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The goal of this clinical trial is to learn if different therapeutic jaw position determining methods influence the efficacy of repositioning splint therapy for temporomandibular joint disk displacement without reduction. The main questions it aims to answer are:
Does different therapeutic jaw position determining methods influence the efficacy of repositioning splint therapy for temporomandibular joint disk displacement without reduction? Researchers will compare the efficacy of repositioning splint therapy made with different therapeutic jaw position determining methods for temporomandibular joint disk displacement without reduction.
Participants will:
Take repositioning splint made with different therapeutic jaw position determining methods every day for 3-6 months.
Visit the clinic once every 3 weeks for checkups and tests.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| receive repositioning splint therapy with jaw position determined by mechanical articulator | Experimental | Participants will receive repositioning splint therapy with jaw position determined by mechanical articulator method for 3-6 months. |
|
| receive repositioning splint therapy with jaw position determined by ai-assisted virtual articulator | Experimental | Participants will receive repositioning splint therapy with jaw position determined by ai-assisted virtual articulator. |
|
| receive repositioning splint therapy with jaw position determined by ai-assisted virtual patient | Experimental | Participants will receive repositioning splint therapy with jaw position determined by ai-assisted virtual patient |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Repositioning splint therapy with jaw position determined by mechanical articulator | Procedure | The therapeutic jaw position will be determined by the following steps:
Incisal pin height was increased to establish vertical dimension. |
| Measure | Description | Time Frame |
|---|---|---|
| Condylar position as assessed by CBCT measurements | Condylar position of the three groups will be assessed after each treatment based on the measurements of sagittal joint spaces (anterior/superior/posterior) on CBCT's cross-sectional views. | 3-6 months |
| Condylar repositioning rate as assessed by CBCT measurements | Using Mimics software, post-treatment condylar positions were analyzed and measured. The proportions of affected-side condyles reposition to the Gelb 4/7 position were compared across the three therapeutic jaw position determination methods. | 3-6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Fricton index as assessed by comprehensive physical examination to participants | Fricton index consists of dysfunction index and palpation index, which can quantify mandibular function and movement, palpation of muscles and other indicators, and is widely used to evaluate the clinical efficacy of temporomandibular disorders. | 3-6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hao Yu, PhD, MD | Fujian Medical University, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fujian Medical University | Fuzhou | Fujian | China |
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|
| Repositioning splint therapy with jaw position determined by ai-assisted virtual articulator | Procedure | The jaw position was determined by the following steps:
|
|
| Repositioning splint therapy with jaw position determined by ai-assisted virtual patient | Procedure | The jaw position was determined by the following steps:
|
|
| Dysfunction index as assessed by by comprehensive physical examination to participants |
Dysfunction index refers to the comprehensive Index that reflect temporomandibular joint tenderness and functioning problems. |
| 3-6 months |
| Palpation index as assessed by by comprehensive physical examination to participants | Palpation index refers to the comprehensive index that reflect muscle tenderness problems. | 3-6 months |
| 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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