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Efficacy of stabilisation splint and low-level laser therapy for patients with chronic closed lock from non-reducible displaced temporo-mandibular joint discs: A parallel randomised clinical trial

El-Shaheed NH, Mostafa AZH, Aboelez MA

Journal of oral rehabilitation · 19 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2022-12-24 · J Oral Rehabil · vol. 50 · número 3 · págs. 177–193
Editorial
Wiley
Citado
22 citas · más que el 94% de estudios similares · 3.9× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
83 trabajos
Acceso
De pago
Áreas de investigación
Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Occupational health in dentistry
Palabras clave
low-level laser therapy, temporomandibular joint, disc displacement without reduction, temporomandibular disorders, maximum mouth opening, combination therapy, non-invasive treatment
MeSH
temporomandibular joint, humans, cartilage diseases, temporomandibular joint disorders, treatment outcome, occlusal splints, splints, temporomandibular joint disc, low-level light therapy

3 autores

  • Noha H. El‐Shaheed🇪🇬 · autor de correspondenciaMansoura University
  • Aisha Zakaria Hashem Mostafa🇪🇬Mansoura University
  • Marwa Ahmed Aboelez🇪🇬Mansoura University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Stabilisation splint therapy (SST) and low-level laser therapy (LLLT) are effective-invasive treatment for temporo-mandibular disorder (TMD) patients. However, the specific efficacy of each therapy in patients with chronic closed lock (CCL) from temporo-mandibular joints (TMJ) disc displacement without reduction (DDwoR) remains unknown.

Objectives

The aim of this study was to assess and compare the efficacy of SST and LLLT alone or in combination in patients with CCL from TMJ DDwoR.

Methods

This parallel randomised clinical trial included 42 patients who were diagnosed with CCL from TMJ DDwoR. Patients were allocated equally and randomly into three treatment groups: group I received combined SST and LLLT, group II received LLLT and group III received SST. Maximum mouth opening (MMO), visual analogue scale (VAS), muscle and joint palpation scores and time required to achieve normal state were evaluated at baseline, 1, 2, 4 weeks, 3 and 6 months after the intervention. Data were collected and analysed using SPSS software.

Results

Regarding MMO and VAS, a statistically significant improvement was found between group I versus group II and versus group III at all evaluation times. Regarding muscle and joint palpation scores, a statistically significant difference was found between group I versus group III, while non-significant difference was found between group I and group II. A statistically significant faster improvement was found in group I versus group III and versus group II.

Conclusion

All treatment modalities can be effective in management of CCL from a TMJ DDwoR cases, but the combined SST and LLLT group seems to provide the best and quickest improvement.

Clinical trial registration number

NCT05548894.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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