have Arthrocentesis, but without adjusting the pressure of the TMJ |
|
| 3.Arthroscopic Treatment | Active Comparator | Patient receives Arthroscopic treatments without adjusting the TMJ pressure |
|
| 4.Arthroscopic with Adjust Pressure | Active Comparator | Arthroscopic Treatment with Adjust TMJ Pressure Treatment, during the Arthroscopic treatment adjust the pressure of TMJ to normal value |
|
| 5.The TMJ Orperation Treatment | Active Comparator | The TMJ Operation Treatment without adjusting the pressure of TMJ |
|
| 6.The TMJ Operation with Adjust Pressure | Active Comparator | The TMJ Operation with Adjust TMJ Pressure Treatment, during the treatments to adjust the TMJ pressure to normal value |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adjust the TMJ Pressure to Normal Value | Procedure | Adjust the TMJ Pressure by the Operation Only Once for Each Patient |
|
| Measure | Description | Time Frame |
|---|---|---|
| all cause mortality | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| zg zhang, Master | Contact | 8602083870387 | drzhangzg@163.com |
| Name | Affiliation | Role |
|---|---|---|
| zg zhang, Master | GUANGHUA SHOOL OF STOMATOLOGY and HOSPITAL OF STOMATOLOGY SUN YAT-SEN UNIVERSITY | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guanghua School of Stomatology and Hospital of Stomatology | Recruiting | Guangzhou | Guangdong | China |
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| Label | URL |
|---|---|
| The Web Site of the Guanghua College of Stomatology Sun Yat-sun University | View source |
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| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
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| 7.Bite Plate Treatment | Active Comparator | Bite Plate Treatment for Temporomandibular Disorders without adjusting the pressure of TMJ |
|
| 8.Bite Plate with Adjust pressure | Active Comparator | Bite Plate and Adjust Pressure Treatment for Temporomandibular Disorders, during the treatments adjust the pressure of TMJ to normal value |
|
| 2.Arthrocentesis with adjust pressure | Active Comparator | Arthrocentesis with adjust pressure according to the pressure of TMJ |
|
| Do not adjust the pressure of TMJ | Other | Do the treatments normally without additional treatment |
|
| D007592 |
| Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |