- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03000790
Evaluation Lingual Ring Splint
Clinical Evaluation of Lingual Ring Splint For Management Anterior Disc Displacement With Reduction (Pilot Study Clinical Trial)
Studieoversigt
Detaljeret beskrivelse
To evaluate the effectiveness of Lingual Ring Splint For Management of Anterior Disc Displacement With Reduction.
PICO P- Patient with symptomatic anterior disc displacement with reduction . I- use of Michigan splint C- use of anterior repositioning splint (ARS) . O- Clinical outcome. Pain relief and improvement of mouth opening , lateral excursion and protrusion
Outcome:
- 1ry outcome: Patients' subjective pain experience. Each patient will be asked to rate his or her current and worst pain intensity on numerical rating scale (NRS) of 0-10 with zero being no pain and ten corresponds to the worst pain that the patient ever had.
2ry outcome:
- Maximum mouth opening (MMO). Assessment of MMO will be performed by measuring the distance in mm between the incisal edges of the upper and lower central incisors using a ruler.
- lateral excursion . Assessment of lateral excursion will be performed by measuring the distance in mm between midline of upper and lower jaws
- protrusion. The distance in mm from the incisal edge of the maxillary central incisor to the incisor edge of the mandibular incisor will measured in the maximum protruded position.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult patient from 15 to 50 years old.
- Report of pain in preauricular region, in the last 30 days, worsened by functional activities, such as chewing and talking.
- Presence of disc displacement with reduction, arthralgia and joint clicking that occurred at both middle to late opening and late closing (near maximum cuspation) and pain in the TMJ area aggravated by jaw movement and function.
- positive diagnosis of unilateral or bilateral anterior disc displacement with reduction by means of magnetic resonance imaging (MRI).
Exclusion Criteria:
- Individuals with a recent history of trauma in the face and/or neck area.
- Individuals with systemic diseases that can affect TMJ.
- History of TMJ surgery.
- Individuals with dental pain.
- Individuals with myofascial pain, disc displacement with reduction or osteoarthritis.
- Individuals under dental or TMD management.
- Individuals wearing full or partial dentures.
- Individuals with major psychological disorders.
- Nonreducing dislocations of the articular disk in the acute form of TMD
- Consequences of condoyle fractures and/or fracture of another maxillofacial zone.
- In therapy for the same pathologies.
- Articular pathologies of systemic nature (e.g., rheumatoid arthritis, arthrosis, psoriasis arthritis).
- Well-known pathologies of neurologic and/or psychic nature and other forms of migraine.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Lingual Ring Splint
A polyvinyl (polypropylene) material was chosen, which is biocompatible, nontoxic, hypoallergenic, and has a hardness of about 60-70 Shore, The thickness of 3 mm in the occlusive active portion and 2 mm in the other parts was constructed. The lingual ring consists of Two lateral genal shields that are vertical and symmetric, and have a right- and left-of-oval form, Two interocclusive levels with a roughly triangular form, but with round angles also right and left symmetric, double arch superior arch and inferior arch will make the Ring around the tongue |
A polyvinyl (polypropylene) material was chosen, which is biocompatible, nontoxic, hypoallergenic, and has a hardness of about 60-70 Shore, The thickness of 3 mm in the occlusive active portion and 2 mm in the other parts was constructed. The lingual ring consists of Two lateral genal shields that are vertical and symmetric, and have a right- and left-of-oval form, Two interocclusive levels with a roughly triangular form, but with round angles also right and left symmetric, double arch superior arch and inferior archwill make the Ring around the tongue |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patienternes subjektive smerteoplevelse.
Tidsramme: 3 måneder
|
Hver patient vil blive bedt om at vurdere sin nuværende og værste smerteintensitet på en numerisk vurderingsskala (NRS) på 0-10, hvor nul er ingen smerte, og ti svarer til den værste smerte, som patienten nogensinde har haft.
|
3 måneder
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Maksimal mundåbning.
Tidsramme: 3 måneder
|
måling af afstanden mellem de incisale kanter på de øvre og nedre centrale fortænder ved hjælp af en lineal.Enhed:mm
|
3 måneder
|
|
Sideudflugt.
Tidsramme: 3 måneder
|
måling af afstanden mellem midterlinjen af over- og underkæber.
Enhed: mm
|
3 måneder
|
|
Fremspring.
Tidsramme: 3 måneder
|
Afstanden i mm fra den incisale kant af den maksillære centrale fortænd til fortanden af underkæbens fortænder vil måles i den maksimalt fremskudte position.
|
3 måneder
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Nadia Galal, MD, Cairo University
Publikationer og nyttige links
Generelle publikationer
- Seifeldin SA, Elhayes KA. Soft versus hard occlusal splint therapy in the management of temporomandibular disorders (TMDs). Saudi Dent J. 2015 Oct;27(4):208-14. doi: 10.1016/j.sdentj.2014.12.004. Epub 2015 Jun 25.
- Conti PC, Correa AS, Lauris JR, Stuginski-Barbosa J. Management of painful temporomandibular joint clicking with different intraoral devices and counseling: a controlled study. J Appl Oral Sci. 2015 Oct;23(5):529-35. doi: 10.1590/1678-775720140438. Epub 2015 Jul 21.
- Srivastava R, Jyoti B, Devi P. Oral splint for temporomandibular joint disorders with revolutionary fluid system. Dent Res J (Isfahan). 2013 May;10(3):307-13.
- Lee HS, Baek HS, Song DS, Kim HC, Kim HG, Kim BJ, Kim MS, Shin SH, Jung SH, Kim CH. Effect of simultaneous therapy of arthrocentesis and occlusal splints on temporomandibular disorders: anterior disc displacement without reduction. J Korean Assoc Oral Maxillofac Surg. 2013 Feb;39(1):14-20. doi: 10.5125/jkaoms.2013.39.1.14. Epub 2013 Feb 21.
- Liu J, Mu H, Wang Z, Lan J, Zhang S, Long X, Zhang D. Joint cavity injection combined with manual reduction and stabilization splint treatment of anterior disc displacement. Int J Clin Exp Med. 2015 Apr 15;8(4):5943-8. eCollection 2015.
- Muhtarogullari M, Avci M, Yuzugullu B. Efficiency of pivot splints as jaw exercise apparatus in combination with stabilization splints in anterior disc displacement without reduction: a retrospective study. Head Face Med. 2014 Oct 9;10:42. doi: 10.1186/1746-160X-10-42.
- Rampello A, Falisi G, Panti F, DI Paolo C. A new aid in TMD Therapy: the Universal Neuromuscular Immediate Relaxing appliance "UNIRA". Oral Implantol (Rome). 2010 Jan;3(1):20-32. Epub 2010 Nov 19.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- CairoLRS
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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Kliniske forsøg med TMJ Disc Disorder
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Cairo UniversityIkke rekrutterer endnu
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Alexandria UniversityAfsluttet
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Alexandria UniversityAfsluttet
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Al-Azhar UniversityAfsluttetTMJ Disc DisorderEgypten
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Al-Azhar UniversityAfsluttet
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Ain Shams UniversityMisr International University; University of NizwaRekrutteringTMJ Disc DisorderEgypten
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Cairo UniversityIkke rekrutterer endnu
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Alexandria UniversityAfsluttet
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Mansoura UniversityAfsluttetTMJ Disc DisorderEgypten
Kliniske forsøg med Lingual Ring Splint
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University of Sao Paulo General HospitalRekrutteringTinnitus | Temporomandibulære lidelser (TMD) | TMJBrasilien
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The General Authority for Teaching Hospitals and...RekrutteringLedelse | Denis Brawn Brace | Modifikation | Idiopatisk klubfod | Ponseti castingEgypten
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Cairo UniversityRekrutteringOrtodontisk apparatkomplikationEgypten
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Jordan University of Science and TechnologyAktiv, ikke rekrutterende
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St. Paul's Hospital, CanadaAfsluttet
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Hama UniversityAfsluttetMalocclusion, Vinkels KlasseSyrien Arabiske Republik
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Cairo UniversityAfsluttetTilbagefald af de nedre forreste tænderEgypten
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The Oregon ClinicAfsluttetFodring, Flaske | Ankyloglossia | Ernæringsforstyrrelser af spædbarn og barndomForenede Stater
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University of CincinnatiEunice Kennedy Shriver National Institute of Child Health and Human Development...AfsluttetSlagtilfælde, iskæmisk | Dysfagi, oral faseForenede Stater