NCT00899717

Occlusal Adjustment as Treatment for Chronic Orofacial Pain

Basis for an Etiological Diagnosis and Treatment of the Chronic TMD-pain: RCT Study

• Status: Completed
• Phase: Phase 1 / Phase 2
• Study type: Interventional
• Enrollment: 21 (actual)
• Sponsor: University of Santiago de Compostela · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to determine whether occlusal adjustment by selective grinding and/or occlusal addition is an effective treatment of chronic temporomandibular joint disorders.

Detailed description

Temporomandibular disorders (TMD) are very common disorders in daily dentistry and oral and maxillofacial practice. The key symptoms are jaw joint pain and limited mouth opening. Other than trauma, the causes remain unknown; consequently, there are no treatments based on specific etiologies. In our experience, patients can usually receive beneficial occlusal adjustments if these are carefully planned and performed in two steps: (1) elimination of premature contacts, which reduces loads in the temporomandibular joints, and (2) individualized remodeling of lateral anterior guidance to facilitate unilateral alternate chewing. The study will use stratified blocking randomization to blindly assign patients to the real or placebo treatment groups in order to evaluate the null hypothesis (H0) that "Occlusal adjustment of sufficient quality has no effect on chronic pain and/or limited mouth opening in TMD patients."

Conditions

• Temporomandibular Joint Disorders
• Orofacial Pain

Interventions

Type	Name	Description
PROCEDURE	Occlusal adjustment	modification of occlusal surfaces
PROCEDURE	Placebo occlusal adjustment	Simulated modification of occlusal surfaces

Timeline

• Start date: 2009-05-01
• Primary completion: 2009-06-01
• Completion: 2010-04-01
• First posted: 2009-05-12
• Last updated: 2013-07-26
• Results posted: 2013-07-16

Locations

2 sites across 1 country: Spain