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Stabilization splint therapy and Low-level laser therapy may serve as non-invasive intervention for painful temporomandibular disorders, but its efficacy is still debated. This study compared the effect of stabilization splint and low-level laser therapy alone or in combination in patients with painful chronic closed lock of temporomandibular joints disc displacement without Reduction 42 patients diagnosed with chronic closed lock of disc displacement without reduction were allocated equally and randomly into three treatment groups: group I received combined stabilization splint and low- level laser therapy, group II received low - level laser therapy and group III received stabilization splint. They were evaluated at baseline and one week, two weeks, four weeks, three months, and six months after the intervention.
Objectives: Stabilization splint therapy and low- level laser therapy may serve as non-invasive intervention for painful temporomandibular disorders, but its efficacy is still debated. This study compared the effect of stabilization splint and low- level laser therapy alone or in combination in patients with painful chronic closed lock of temporomandibular joints disc displacement without Reduction.
Patients and methods: 42 patients diagnosed with chronic closed lock of disc displacement without reduction were allocated equally and randomly into three treatment groups: group I received combined stabilization splint and low-level laser therapy, group II received low-level laser therapy and group III received stabilization splint. They were evaluated at baseline and one week, two weeks, four weeks, three months, and six months after the intervention. Time of being normal was also evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| stabilization splint | Active Comparator | acrylic splint in the maxillary arch with flat surface |
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| laser therapy | Active Comparator | laser beam directed to the affected part cause activation of blood circulation |
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| stabilization splint and laser therapy | Active Comparator | using both laser therapy and stabilization splint for more improvement |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| stabilization splint | Device | upper acrylic splint rest on the maxillary teeth and had flat surface |
|
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of mouth opening | improvement in mouth opening or not | 6 months |
| Masticatory muscles palpation | the masticatory muscles were palpated bilaterally with firm and constant pressure of one kg lasted two seconds to define painful areas | 6 months |
| temporomandibular joint palpation | joint pain was achieved by first palpating the temporomandibular joint lateral pole by placing the index finger with firm and constant pressure of half kg lasted two seconds over the condyle in front of the tragus | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Noha Elshahid | lecturer at mansoura university prosthodontic department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university | Al Mansurah | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23835639 | Background | Ooi K, Yura S, Inoue N, Totsuka Y. Factors related to the incidence of anterior disc displacement without reduction and bony changes of the temporomandibular joint in patients with anterior open bite. Oral Maxillofac Surg. 2014 Dec;18(4):397-401. doi: 10.1007/s10006-013-0424-3. Epub 2013 Jul 9. | |
| 8638492 | Background |
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| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D028022 | Low-Level Light Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
| D010789 | Phototherapy |
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Parallel clinical trial
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| laser therapy | Device | The laser apparatus had a hand piece on which either a specially designed optic prism was attached to transfer laser energy to the tip of the prism |
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| stabilization splint and laser therapy | Device | the stabilization splint used in combination of treatment with laser therapy |
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| Samdal F, Amland PF, Sandsmark M, Hall C, Aasen AO. Suction-assisted lipectomy does not increase the risk of random flap necrosis in a randomized study in pigs. Aesthetic Plast Surg. 1995 Nov-Dec;19(6):549-53. doi: 10.1007/BF00454320. |
| 36564950 | Derived | El-Shaheed NH, Mostafa AZH, Aboelez MA. Efficacy of stabilisation splint and low-level laser therapy for patients with chronic closed lock from non-reducible displaced temporo-mandibular joint discs: A parallel randomised clinical trial. J Oral Rehabil. 2023 Mar;50(3):177-193. doi: 10.1111/joor.13405. Epub 2023 Jan 5. |