Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial
Background. Acute anterior disc displacement without reduction (ADDWoR) is characterized by permanent TMJ disc displacement, pain and functional limitations. Occlusal appliances (OA) are among the therapies of choice. Methods. A single-blind randomized study was carried out to compare the therapeuti...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/23/7037 |
| _version_ | 1797462929258315776 |
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| author | Paola Di Giacomo Carlo Di Paolo Erda Qorri Roberto Gatto Giovanni Manes Gravina Giovanni Falisi |
| author_facet | Paola Di Giacomo Carlo Di Paolo Erda Qorri Roberto Gatto Giovanni Manes Gravina Giovanni Falisi |
| author_sort | Paola Di Giacomo |
| collection | DOAJ |
| description | Background. Acute anterior disc displacement without reduction (ADDWoR) is characterized by permanent TMJ disc displacement, pain and functional limitations. Occlusal appliances (OA) are among the therapies of choice. Methods. A single-blind randomized study was carried out to compare the therapeutic success of two different types of splints in patients with ADDWoR. A total of 30 subjects were eligible for the study out of the 330 screened. Group I (n = 15) received RA.DI.CA splint therapy and Group II (<i>n</i> = 15) received stabilization splint therapy. Temporomandibular pain, headache, neck pain and functional excursions were evaluated at baseline (T0), after 4 weeks (T1) and after 6 months (T2). Descriptive and inferential statistics were performed. Results. There was a significant increase in maximum jaw opening and a reduction in pain in both groups (<i>p</i> < 0.05), except for neck pain in Group II. Significant differences in between- and within-subject factors emerged in all of the parameters evaluated, especially between T1 and T2 scores, with a greater trend of improvement in Group I than Group II. Conclusion. RA.DI.CA splints were found to be more effective for the considered sample, especially in the treatment of comorbidities and functional movements, probably due to the greater orthopedic action and joint mobilization. |
| first_indexed | 2024-03-09T17:43:29Z |
| format | Article |
| id | doaj.art-523bc362bdd640ddaaf9ab10f34b1eb5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T17:43:29Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-523bc362bdd640ddaaf9ab10f34b1eb52023-11-24T11:21:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011123703710.3390/jcm11237037Conservative Therapies for TMJ Closed Lock: A Randomized Controlled TrialPaola Di Giacomo0Carlo Di Paolo1Erda Qorri2Roberto Gatto3Giovanni Manes Gravina4Giovanni Falisi5Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Dentistry, Faculty of Medical Sciences, Albanian University, 1001 Tirana, AlbaniaDepartment of Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyBackground. Acute anterior disc displacement without reduction (ADDWoR) is characterized by permanent TMJ disc displacement, pain and functional limitations. Occlusal appliances (OA) are among the therapies of choice. Methods. A single-blind randomized study was carried out to compare the therapeutic success of two different types of splints in patients with ADDWoR. A total of 30 subjects were eligible for the study out of the 330 screened. Group I (n = 15) received RA.DI.CA splint therapy and Group II (<i>n</i> = 15) received stabilization splint therapy. Temporomandibular pain, headache, neck pain and functional excursions were evaluated at baseline (T0), after 4 weeks (T1) and after 6 months (T2). Descriptive and inferential statistics were performed. Results. There was a significant increase in maximum jaw opening and a reduction in pain in both groups (<i>p</i> < 0.05), except for neck pain in Group II. Significant differences in between- and within-subject factors emerged in all of the parameters evaluated, especially between T1 and T2 scores, with a greater trend of improvement in Group I than Group II. Conclusion. RA.DI.CA splints were found to be more effective for the considered sample, especially in the treatment of comorbidities and functional movements, probably due to the greater orthopedic action and joint mobilization.https://www.mdpi.com/2077-0383/11/23/7037occlusal splintsADDWoRtemporomandibular disordersarthralgiaheadache |
| spellingShingle | Paola Di Giacomo Carlo Di Paolo Erda Qorri Roberto Gatto Giovanni Manes Gravina Giovanni Falisi Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial Journal of Clinical Medicine occlusal splints ADDWoR temporomandibular disorders arthralgia headache |
| title | Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial |
| title_full | Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial |
| title_fullStr | Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial |
| title_full_unstemmed | Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial |
| title_short | Conservative Therapies for TMJ Closed Lock: A Randomized Controlled Trial |
| title_sort | conservative therapies for tmj closed lock a randomized controlled trial |
| topic | occlusal splints ADDWoR temporomandibular disorders arthralgia headache |
| url | https://www.mdpi.com/2077-0383/11/23/7037 |
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