A Comparative Study Using Two 3D Printed Occlusal Splints for Patients With Tempromandibular Disorder

Cairo University24 enrolled

Overview

• to compare the relief of pain for patients with anterior disc displacement with reduction between two groups; in the first group a digitally formed stabilizing splint followed by an anterior repositioning splint (ARS) and the second group a digitally fabricated (ARS) splints followed by a stabilizing splints

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Temporomandibular Disorder

Interventions

splintsDEVICE

* Scaning of the maxillary and mandibular cast in the centric relation. * The CAD/ CAM splints will be designed using Exocad s. * The design will include all maxillary teeth and the occlusal surfaces will be flat and smooth. * The difference in design between the ARS and the stabilization splint, is that the ARS will have an anterior ramp to allow for posterior disocclusion of posterior teeth, while the stabilization splint will not have such a pronounced anterior ramp. * Both splints will be printed using Dent2 3D printer and then cured using Dentcure. * All patient will be asked to wear their spints during sleeping only. * In each group, patient will be recalled after 1week,2 weeks 1,2and 3monthes then change for the other splint for another 3 months .

Eligibility

Sex: MALEMin age: 20 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * • TMDs according to the research diagnostic criteria (RDC)8 which include: i. Painful TMJ audible and palpable click unilateral or bilateral ii. Presence of clicking during opening. iii. TMJ tenderness. * Fully dentate patients without any malocclusion (natural or restored by fixed prothesis) and good oral hygiene. * Co-operative patient that should show motivation to follow up. Exclusion Criteria: * • Patients with systemic diseases which could affect TMJ, e.g., rheumatoid arthritis, osteoarthrosis, Myasthenia Gravis and fibromyalgia. * Patients taking analgesic, muscle relaxant, or anti-inflammatory drugs were excluded because such drugs could influence the results. * Patients with removable dental prosthesis

Outcomes

Primary Outcomes

pain relief

questionnaire will be used to evaluate the pain

Time frame: 6 months

Data from ClinicalTrials.gov

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