Stomatognathic System Assesment, After Different Methods of Establishing the Centric Relation

NCT ID: NCT03343015

Last Updated: 2019-06-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

72 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-02-24

Study Completion Date

2017-02-20

Brief Summary

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Patients with complete dentures were examined after the prosthoddontic treatment with two methods of establishing a centric relation: wax rims and gothic arch tracing method. The effectiveness of establishing a centric relation was evaluated.

Detailed Description

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In the study subjective experiences of patients, wearing complete dentures, were compared. Two different methods of determining a centric relation were performed: the traditional method using wax occlusal rims and the Gerber method, based on gothic arch tracings. The success rate of establishing a centric relation in both methods was evaluated (rentgenodiagnostics). The influence of the method used to obtain the centric relation on patients stomatognathic system (condyle centralization, pain) was also evaluated. The comparison between two methods was performed and results were analyzed. A centric relation was analyzed in temporomandibular joints and a corelation between TMD symptoms and centric relation was evaluated.

Conditions

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Temporomandibular Disorders

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Traditional CR establishing

establishing a CR in traditional way with occlusal wax rims during complete dentures therapy

complete dentures

Intervention Type PROCEDURE

therapy with maxilla and mandible dentures

Gothic arch method

establishing a CR with gothic arch tracing device during complete dentures therapy

complete dentures

Intervention Type PROCEDURE

therapy with maxilla and mandible dentures

Interventions

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complete dentures

therapy with maxilla and mandible dentures

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* TMD according to RDC/TMD group I ,II
* Edentulous patients wearing complete dentures
* Patients agreement for taking part in the study

Exclusion Criteria

* Analgesic drug addicted patients
* Neurological diseases with headache (migraine, cluster headache)
* Trauma in the head and neck region in the past 2 years
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medical University of Silesia

OTHER

Sponsor Role lead

Responsible Party

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Aleksandra Nitecka-Buchta

Principle Investigator DMD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stefan Baron, Profesor

Role: STUDY_DIRECTOR

Department of Temporomandibular Disorders and Orthodontics

Locations

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Department of TMD and Orthodontics Silesian Medical University

Zabrze, , Poland

Site Status

Countries

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Poland

References

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Imanimoghaddam M, Madani AS, Mahdavi P, Bagherpour A, Darijani M, Ebrahimnejad H. Evaluation of condylar positions in patients with temporomandibular disorders: A cone-beam computed tomographic study. Imaging Sci Dent. 2016 Jun;46(2):127-31. doi: 10.5624/isd.2016.46.2.127. Epub 2016 Jun 23.

Reference Type BACKGROUND
PMID: 27358820 (View on PubMed)

Ammanna S, Rodrigues A, Shetty NS, Shetty K, Augustine D, Patil S. A tomographic study of the mandibular condyle position in partially edentulous population. J Contemp Dent Pract. 2015 Jan 1;16(1):68-73. doi: 10.5005/jp-journals-10024-1637.

Reference Type BACKGROUND
PMID: 25876953 (View on PubMed)

Amorim VC, Lagana DC, de Paula Eduardo JV, Zanetti AL. Analysis of the condyle/fossa relationship before and after prosthetic rehabilitation with maxillary complete denture and mandibular removable partial denture. J Prosthet Dent. 2003 May;89(5):508-14. doi: 10.1016/s0022-3913(03)00029-5.

Reference Type BACKGROUND
PMID: 12806330 (View on PubMed)

Abdelnabi MH, Swelem AA. Influence of defective complete dentures renewal on TMD; an MRI and clinical controlled prospective study. Gerodontology. 2015 Sep;32(3):211-21. doi: 10.1111/ger.12102. Epub 2013 Dec 16.

Reference Type BACKGROUND
PMID: 24341614 (View on PubMed)

Huang M, Hu Y, Yu J, Sun J, Ming Y, Zheng L. Cone-beam computed tomographic evaluation of the temporomandibular joint and dental characteristics of patients with Class II subdivision malocclusion and asymmetry. Korean J Orthod. 2017 Sep;47(5):277-288. doi: 10.4041/kjod.2017.47.5.277. Epub 2017 Jul 27.

Reference Type BACKGROUND
PMID: 28861389 (View on PubMed)

Wilkie ND, Hurst TL, Mitchell DL. Radiographic comparisons of condyle-fossa relationships during maxillomandibular registrations made by different methods. J Prosthet Dent. 1974 Nov;32(5):529-33. doi: 10.1016/0022-3913(74)90007-9. No abstract available.

Reference Type BACKGROUND
PMID: 4531485 (View on PubMed)

Katzberg RW, Keith DA, Ten Eick WR, Guralnick WC. Internal derangements of the temporomandibular joint: an assessment of condylar position in centric occlusion. J Prosthet Dent. 1983 Feb;49(2):250-4. doi: 10.1016/0022-3913(83)90511-5.

Reference Type BACKGROUND
PMID: 6572265 (View on PubMed)

Nitecka-Buchta A, Proba T, Proba P, Stefanski K, Baron S. Functional Assessment of the Stomatognathic System, after the Treatment of Edentulous Patients, with Different Methods of Establishing the Centric Relation. Pain Res Manag. 2018 Feb 4;2018:1572037. doi: 10.1155/2018/1572037. eCollection 2018.

Reference Type DERIVED
PMID: 29623141 (View on PubMed)

Other Identifiers

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Mandible centralisation

Identifier Type: -

Identifier Source: org_study_id

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