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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06339736
Other study ID # 23815
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date January 10, 2022
Est. completion date December 2025

Study information

Verified date March 2024
Source University of Pisa
Contact Rossana Izzetti
Phone +39050993037
Email rossana.izzetti@unipi.it
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The aim of the present study was to assess the treatment outcomes in patients affected by M-TMDs in terms of pain scores assessed with pressure pain threshold (PPT). The levels of de-pression, anxiety and the Oral-Health Impact profile were also assessed and compared to healthy controls. Patients with a clinical diagnosis of M-TMDs and a control group of healthy subjects were enrolled. At baseline, OHIP-14, PHQ-9 and GAD-7 were administered. PPT was registered at the level of masseter and temporalis muscles. The patients were then treated with oral splints and physio-kinesiotherapy following a standardized treatment protocol. At 6-months follow-up, PPT was registered, and the questionnaires were re-administered to compare treatment outcomes.


Description:

Consecutive patients referred to the Unit of Dentistry and Oral Surgery for suspected TMD between January 2022 and December 2022 were enrolled. All the study participants signed an informed consent form to be included in the study. Two study groups were identified: - M-TMD group, including patients with a diagnosis of muscular TMDs; - A control group of subjects with a negative history for TMDs. The inclusion criteria for patients in the M-TMD group were i) males or females >18 years, ii) systemically healthy patients, iii) clinical examination revealing a diagnosis of muscular TMD and/or positive history of muscular TMD, iv) patients willing to give informed consent, and v) compliance to the study follow-up. Patients with i) articular TMDs, ii) chronic diseases, iii) any psychiatric diagnosis under medication, iv) pregnant or lactating, and v) not willing to comply with the study protocol were excluded. The subjects included in the control group were enrolled among the patients referred to the Unit of Oral Surgery of the Unit of Dentistry and Oral Surgery. The patients in the control group were i) males or females of age > 18 years, ii) systemically healthy patients, iii) clinical examination negative for pain in the masticatory muscles and negative for history of TMDs, and iv) patients willing to give informed consent and to be administered the study questionnaires. After diagnosis confirmation of M-TMD according to the DC/TMD criteria, the patients were treated with the application of an oral splint on the upper dental arch associated with physio-kinesiotherapy. The patients were administered OHIP-14, PHQ-9, and GAD-7 questionnaires to compare scores in the M-TMD patients versus healthy subjects


Recruitment information / eligibility

Status Recruiting
Enrollment 120
Est. completion date December 2025
Est. primary completion date January 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - males or females >18 years of age - systemically healthy patients - clinical examination revealing a diagnosis of muscular temporo-mandibular joint disorder (TMD) and/or positive history of muscular TMD - patients willing to give informed consent, and v) compliance to the study follow-up. Exclusion Criteria: - articular TMDs - chronic diseases - any psychiatric diagnosis under medication - pregnant or lactating females - not willing to comply with the study protocol

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Questionnaires administered to all study participants
Ten treatment sessions were performed, which initially involved muscular stretching and relaxation exercises and then strengthening and endurance exercises to achieve stabilization. An oral splint was applied to he upper dental arch.

Locations

Country Name City State
Italy University of Pisa Pisa

Sponsors (1)

Lead Sponsor Collaborator
University of Pisa

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Evaluation of the impact of muscular pain on oral health Assessment of Oral Health Impact Profile -14 (OHIP-14) questionnaire scores following treatment 6 months
Primary Evaluation of the impact of muscular pain on anxiety Assessment of General Anxiety Disorder-7 (GAD-7) questionnaire scores following treatment 6 months
Primary Evaluation of the impact of muscular pain on depression Assessment of Patient Health Questionnaire-9 (PHQ-9) questionnaire scores following treatment 6 months
Secondary Changes in muscular pain Changes in muscular pain following treatment assessed through pressure pain threshold 6 months
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