Patient-Specific Occlusal Splints Using MODJAW Kinematics (MOD-SP)
Patient-Specific Occlusal Splints Designed Using MODJAW Kinematic Data: A Prospective Clinical Study
This clinical study is designed to evaluate the effectiveness of patient-specific occlusal splints created using MODJAW, a jaw-tracking device that records 3D mandibular movements. Occlusal splints are commonly used to treat bruxism (teeth grinding) and temporomandibular joint (TMJ) disorders, which can cause jaw pain, headaches, and worn teeth. Traditional splints are made using standard designs that do not consider each patient's unique jaw movements.
In this study, 40 participants with mild-to-moderate bruxism or TMJ dysfunction will be randomly assigned to two groups. One group will receive custom splints designed using MODJAW kinematic data, while the other group will receive standard occlusal splints. Participants will use their assigned splint for 8 weeks.
The study will measure:
Jaw movement patterns using MODJAW
TMJ pain levels
Patient comfort and satisfaction
The main goal is to determine whether MODJAW-based, patient-specific splints provide better jaw function, reduced pain, decreased teeth grinding, and higher patient satisfaction compared to standard splints.
Participants will be monitored throughout the study to ensure safety, comfort, and proper splint use. This study is expected to help dentists design more effective, personalized splints in the future and improve treatment outcomes for people with jaw disorders or bruxism.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Detailed Description:
Background and Rationale:
Bruxism and temporomandibular joint (TMJ) disorders are common conditions that can lead to jaw pain, headaches, tooth wear, and impaired quality of life. Occlusal splints are commonly prescribed to manage these conditions by stabilizing the jaw and distributing occlusal forces. Standard splints, however, are typically fabricated using uniform designs that do not account for the individual jaw movement patterns of each patient. Recent advances in digital dentistry, including the use of jaw-tracking devices such as MODJAW, allow clinicians to capture three-dimensional mandibular kinematics in real time. By using this information, occlusal splints can be designed to match the specific movement patterns of each patient, potentially improving comfort, jaw function, and clinical outcomes.
This study aims to evaluate whether patient-specific occlusal splints designed using MODJAW kinematic data provide superior clinical outcomes compared to standard occlusal splints.
Study Objectives:
To compare mandibular movement patterns between MODJAW-based patient-specific splints and standard occlusal splints.
To evaluate the effect of MODJAW-based splints on bruxism frequency and intensity.
To assess TMJ pain reduction in participants using MODJAW-based splints versus standard splints.
To determine patient satisfaction and comfort with patient-specific versus standard splints.
Study Design:
This is a prospective, randomized, controlled interventional study. Forty participants with mild-to-moderate bruxism or TMJ dysfunction will be randomly assigned to one of two groups:
MODJAW group (n=20): Participants will receive a patient-specific occlusal splint designed based on 3D mandibular kinematic data collected with MODJAW.
Standard splint group (n=20): Participants will receive a conventional occlusal splint fabricated using standard methods.
The study duration for each participant is 8 weeks, during which participants will wear their assigned splints according to instructions and attend follow-up assessments.
Inclusion Criteria:
Age 18-50 years
Diagnosed with mild-to-moderate bruxism or TMJ dysfunction
Willingness and ability to comply with splint use and study visits
Signed informed consent
Exclusion Criteria:
Severe dental loss or existing prosthetic devices interfering with splint placement
Systemic medical conditions affecting jaw function
History of TMJ trauma or surgery
Pregnancy or breastfeeding
Allergy to splint materials
Study Procedures:
Screening and Baseline Assessment:
Clinical examination of dentition and TMJ
Recording baseline jaw movements using MODJAW (for both groups)
Baseline assessment of bruxism frequency, TMJ pain (VAS score), and patient-reported comfort
Splint Fabrication:
MODJAW group: CAD/CAM splints designed using mandibular movement data captured by MODJAW
Standard group: Conventional splints fabricated according to standard occlusal design
Splint Use:
Participants instructed to wear splints nightly (or as directed) for 8 weeks
Weekly check-ins to monitor compliance and comfort
Follow-Up Assessments (Week 4 and Week 8):
Repeat MODJAW recordings to evaluate changes in mandibular movement
Assess TMJ pain, bruxism frequency and intensity
Collect patient satisfaction and comfort scores via 5-point Likert scale
Record any adverse events
Outcome Measures:
Primary Outcome: Changes in mandibular movement patterns as measured by MODJAW
Secondary Outcomes:
Reduction in TMJ pain (VAS score)
Patient-reported satisfaction and comfort
Data Analysis:
Within-group comparisons: Paired t-tests or Wilcoxon signed-rank tests
Between-group comparisons: Mann-Whitney U test
Categorical outcomes: Chi-square or Fisher's exact test
Statistical significance set at p < 0.05
Safety Considerations:
Participants monitored for adverse events related to splint use, including discomfort, tissue irritation, or allergic reactions
Participants may withdraw at any time
All data handled according to confidentiality and privacy guidelines
Significance:
This study will provide evidence on the effectiveness of patient-specific, MODJAW-guided occlusal splints in improving jaw function, reducing bruxism, and increasing patient satisfaction. The results may support the adoption of kinematic data in routine occlusal splint design and contribute to personalized dentistry approaches.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Istanbul, Turkey (Türkiye), 34844
- Istanbul University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-50 years
- Diagnosed with mild-to-moderate bruxism or temporomandibular joint (TMJ) dysfunction
- Willingness and ability to comply with splint use and study visits
- Signed informed consent
Exclusion Criteria:
- Severe dental loss or existing prosthetic devices interfering with splint placement
- Systemic medical conditions affecting jaw function
- History of TMJ trauma or surgery
- Pregnancy or breastfeeding
- Allergy to splint materials
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MODJAW-Based Patient-Specific Splint
Participants receive a patient-specific occlusal splint designed using MODJAW 3D mandibular kinematic data.
The splint is fabricated via CAD/CAM and worn according to study instructions for 8 weeks.
|
A custom occlusal splint designed using MODJAW-recorded 3D mandibular movement data.
Fabricated via CAD/CAM to fit the patient's unique jaw movements.
Worn nightly (or per instructions) for 8 weeks.
|
|
Experimental: Standard Occlusal Splint
Participants receive a conventional occlusal splint fabricated using standard methods.
The splint is worn according to study instructions for 8 weeks.
|
A conventional occlusal splint made using standard methods without patient-specific mandibular movement data.
Worn nightly (or per instructions) for 8 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Improvement in mandibular movement patterns
Time Frame: Baseline and after 8 weeks of splint use
|
Mandibular movements will be recorded using MODJAW 3D jaw-tracking system. Parameters include opening, lateral, and protrusive excursions, as well as path stability and range of motion. The primary analysis will compare baseline mandibular kinematics to post-intervention measurements between the MODJAW-based splint group and the standard splint group. |
Baseline and after 8 weeks of splint use
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
TMJ pain levels
Time Frame: Baseline and after 8 weeks of splint use
|
Patients pain levels will be assessed using a Visual Analog Scale (VAS).
|
Baseline and after 8 weeks of splint use
|
|
Comfort and satisfaction
Time Frame: Baseline and after 8 weeks of splint use
|
Patient comfort and satisfaction will be assessed using a patient-reported questionnaire and 5-point Likert scale.
|
Baseline and after 8 weeks of splint use
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- U-116S697
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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