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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
19
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.
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.
Yeditepe University
Istanbul, Ataşehir, Turkey (Türkiye)
Change in Temporomandibular Joint Pain
10 point scale 0- no pain 10- severe pain
Time frame: 6 weeks after the first measurement
Change in TMJ MR images
Disc-condyle angle, disc and condyle positions were measured over TMJ images
Time frame: 6 weeks after the first measurement
Change in Mandibular Movements
Depression, Left and Right lateralization of the mandibula was measured by the caliper
Time frame: 6 weeks after the first measurement
Change in Cervical Movement
Cervical Region range of motions was measured by a goniometer
Time frame: 6 weeks after the first measurement
Changes in bodily pain
10 point scale 0- no pain 10- severe pain
Time frame: 6 weeks after the first measurement
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