Quantitative Evaluation of Osteopathic Treatment in Temporomandibular Joint Disorders Using Magnetic Resonance Imaging

Osteopathy in Temporomandibular Disorders Clinical Trial

— TMD  

Official title:

Quantitative Evaluation of Osteopathic Treatment in Temporomandibular Joint Disorders Using Magnetic Resonance Imaging

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04468464
• Other study ID #: ACorekci
• Status: Active, not recruiting
• Phase: N/A
• Start date: September 15, 2018
• Est. completion date: August 30, 2020

Study information

• Verified date: July 2020
• Source: Yeditepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 19
• Est. completion date: August 30, 2020
• Est. primary completion date: September 20, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

• Clinical diagnosis of TMD (anterior disc displacement)

Exclusion Criteria:

• Active orthodontic treatment

• Systemic diseases

• Oral or dental pathologies

• Dental implant placement

• Exodontia within 6 months

• Cranial and cervical trauma or surgery

• Taking antidepressant medication

• Contraindication of MRI scans

Related Conditions & MeSH terms

• Disease
• Joint Diseases
• Osteopathy in Temporomandibular Disorders
• Temporomandibular Disorders, Articular Disc Disorder (Reducing or Non-Reducing)
• Temporomandibular Joint Disorders
• Temporomandibular Joint Dysfunction Syndrome

Intervention

Other:
• Occlusal Splint Treatment
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.
• Osteopathic Manual Treatment
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.

Locations

Country	Name	City	State
Turkey	Yeditepe University	Istanbul	Atasehir

Sponsors (1)

Lead Sponsor	Collaborator
Yeditepe University

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Gesslbauer C, Vavti N, Keilani M, Mickel M, Crevenna R. Effectiveness of osteopathic manipulative treatment versus osteopathy in the cranial field in temporomandibular disorders - a pilot study. Disabil Rehabil. 2018 Mar;40(6):631-636. doi: 10.1080/09638288.2016.1269368. Epub 2016 Dec 28. — View Citation

Kalamir, A., Pollard, H., Vitiello, A. L., & Bonello, R. (2007). Manual therapy for temporomandibular disorders: A review of the literature. Journal of Bodywork and Movement Therapies, 11(1), 84-90. https://doi.org/10.1016/j.jbmt.2006.07.003

Kurita H, Kurashina K, Ohtsuka A, Kotani A. Change of position of the temporomandibular joint disk with insertion of a disk-repositioning appliance. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Feb;85(2):142-5. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in Life Quality score	A high score corresponds to a good quality of life	6 weeks after the first measurement
Other	Change in sleep quality score	A high score corresponds to a low quality of the sleep	6 weeks after the first measurement
Primary	Change in Temporomandibular Joint Pain	10 point scale 0- no pain 10- severe pain	6 weeks after the first measurement
Primary	Change in TMJ MR images	Disc-condyle angle, disc and condyle positions were measured over TMJ images	6 weeks after the first measurement
Primary	Change in Mandibular Movements	Depression, Left and Right lateralization of the mandibula was measured by the caliper	6 weeks after the first measurement
Primary	Change in Cervical Movement	Cervical Region range of motions was measured by a goniometer	6 weeks after the first measurement
Secondary	Changes in bodily pain	10 point scale 0- no pain 10- severe pain	6 weeks after the first measurement