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Evaluation of Postural Exercises in the Treatment of Temporomandibular Disorders

NCT ID: NCT06707467

Last Updated: 2024-11-27

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

RECRUITING

Clinical Phase

NA

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-01

Study Completion Date

2025-01-15

Brief Summary

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Fifty-seven patients diagnosed with internal temporomandibular derangement will be included in the study and divided into three groups. All patients will be treated with a proven-effective occlusal splint. The first group will receive only occlusal splint therapy and will serve as the control group. The second group will receive occlusal splint therapy combined with Rocabado exercises, while the third group will receive occlusal splint therapy combined with postural exercises.

Before the treatment process, all patients will complete the Temporomandibular Disorders Diagnostic Criteria (TMD-DC) form. Pain intensity will be measured using the Visual Analog Scale (VAS), pain thresholds will be assessed using an algometer, and the following evaluations will be performed: Cervical Posture Assessment (Craniovertebral Angle with Goniometer)-Cervical Range of Motion Assessment (C-ROM)-Cervical Deep Flexor Muscle Endurance Test-Neck Disability Assessment (NDI - Neck Disability Index)-Psychiatric Assessment (HADS - Hospital Anxiety and Depression Scale).

After two months, patients will be recalled, and all tests will be repeated. The effectiveness of the three treatment protocols will then be evaluated.

Detailed Description

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Conditions

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Occlusal Splints Temporomandibular Disorders (TMD)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Patients with internal temporomandibular derangement are divided into three groups. The first group receives only occlusal splint therapy. The second group undergoes occlusal splint therapy combined with Rocabado exercises, while the third group is treated with occlusal splint therapy combined with postural exercises. The effectiveness of the treatment protocols is evaluated.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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nineteen patients with internal temporomandibular disarrangement-group 1

Nineteen randomly selected patients with internal temporomandibular disarrangement

Group Type EXPERIMENTAL

occlusal splints combined with rocabado exercise

Intervention Type OTHER

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with Rocabado exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether Rocabado exercises have a positive effect on the treatment process.

nineteen patients with internal temporomandibular disarrangement-group 2

nineteen randomly selected patients with internal temporomanidbular disarrangement

Group Type ACTIVE_COMPARATOR

occlusal splint

Intervention Type OTHER

nineteen patients diagnosed with internal temporomandibular derangement will receive occlusal splint therapy, a treatment method with proven effectiveness.

nineteen patients with internal temporomandibular disarrangement-group 3

nineteen selected patients with internal temporomandibular disarrangements

Group Type EXPERIMENTAL

occlusal splint combined with posture exercise

Intervention Type OTHER

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with posture exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether posture exercises have a positive effect on the treatment process.

Interventions

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occlusal splint

nineteen patients diagnosed with internal temporomandibular derangement will receive occlusal splint therapy, a treatment method with proven effectiveness.

Intervention Type OTHER

occlusal splints combined with rocabado exercise

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with Rocabado exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether Rocabado exercises have a positive effect on the treatment process.

Intervention Type OTHER

occlusal splint combined with posture exercise

Nineteen patients diagnosed with internal temporomandibular derangement will be provided with posture exercises in addition to the proven-effective treatment method of occlusal splint therapy. This approach aims to evaluate whether posture exercises have a positive effect on the treatment process.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being diagnosed with internal temporomandibular disarrangement
* aged 18 years or older
* Willingness to participate in the study
* Ability to speak and understand Turkish, with no communication difficulties severe enough to impede understanding of the exercises

Exclusion Criteria

* History of acute trauma in the TMJ or surrounding area
* TMJ dysfunction caused by a neurological condition
* History of surgical/invasive procedures or treatments on the TMJ
* Presence of infection or tumoral structures within intraoral structures
* History of tooth loss or use of dental prostheses
* History of surgical procedures in the cervical region
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bandırma Onyedi Eylül University

OTHER

Sponsor Role collaborator

Istanbul University

OTHER

Sponsor Role lead

Responsible Party

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Berk Bilgen

PhD DDS Research Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ebru K Mutlu, Clinical Prof.

Role: STUDY_DIRECTOR

Bandırma Onyedi Eylül University

Locations

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Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Berk Bilgen, Research Assistant

Role: CONTACT

[email protected]
+905385492774

Facility Contacts

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Berk Bilgen, Research Assistant

Role: primary

[email protected]
+905385492774

Berk Bilgen, Research Assistant PhD

Role: backup

Tuğçe Bilgiç, Research Assistant

Role: backup

Olcay Sakar, Clinical Prof. Dr.

Role: backup

Other Identifiers

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2023-186

Identifier Type: -

Identifier Source: org_study_id