Temporomandibular Joint Disorders Clinical Trial
Official title:
The Evaluation Of The Efficacy Of Auriculotemporal Nerve Block In Temporomandibular Disorders
Verified date | March 2021 |
Source | Tokat Gaziosmanpasa University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The retrospective study aimed to evaluate the efficacy of the Auriculotemporal Nerve Block (ATNB) in achieving unrestricted mouth opening amount and in reducing the pain scores in those patients diagnosed with disc displacement with (DDWR) and without reduction (DDWOR) according to the Diagnostic Criteria for Temporomandibular Disorders, who could not benefit from noninvasive methods but did not want further invasion.
Status | Completed |
Enrollment | 22 |
Est. completion date | December 7, 2020 |
Est. primary completion date | September 23, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Underwent non-invasive therapies (occlusal stabilization splints, behavioral modifications, physical therapy, pharmacotherapy) but did not benefit from them and volunteered for the ATNB instead of invasive therapies (arthrocentesis, arthroscopy, and discectomy). Exclusion Criteria: Patients with - Symptoms of the diseases possibly related to TMD (e.g., fibromyalgia, hypothyroidism, scleroderma, rheumatoid arthritis) - Orofacial disorders that might have been responsible for the TMD symptoms (e.g., neuralgia, migraine, myositis, trauma, neuropathic pain, infections) - Complications due to ATNB (e.g., temporary facial nerve palsy, hematoma, positive aspiration) - History of invasive therapies or TMJ surgeries |
Country | Name | City | State |
---|---|---|---|
Turkey | Tokat Gaziosmanpasa University, Faculty of Dentistry | Tokat |
Lead Sponsor | Collaborator |
---|---|
Tokat Gaziosmanpasa University |
Turkey,
Ayesh EE, Ernberg M, Svensson P. Effects of local anesthetics on somatosensory function in the temporomandibular joint area. Exp Brain Res. 2007 Jul;180(4):715-25. Epub 2007 Feb 15. — View Citation
Nascimento MM, Vasconcelos BC, Porto GG, Ferdinanda G, Nogueira CM, Raimundo RD. Physical therapy and anesthetic blockage for treating temporomandibular disorders: a clinical trial. Med Oral Patol Oral Cir Bucal. 2013 Jan 1;18(1):e81-5. — View Citation
NASCIMENTO, Mirella Marques Mercês do, et al. Anesthetic blockage of the auriculotemporal nerve and its clinical implications. Odontologia Clínico-Científica (Online), 2011, 10.2: 143-146.
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Baseline Pain Intensity | Pain intensity was measured using a 10-point Visual Analog Scale (VAS), in which 0 referred to 'no pain', 5 referred to 'moderate pain,' and 10 referred to 'excruciating pain'. The patients were asked to mark their pain intensities on VAS scale. | At the initial visit before starting anesthetic administration. | |
Primary | Post-injection Pain Intensity | Pain intensity was measured using a 10-point Visual Analog Scale (VAS), in which 0 referred to 'no pain', 5 referred to 'moderate pain,' and 10 referred to 'excruciating pain'. The patients were asked to mark their pain intensities on VAS scale. | At six months follow-up visit | |
Primary | Change From Baseline Maximal Mouth Opening on Post-Injection Follow Up Visits | All patients' maximal mouth opening were measured and recorded as the distance between upper and lower right central incisors. | At the first week, fourth week and sixth month. | |
Secondary | Overall Satisfaction With The Applied Treatment | Patients were asked dichotomously to define the ATNB as successful/unsuccessful, according to their experience. The patients' responses were recorded individually. | At the six-month follow-up visit |
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