Counselling Treatment Versus Counselling Associated with Jaw Exercises in Patients with Disc Displacement with Reduction-a Single-blinded, Randomized, Controlled Clinical Trial

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2023 Jun 14

PMID 37316791

Authors

Carolina Antunes Santa Cecilia Simoes

Mayara Aparecida Moreira da Silva

Rafael Alvim Magesty

Saulo Gabriel Moreira Falci

Dhelfeson Willya Douglas-de-Oliveira

Patricia Furtado Goncalves

Olga Dumont Flecha

Affiliations

Soon will be listed here.

Abstract

Objective: To compare effectiveness of counselling program versus counselling program plus jaw exercises to reduce pain and click in patients with temporomandibular joint disc displacement with reduction (DDWR).

Materials And Methods: Patients were divided into two groups: instructions for temporomandibular disorders (TMD) plus jaw exercises (test, n = 34), only TMD instructions (control, n = 34). Pain was analyzed by palpation (RDC/TMD). It was investigated if the click caused discomfort. Both groups were evaluated at baseline, 24 h, 7 days, and 30 days' post treatment.

Results: The click was present in 85.7% (n = 60). In 30-day evaluation, there was a statistically significant difference between groups in the right median temporal muscle (p = 0.041); and there was a statistically significant difference in treatment self-perception (p = 0.002) and click's discomfort (p < 0.001).

Conclusion: The exercise with recommendations showed better results, resolution of the click, and self-perception of the treatment effectiveness.

Clinical Relevance: This study presents therapeutic approaches that are easy to perform and that can be monitored remotely. In view of the current stage of the global pandemic, these treatment options become even more valid and useful.

Clinical Trial Register: This clinical trial was registered at Brazilian Clinical Trials Registry (ReBec) under protocol RBR-7t6ycp ( http://www.ensaiosclinicos.gov.br/rg/RBR-7t6ycp/ ), Date of registration: 26/06/2020.

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References

Wabeke K, Hansson T, Hoogstraten J, van der Kuy P . Temporomandibular joint clicking: a literature overview. J Craniomandib Disord. 1989; 3(3):163-73. View

Jussila P, Kiviahde H, Napankangas R, Pakkila J, Pesonen P, Sipila K . Prevalence of Temporomandibular Disorders in the Northern Finland Birth Cohort 1966. J Oral Facial Pain Headache. 2017; 31(2):159-164. DOI: 10.11607/ofph.1773. View

Moraes A, Sanches M, Ribeiro E, Guimaraes A . Therapeutic exercises for the control of temporomandibular disorders. Dental Press J Orthod. 2013; 18(5):134-9. DOI: 10.1590/s2176-94512013000500022. View

Dickerson S, Weaver J, Boyson A, Thacker J, Junak A, Ritzline P . The effectiveness of exercise therapy for temporomandibular dysfunction: a systematic review and meta-analysis. Clin Rehabil. 2016; 31(8):1039-1048. DOI: 10.1177/0269215516672275. View

Lorenzi Poluha R, De la Torre Canales G, Costa Y, Grossmann E, Bonjardim L, Conti P . Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation. J Appl Oral Sci. 2019; 27:e20180433. PMC: 6382319. DOI: 10.1590/1678-7757-2018-0433. View

de Felicio C, de Oliveira M, da Silva M . Effects of orofacial myofunctional therapy on temporomandibular disorders. Cranio. 2010; 28(4):249-59. DOI: 10.1179/crn.2010.033. View

Michelotti A, Steenks M, Farella M, Parisini F, Cimino R, Martina R . The additional value of a home physical therapy regimen versus patient education only for the treatment of myofascial pain of the jaw muscles: short-term results of a randomized clinical trial. J Orofac Pain. 2004; 18(2):114-25. View

Guarda-Nardini L, Manfredini D, Ferronato G . Short-term effects of arthrocentesis plus viscosupplementation in the management of signs and symptoms of painful TMJ disc displacement with reduction. A pilot study. Oral Maxillofac Surg. 2009; 14(1):29-34. DOI: 10.1007/s10006-009-0179-z. View

Lorenzi Poluha R, De la Torre Canales G, Bonjardim L, Conti P . Clinical variables associated with the presence of articular pain in patients with temporomandibular joint clicking. Clin Oral Investig. 2020; 25(6):3633-3640. DOI: 10.1007/s00784-020-03685-8. View

10.

Dworkin S, LeResche L . Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6(4):301-55. View

11.

De Laat A, Stappaerts K, Papy S . Counseling and physical therapy as treatment for myofascial pain of the masticatory system. J Orofac Pain. 2003; 17(1):42-9. View

12.

Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A . Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis. Phys Ther. 2015; 96(1):9-25. PMC: 4706597. DOI: 10.2522/ptj.20140548. View

13.

Minervini G, DAmico C, Cicciu M, Fiorillo L . Temporomandibular Joint Disk Displacement: Etiology, Diagnosis, Imaging, and Therapeutic Approaches. J Craniofac Surg. 2023; 34(3):1115-1121. DOI: 10.1097/SCS.0000000000009103. View

14.

Magesty R, da Silva M, Simoes C, Falci S, Douglas-de-Oliveira D, Goncalves P . Oral health-related quality of life in patients with disc displacement with reduction after counselling treatment versus counselling associated with jaw exercises. J Oral Rehabil. 2020; 48(4):369-374. DOI: 10.1111/joor.13126. View

15.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J . Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014; 28(1):6-27. PMC: 4478082. DOI: 10.11607/jop.1151. View

16.

do Vale Braido G, Svensson P, Dos Santos Proenca J, Mercante F, Fernandes G, Goncalves D . Are central sensitization symptoms and psychosocial alterations interfering in the association between painful TMD, migraine, and headache attributed to TMD?. Clin Oral Investig. 2022; 27(2):681-690. DOI: 10.1007/s00784-022-04783-5. View

17.

Ferrillo M, Migliario M, Marotta N, Fortunato F, Bindi M, Pezzotti F . Temporomandibular disorders and neck pain in primary headache patients: a retrospective machine learning study. Acta Odontol Scand. 2022; 81(2):151-157. DOI: 10.1080/00016357.2022.2105945. View

18.

West N, Addy M, Jackson R, Ridge D . Dentine hypersensitivity and the placebo response. A comparison of the effect of strontium acetate, potassium nitrate and fluoride toothpastes. J Clin Periodontol. 1997; 24(4):209-15. DOI: 10.1111/j.1600-051x.1997.tb01833.x. View

19.

Michelotti A, de Wijer A, Steenks M, Farella M . Home-exercise regimes for the management of non-specific temporomandibular disorders. J Oral Rehabil. 2005; 32(11):779-85. DOI: 10.1111/j.1365-2842.2005.01513.x. View

20.

Lazarin R, Previdelli I, Silva R, Iwaki L, Grossmann E, Filho L . Correlation of gender and age with magnetic resonance imaging findings in patients with arthrogenic temporomandibular disorders: a cross-sectional study. Int J Oral Maxillofac Surg. 2016; 45(10):1222-8. DOI: 10.1016/j.ijom.2016.04.016. View