Comparison of Conventional,3D Printed and Novel Hybrid Stabilization Splints in the Management of Temporomandibular Joint Disorders
Comparative Efficacy of Conventional, 3D-Printed, and Novel Hybrid Stabilization Splints in the Management of Temporomandibular Joint Disorders: A Randomized Clinical Trial
Occlusal splint therapy is a well-established conservative approach for the management of temporomandibular disorders (TMDs); however, variability in clinical outcomes suggests that no single splint design is universally optimal. Conventional chairside stabilization splints are widely used and allow immediate intraoral adjustments; however, they are technique-sensitive and may compromise long-term fit and patient comfort. Conversely, 3D-printed occlusal splints provide superior precision, reproducibility, and material stability; however, their uniformly rigid structure may limit initial comfort and patient compliance, particularly in patients with acute pain or muscle tenderness.
To address these limitations, the researchers intend to develop an innovative hybrid occlusal splint i.e. Dual material 3D printed stabilization splint, that integrates both hard and soft components. This design aims to combine the biomechanical stability and occlusal precision characteristic of rigid splints with the cushioning effect and enhanced comfort provided by soft splints. The objective is to improve adaptation, compliance, and the sustained therapeutic efficacy of the splint.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Dr. Subhadeepa Paul
- Telefonnummer: +918638461860
- E-mail: Subhadeepa01@gmail.com
Undersøgelse Kontakt Backup
- Navn: Dr. Harneet Singh, MDS
- Telefonnummer: +919315903300
- E-mail: drharneetomdr@gmail.com
Studiesteder
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-
Haryana
-
Rohtak, Haryana, Indien, 124001
- Post Graduate Institute of Dental Sciences, Rohtak
-
Kontakt:
- Dr. Harneet Singh, MDS
- Telefonnummer: +919034900501
- E-mail: drambikagupta79@rediffmail.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Patients presenting with clinical symptoms of TMJ pain disorders were diagnosed using the DC/TMD criteria.
- Age between 18 and 60.
- The same number of original molars was used to avoid affecting periodontal proprioception and bite force.
- The Patient's consent to participate in the study.
Exclusion Criteria:
- Pregnancy
- Not willing to participate in the study
- Healing disorders or systemic diseases where healing is compromised.
- Allergic to PMMA, TPU, PETG or any other 3D printing or conventional prosthetic material.
- Patients with epilepsy or any other neurological disorders.
- Systemic Arthritis or any other osteo-degenerative disorder.
- Acute TMJ trauma or fracture in < 30 days.
- Any obvious dental decay or periodontal disease to which fascial pain could be attributed.
- Patient with psychiatric disorder or on anti-anxiety or anti-depressant drugs.
- Patients with dental implants.
- Any systemic condition associated with widespread pain such as in fibromyalgia.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Aktiv komparator: Conventional Stabilization Splints
Patients will be given conventional hard stabilization splints.
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Conventional chairside stabilization splints for treatment of temporomandibular joint disorders.
|
|
Aktiv komparator: 3D Printed stabilization splints
Patients will be given single material 3D printed stabilization splints made of PETG.
|
3d printed stabilization splint for treatment of temporomandibular joint disorders.
Andre navne:
|
|
Eksperimentel: Hybrid Stabilization Splint
Patients will be given Novel Hybrid stabilization splints made of PETG and TPU.
|
3d printed hybrid stabilization splint for treatment of temporomandibular joint disorders.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Visual Analog Scale (VAS)
Tidsramme: Baseline, 1 week, 2 weeks, 4 weeks
|
To evaluate and contrast pain relief by using the Visual Analog Scale (VAS).The scale ranges from 0 to 10 where 0 is the minimum VAS score and 10 is the maximum score.
Score of 0 indicates no pain and score of 10 indicates maximum pain intensity.
|
Baseline, 1 week, 2 weeks, 4 weeks
|
|
Maximum Mouth Opening
Tidsramme: Baseline, 1 week, 2 weeks, 4 weeks
|
To evaluate functional improvement by Measuring the change in Maximum Mouth Opening (MMO) in millimetres from baseline to 1 month.
|
Baseline, 1 week, 2 weeks, 4 weeks
|
|
Maximum Bite Force
Tidsramme: baseline, 1 week, 2 weeks, 4 weeks
|
To quantify masticatory efficiency by measuring changes in Maximum Bite Force (MBF) using a bite force analyser device.
|
baseline, 1 week, 2 weeks, 4 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient Compliance
Tidsramme: Baseline, 1 week, 2 weeks, 4 weeks
|
To evaluate patient compliance and comfort using Likert Scale.
The Likert Scale is a 5-point scale where 1 is the minimum score and 5 is the maximum score.
Score 1 indicates very dissatisfied and Score 5 indicates very satisfied.
|
Baseline, 1 week, 2 weeks, 4 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Dr. Harneet Singh, MDS, Post Graduate Institute of Dental Sciences, Rohtak
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Smerte
- Neurologiske manifestationer
- Muskuloskeletale sygdomme
- Stomatognatiske sygdomme
- Sygdomme i nervesystemet
- Muskelsygdomme
- Neuromuskulære sygdomme
- Ledsygdomme
- Kæbesygdomme
- Mandibular sygdomme
- Muskuloskeletale smerter
- Kraniomandibulære lidelser
- Myofasciale smertesyndromer
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Temporomandibulære ledlidelser
- Temporomandibulært leddysfunktionssyndrom
- Myalgi
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- Subhadeepa Omr 26/39
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
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