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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Active Comparator | Occlusal Splint |
|
| Study Group | Experimental | Osteopathic Manuel Therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Occlusal Splint Treatment | Other | Occlusal splint is used by a dentist during sleep or day time to protect the teeth and temporomandibular joint. Manufactured individually by the technicians according to the dentists measurement procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Temporomandibular Joint Pain | 10 point scale 0- no pain 10- severe pain | 6 weeks after the first measurement |
| Change in TMJ MR images | Disc-condyle angle, disc and condyle positions were measured over TMJ images | 6 weeks after the first measurement |
| Change in Mandibular Movements | Depression, Left and Right lateralization of the mandibula was measured by the caliper | 6 weeks after the first measurement |
| Change in Cervical Movement | Cervical Region range of motions was measured by a goniometer | 6 weeks after the first measurement |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in bodily pain | 10 point scale 0- no pain 10- severe pain | 6 weeks after the first measurement |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Life Quality score | A high score corresponds to a good quality of life | 6 weeks after the first measurement |
| Change in sleep quality score | A high score corresponds to a low quality of the sleep |
Inclusion Criteria:
• Clinical diagnosis of TMD (anterior disc displacement)
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yeditepe University | Istanbul | Ataşehir | 34755 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Kalamir, A., Pollard, H., Vitiello, A. L., & Bonello, R. (2007). Manual therapy for temporomandibular disorders: A review of the literature. Journal of Bodywork and Movement Therapies, 11(1), 84-90. https://doi.org/10.1016/j.jbmt.2006.07.003 | ||
| 9503446 | Background | Kurita H, Kurashina K, Ohtsuka A, Kotani A. Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Feb;85(2):142-5. doi: 10.1016/s1079-2104(98)90416-4. | |
| 28029069 |
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Both groups receive splint treatment, but study group also receives osteopathic manual treatment
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The Radiologist who evaluates the MRI results was blinded about the group of participants and also blinded about the diagnosis of the dentist.
| Osteopathic Manual Treatment | Other | Osteopathy treats the body as a whole and applied by hands over the related structures of the body. TMJ, Cervical, Thoracal, Lumbar vertebra mobilization was applied as well as the fascial and visceral mobilization. Patients also used occlusal splint for 6 weeks during the intervention. |
|
| 6 weeks after the first measurement |
| Background |
| Gesslbauer C, Vavti N, Keilani M, Mickel M, Crevenna R. Effectiveness of osteopathic manipulative treatment versus osteopathy in the cranial field in temporomandibular disorders - a pilot study. Disabil Rehabil. 2018 Mar;40(6):631-636. doi: 10.1080/09638288.2016.1269368. Epub 2016 Dec 28. |
| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |
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