Trial Outcomes & Findings for Occlusal Adjustment as Treatment for Chronic Orofacial Pain (NCT NCT00899717)
NCT ID: NCT00899717
Last Updated: 2013-07-26
Results Overview
The primary outcome was self-reported pain intensity on a 0 to 10 cm visual analog scale considering the temporomandibular disorder side, being 0="No pain" and 10="Worst imaginable pain"
COMPLETED
PHASE1/PHASE2
21 participants
Baseline, immediately after therapy, 3 months and 6 months after therapy
2013-07-26
Participant Flow
Participant milestones
| Measure |
Real Occlusal Adjustment
Occlusal adjustment : modification of occlusal surfaces
|
Sham Occlusal Adjustment
Placebo occlusal adjustment : Simulated modification of occlusal surfaces
|
|---|---|---|
|
Overall Study
STARTED
|
10
|
11
|
|
Overall Study
COMPLETED
|
10
|
11
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Occlusal Adjustment as Treatment for Chronic Orofacial Pain
Baseline characteristics by cohort
| Measure |
Real Occlusal Adjustment
n=10 Participants
|
Sham Occlusal Adjustment
n=11 Participants
|
Total
n=21 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
10 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age Continuous
|
34.7 years
STANDARD_DEVIATION 13.7 • n=5 Participants
|
29.73 years
STANDARD_DEVIATION 8.61 • n=7 Participants
|
32.1 years
STANDARD_DEVIATION 11.34 • n=5 Participants
|
|
Sex: Female, Male
Female
|
9 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
1 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Region of Enrollment
Spain
|
10 participants
n=5 Participants
|
11 participants
n=7 Participants
|
21 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline, immediately after therapy, 3 months and 6 months after therapyThe primary outcome was self-reported pain intensity on a 0 to 10 cm visual analog scale considering the temporomandibular disorder side, being 0="No pain" and 10="Worst imaginable pain"
Outcome measures
| Measure |
Real Occlusal Adjustment
n=10 Participants
|
Placebo Occlusal Adjustment
n=11 Participants
|
|---|---|---|
|
Visual Analogic Scale for Pain Intensity (0-10)
Baseline
|
6.52 units on a scale
Standard Deviation 1.84 • Interval 5.75 to 7.56
|
4.8 units on a scale
Standard Deviation 1.99 • Interval 2.75 to 7.0
|
|
Visual Analogic Scale for Pain Intensity (0-10)
Immediately after therapy
|
.81 units on a scale
Standard Deviation 1.56
|
2.05 units on a scale
Standard Deviation 2.07
|
|
Visual Analogic Scale for Pain Intensity (0-10)
3 months after therapy
|
2.25 units on a scale
Standard Deviation 2.68
|
3.80 units on a scale
Standard Deviation 2.94
|
|
Visual Analogic Scale for Pain Intensity (0-10)
6 months after therapy
|
.40 units on a scale
Standard Deviation .97
|
4 units on a scale
Standard Deviation 2.31
|
SECONDARY outcome
Timeframe: Before and 6 months after therapyPopulation: Only tests from 15 participants were suitable because of slow or too many positive responses.
Scale name: Global Severity Index. Scale graded from 0 to 4. Scores increases as the symptoms severity increases.
Outcome measures
| Measure |
Real Occlusal Adjustment
n=8 Participants
|
Placebo Occlusal Adjustment
n=7 Participants
|
|---|---|---|
|
Symptom Checklist-90-Revised (SCL-90-R®)
6 months after therapy Global Severity Index
|
0.75 units on a scale
Standard Deviation 0.5
|
0.51 units on a scale
Standard Deviation 0.58
|
|
Symptom Checklist-90-Revised (SCL-90-R®)
Baseline Global Severity Index
|
1.32 units on a scale
Standard Deviation 0.91
|
0.58 units on a scale
Standard Deviation 0.54
|
SECONDARY outcome
Timeframe: Before and 6 months after therapyThe change in the habitual chewing side of each participant across the study
Outcome measures
| Measure |
Real Occlusal Adjustment
n=10 Participants
|
Placebo Occlusal Adjustment
n=11 Participants
|
|---|---|---|
|
Preferred Chewing Side
Baseline
|
0 participants
|
0 participants
|
|
Preferred Chewing Side
6 months after therapy
|
8 participants
|
1 participants
|
SECONDARY outcome
Timeframe: 6 months (before and after therapy) including 4 assessment points: pre-treatment, post-treatment, 3- and 6-month follow upMaximum voluntary unassisted mouth opening
Outcome measures
| Measure |
Real Occlusal Adjustment
n=10 Participants
|
Placebo Occlusal Adjustment
n=11 Participants
|
|---|---|---|
|
Maximum Mouth Opening (mm)
Baseline
|
41.6 mm
Standard Deviation 8.26
|
42.36 mm
Standard Deviation 10.55
|
|
Maximum Mouth Opening (mm)
Immediately after therapy
|
45.50 mm
Standard Deviation 7.89
|
45.07 mm
Standard Deviation 10.61
|
|
Maximum Mouth Opening (mm)
3 months after therapy
|
47.10 mm
Standard Deviation 5.26
|
41.27 mm
Standard Deviation 11.31
|
|
Maximum Mouth Opening (mm)
6 months after therapy
|
49.20 mm
Standard Deviation 7.28
|
41.73 mm
Standard Deviation 10.34
|
SECONDARY outcome
Timeframe: BaselineParasagittal plane condylar path angles tracings in relation to the Frankfort line were made following the Gysi extraoral method.
Outcome measures
| Measure |
Real Occlusal Adjustment
n=10 Participants
|
Placebo Occlusal Adjustment
n=11 Participants
|
|---|---|---|
|
Condylar Path Angles
Right condylar path angle
|
52.33 degrees
Standard Deviation 10.28
|
49 degrees
Standard Deviation 8.09
|
|
Condylar Path Angles
Left condylar path angle
|
49.20 degrees
Standard Deviation 11.68
|
48.27 degrees
Standard Deviation 10.21
|
|
Condylar Path Angles
Pain side condylar path angle
|
56.75 degrees
Standard Deviation 12.62
|
51.09 degrees
Standard Deviation 9.31
|
|
Condylar Path Angles
Non-pain side condylar path angle
|
44.78 degrees
Standard Deviation 6.87
|
46.18 degrees
Standard Deviation 8.36
|
Adverse Events
Real Occlusal Adjustment
Sham Occlusal Adjustment
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Urbano Santana Penín
University of Santiago de Compostela
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place