AMOUNT OF INTRAORAL OCCLUSAL ADJUSTMENTS IN OCCLUSAL SPLINTS FABRICATED USING FULLY DIGITAL VERSUS COMBINED DIGITAL WORKFLOW IN TMD PATIENTS

Launched by CAIRO UNIVERSITY · Dec 21, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how different methods of creating occlusal splints—devices that help with jaw and teeth alignment—affect patients with Temporomandibular Disorder (TMD). Participants will be randomly assigned to one of two groups: one will receive a splint made using a fully digital process that includes a special device to track jaw movement, and the other will receive a splint made using a combination of digital and traditional methods. The main focus is to see how much adjustment is needed for each type of splint once they are placed in the mouth.

To be eligible for this trial, participants must be between 18 and 40 years old, have all their teeth, and not have any current dental treatments or significant jaw issues. They should also have symptoms related to TMD, like jaw pain or headaches. If you join the trial, you can expect to undergo some scanning and fitting processes for your splint, and the study will measure how well each type of splint fits before you start using it. This research aims to find the best approach to help manage TMD symptoms effectively.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • (1) 18-40 years old
• • (2) Complete dentition.
• • (3) Normal jaw opening.
• • (4) Intact teeth.
• • (5) No occlusal disorder; stable jaw relation.
• • (6) No ongoing dental therapy, such as orthodontic or prosthodontic treatment.
• • (7) TMD patients with more than one of following symptoms or signs: myofascial pain and /or pain in the TMJ, myofascial pain and/or pain in the TMJ on palpation, muscles tenderness, headache or earache.
• • (8) Patients who had unsuccessfully undergone splint therapy or other TMD treatments in the past were not excluded.
• Exclusion Criteria:
• • (1) Patients with an unstable occlusion
• • (2) Patients with systemic diseases and comorbidities
• • (3) Temporomandibular joint lesions found on clinical palpation or medical imaging examination
• • (4) Jaw opening less than 3 fingers
• • (5) Patients with occlusal dysfunctions
• • (6) Patients with severe or moderate periodontitis
• • (7) Unable to undergo examination or treatment due to the presence of a psychological or mental disorder.