AMOUNT OF INTRAORAL OCCLUSAL ADJUSTMENTS IN OCCLUSAL SPLINTS FABRICATED USING FULLY DIGITAL VERSUS COMBINED DIGITAL WORKFLOW IN TMD PATIENTS

NCT ID: NCT06752200

Last Updated: 2024-12-30

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2025-07-31

Brief Summary

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Each eligible patient will be randomly into one of two groups:

group A: Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking device.

group B: Occlusal splints fabricated using a combined digital workflow using a conventional bite technique.

The intervention involves the fabrication of 3D printing of occlusal splint with fully digitalization technique by the aid of Jaw Tracing Device (Zebis JMA, Germany). The acquisition and scanning of the patients are done by using an intra oral scanner (Medit i700, South Korea) and designing them using a designing software (Exocad, USA). This device will be printed with a 3D printer (Anycubic, China) utilizing printable resin material with codes for which the outcome assessor is kept totally unaware.

For the comparator group, upper and lower arches will be scanned intraorally. The bite will be registered at centric by using rubber base bite registration material after patient deprogramming with Lucia jig. Then the bite will be scanned.

The splint will be designed and printed in the same workflow as the intervention group.

The amount of intraoral occlusal adjustments (represented by the 3-dimension volumetric changes) will be measured by Medit link by millimeters before the splint insertion.

Detailed Description

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Conditions

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TMD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Statistician

Study Groups

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Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking devic

The intervention involves the fabrication of 3D printing of occlusal splint with fully digitalization technique by the aid of Jaw Tracing Device (Zebis JMA, Germany).

Group Type EXPERIMENTAL

Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking device.

Intervention Type DEVICE

Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking device.

Occlusal splints fabricated using a combined digital workflow using a conventional bite technique.

For the comparator group, upper and lower arches will be scanned intraorally. The bite will be registered at centric by using rubber base bite registration material after patient deprogramming with Lucia jig. Then the bite will be scanned. The splint will be designed and printed in the same workflow as the intervention group.

Group Type ACTIVE_COMPARATOR

Occlusal splints fabricated using a combined digital workflow using a conventional bite technique

Intervention Type DEVICE

upper and lower arches will be scanned intraorally. The bite will be registered at centric by using rubber base bite registration material after patient deprogramming with Lucia jig. Then the bite will be scanned. The splint will be designed and printed in the same workflow as the intervention group.

Interventions

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Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking device.

Occlusal splints fabricated using a fully digital workflow including the use of a jaw tracking device.

Intervention Type DEVICE

Occlusal splints fabricated using a combined digital workflow using a conventional bite technique

upper and lower arches will be scanned intraorally. The bite will be registered at centric by using rubber base bite registration material after patient deprogramming with Lucia jig. Then the bite will be scanned. The splint will be designed and printed in the same workflow as the intervention group.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* (1) 18-40 years old

(2) Complete dentition.

(3) Normal jaw opening.

(4) Intact teeth.

(5) No occlusal disorder; stable jaw relation.

(6) No ongoing dental therapy, such as orthodontic or prosthodontic treatment.

(7) TMD patients with more than one of following symptoms or signs: myofascial pain and /or pain in the TMJ, myofascial pain and/or pain in the TMJ on palpation, muscles tenderness, headache or earache.

(8) Patients who had unsuccessfully undergone splint therapy or other TMD treatments in the past were not excluded.

Exclusion Criteria

* (1) Patients with an unstable occlusion

(2) Patients with systemic diseases and comorbidities

(3) Temporomandibular joint lesions found on clinical palpation or medical imaging examination

(4) Jaw opening less than 3 fingers

(5) Patients with occlusal dysfunctions

(6) Patients with severe or moderate periodontitis

(7) Unable to undergo examination or treatment due to the presence of a psychological or mental disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Salma abd el fattah abbass sayed tantawy

Teacher assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Salma A Tantawy, Master of prosthodontics

Role: CONTACT

Phone: +20100357380

Email: [email protected]

Other Identifiers

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D Ro 3_3_1

Identifier Type: -

Identifier Source: org_study_id