Efficacy of Appliance Therapy on Temporomandibular Disorder Related Facial Pain and Mandibular Mobility: A Randomized Controlled Study

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• 作者：Preeti Agarwal Katyayan…
• 关键词：Temporomandibular disorders ; Facial pain ; Mandibular mobility ; Stabilization splint ; Randomized clinical trials
• 刊名：The Journal of Indian Prosthodontic Society
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：14
• 期：3
• 页码：251-261
• 全文大小：638 KB
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• 作者单位：Preeti Agarwal Katyayan (1)
  Manish Khan Katyayan (2)
  Rupal J. Shah (1)
  Ghanshyam Patel (3)
  
  1. Department of Prosthetic Dentistry, Government Dental College & Hospital, Ahmedabad, Gujarat, India
  2. Department of Dentistry, GMERS Medical College & Hospital, Gandhinagar, Gujarat, India
  3. Cliantha Research Ltd., Ahmedabad, Gujarat, India
  
• ISSN：1998-4057

文摘

There is limited evidence supporting the role of occlusal splints in Temporomandibular disorder (TMD) therapy. The aim of this randomized controlled clinical trial was to assess the efficacy of stabilization splint therapy on TMD related facial pain and mandibular mobility. The sample of study consisted of eighty consecutive patients diagnosed with TMD. Patients were randomly assigned into two groups: a splint group (n?=?40) comprising of patients treated with stabilization splint, councelling and masticatory muscle exercises, and a control group (n?=?40), comprising of patients treated with councelling and masticatory muscle exercises alone. Data from both the groups were collected at the beginning of the study and after a 6-month follow up. The outcome variables were visual analogue scale on facial pain intensity and clinical findings for TMD (anterior maximal opening, mandibular right laterotrusion, mandibular left laterotrusion, mandibular protrusion, and number of painful muscle sites). Changes within the splint and control groups (before treatment and 6?months after treatment) were analyzed using paired samples t test. Differences in change between the splint and control groups were analyzed using independent samples t-test. The level of significance was set at p?