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Open Access 01-12-2023 | Craniomandibular Dysfunction and Stress | Research

Counselling treatment versus counselling associated with jaw exercises in patients with disc displacement with reduction—a single-blinded, randomized, controlled clinical trial

Authors: Carolina Antunes Santa Cecília Simões, Mayara Aparecida Moreira da Silva, Rafael Alvim Magesty, Saulo Gabriel Moreira Falci, Dhelfeson Willya Douglas-de-Oliveira, Patricia Furtado Gonçalves, Olga Dumont Flecha

Published in: BMC Oral Health | Issue 1/2023

Abstract

Objective

To compare effectiveness of counselling program versus counselling program plus jaw exercises to reduce pain and click in patients with temporomandibular joint disc displacement with reduction (DDWR).

Materials and methods

Patients were divided into two groups: instructions for temporomandibular disorders (TMD) plus jaw exercises (test, n = 34), only TMD instructions (control, n = 34). Pain was analyzed by palpation (RDC/TMD). It was investigated if the click caused discomfort. Both groups were evaluated at baseline, 24 h, 7 days, and 30 days’ post treatment.

Results

The click was present in 85.7% (n = 60). In 30-day evaluation, there was a statistically significant difference between groups in the right median temporal muscle (p = 0.041); and there was a statistically significant difference in treatment self-perception (p = 0.002) and click’s discomfort (p < 0.001).

Conclusion

The exercise with recommendations showed better results, resolution of the click, and self-perception of the treatment effectiveness.

Clinical relevance

This study presents therapeutic approaches that are easy to perform and that can be monitored remotely. In view of the current stage of the global pandemic, these treatment options become even more valid and useful.

Clinical trial register

This clinical trial was registered at Brazilian Clinical Trials Registry (ReBec) under protocol RBR-7t6ycp (http://www.ensaiosclinicos.gov.br/rg/RBR-7t6ycp/), Date of registration: 26/06/2020.

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Title: Counselling treatment versus counselling associated with jaw exercises in patients with disc displacement with reduction—a single-blinded, randomized, controlled clinical trial
Authors: Carolina Antunes Santa Cecília Simões
Mayara Aparecida Moreira da Silva
Rafael Alvim Magesty
Saulo Gabriel Moreira Falci
Dhelfeson Willya Douglas-de-Oliveira
Patricia Furtado Gonçalves
Olga Dumont Flecha
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Craniomandibular Dysfunction and Stress
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03096-7

2024 ASCO Annual Meeting

Springer Medicine

Counselling treatment versus counselling associated with jaw exercises in patients with disc displacement with reduction—a single-blinded, randomized, controlled clinical trial

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Clinical trial register

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

Clinical trial register

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