Comparison of three different options for immediate treatment of painful temporomandibular disorders

• Verfasst von: Giannakopoulos, Nikolaos Nikitas [VerfasserIn]
• Verfasst von: Katsikogianni, Eleni [VerfasserIn]
• Verfasst von: Hellmann, Daniel [VerfasserIn]
• Verfasst von: Eberhard, Lydia [VerfasserIn]
• Verfasst von: Leckel, Michael [VerfasserIn]
• Verfasst von: Schindler, Hans J. [VerfasserIn]
• Verfasst von: Schmitter, Marc [VerfasserIn]
• Titel: Comparison of three different options for immediate treatment of painful temporomandibular disorders
• Titelzusatz: a randomized, controlled pilot trial
• Verf.angabe: Nikolaos N. Giannakopoulos, Eleni N. Katsikogianni, Daniel Hellmann, Lydia Eberhard, Michael Leckel, Hans J. Schindler and Marc Schmitter
• E-Jahr: 2016
• Jahr: 13 Jul 2016
• Umfang: 7 S.
• Teil: volume:74
• Teil: year:2016
• Teil: number:6
• Teil: pages:480-486
• Teil: extent:7
• Fussnoten: Gesehen am 08.06.2020
• Titel Quelle: Enthalten in: Acta odontologica Scandinavica
• Ort Quelle: London [u.a.] : Taylor & Francis Group, 1939
• Jahr Quelle: 2016
• Band/Heft Quelle: 74(2016), 6, Seite 480-486
• ISSN Quelle: 1502-3850
• DOI: doi:10.1080/00016357.2016.1204558
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Counselling
• Sach-SW: occlusal splints
• Sach-SW: orofacial pain
• K10plus-PPN: 170016807X

Abstract

Objective: The purpose of this study was to compare the short-term effectiveness of three different types of immediate, non-pharmacological intervention for alleviation of the painful symptoms of temporomandibular disorders (TMD).Material and methods: Thirty-six patients (mean age 41.6 ± 16.7 years, 25 females) diagnosed with non-dysfunctional painful TMD received counselling and subsequently were randomly allocated to three treatment groups: patients in Group A received prefabricated oral splints with water-filled elastic pads (Aqualizer®), those in Group B were provided with vacuum-formed co-polyester oral splints and those in Group C were given appointments to receive Michigan-type hard splints. Clinical examination was conducted, at baseline and after 2 weeks, by use of the RDC/TMD. Current pain intensity was determined by evaluation of graded chronic pain status (GCPS) on a numerical rating scale (NRS). Active maximum mouth opening without pain (AMMOP) was also measured. Paired sample t-tests and one-way analysis of variance with a significance level of p ≤ 0.05 were conducted.Results: After 2 weeks, overall mean current pain was reduced by 41.95% (p < 0.001). Current pain reduction was significant for Group B (66.6%, p < 0.001) but not for Groups A (37.88%, p = 0.56) and C (22.29%, p = 0.26). After 2 weeks, current pain level for Group B was significantly lower than that for Group C (p = 0.041). Overall, there was a statistically significant increase of AMMOP (p = 0.01).Conclusion: All therapeutic options were pain-reducing. The results from this study suggest that cost-effective and time-effective intervention of counselling combined with use of a vacuum-formed splint is a favourable option for initial, short-term treatment of painful TMD.