This study evaluates the efficacy of behavioral therapy, including Cognitive Behavioral Therapy (CBT), relaxation techniques, and biofeedback, in managing Temporomandibular Disorders (TMD). It aims to address both the physical and psychological aspects of TMD, focusing on pain reduction, improved jaw function, and alleviating psychological distress such as anxiety and depression. Participants are randomized into two groups: an intervention group receiving behavioral therapy and a control group receiving standard care. Outcomes will be assessed using validated tools to measure pain intensity, jaw function, and psychological well-being at baseline, post-treatment, and at a 6-month follow-up. This research seeks to establish the role of behavioral therapy as a key component in the comprehensive management of TMD.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Includes Cognitive Behavioral Therapy (CBT), relaxation techniques, and biofeedback.
Includes pharmacological treatment (e.g., NSAIDs, muscle relaxants) and physical therapy interventions
King Khalid University
Abhā, Saudi Arabia
Pain Intensity
Assesses changes in self-reported pain levels with scores ranging from 0 (no pain) to 10 (worst pain)levels (0 = no pain, 10 = worst pain)
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Psychological Distress (Anxiety)
Measures depression levels with a score based on the frequency and severity of symptoms.
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Psychological Distress (Depression)
Measures depression levels with a score based on the frequency and severity of symptoms.
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Maximum Mouth Opening
Measures the maximum distance (in millimeters) between the upper and lower front teeth during maximum voluntary opening.
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Jaw Range of Motion
Assesses the range of motion of the jaw through physical examination, measuring angular movement in degrees.
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Pain-Related Disability
Assessed using the TMD Pain Disability Index (TDI) to evaluate the impact of pain on daily activities and quality of life
Time frame: Baseline, 8 weeks post-treatment, and 6-month follow-up
Long-Term Symptom Relief
Sustained improvement in pain, jaw function, and psychological distress over time, assessed using VAS, GAD-7, PHQ-9, and TDI scores.
Time frame: 6-month follow-up
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