The Clinical Effects of Myofascial Trigger Points in Disc Replacement With Reduction

Sponsor

Kanuni Sultan Suleyman Training and Research Hospital (Other)

Overall Status

Completed

CT.gov ID

NCT05187325

Collaborator

(none)

120

Enrollment

Location

2.1

Actual Duration (Months)

57.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This is a prospective, and controlled trial. 60 participants with myofascial trigger points and disc displacement with reduction and 60 participants with disc displacement with reduction will be included in the study. These two groups will be compared for clinical findings, pain severity and limitation of the temporomadibular function.

Condition or Disease	Intervention/Treatment	Phase
Temporomandibular Joint Disorders Myofascial Trigger Point Pain Jaw Diseases Pain	Other: no intervention

Detailed Description

This is a prospective, and controlled trial. 60 participants with myofascial trigger points and disc displacement with reduction and 60 participants with disc displacement with reduction will be included in the study. The participants' ages will be between 18-65 years of both genders.

These two groups will be compared for clinical findings with DC/TMD Axis I- Symptom Questionnaire, pain levels in the last 1 month with DC/TMD Axis II-Graded Chronic Pain Scale, and limitation of the temporomadibular function with DC/TMD Axis II-Jaw Functional Limitation Scale-8.

Study Design

Study Type:

Observational [Patient Registry]

Actual Enrollment :

120 participants

Observational Model:

Other

Time Perspective:

Prospective

Official Title:

The Effect of Myofascial Trigger Points on Clinical Symptoms, Pain and Limitation of Temporomandibular Joint Function in Disc Displacement With Reduction

Actual Study Start Date :

Dec 15, 2021

Actual Primary Completion Date :

Feb 15, 2022

Actual Study Completion Date :

Feb 17, 2022

Arms and Interventions

Arm	Intervention/Treatment
myofascial trigger point and disc displacement with reduction the participants have myofascial trigger points in master muscle and also temporomandibular joint disc displacement with reduction.	Other: no intervention there is no intervention
disc displacement with reduction the participants have only temporomandibular joint disc displacement with reduction.	Other: no intervention there is no intervention

Arm

Intervention/Treatment

myofascial trigger point and disc displacement with reduction

the participants have myofascial trigger points in master muscle and also temporomandibular joint disc displacement with reduction.

Other: no intervention

there is no intervention

disc displacement with reduction

the participants have only temporomandibular joint disc displacement with reduction.

Other: no intervention

there is no intervention

Outcome Measures

Primary Outcome Measures

mouth opening distance [1 day]
Maximal opening of mouth is described as the greatest distance between incisal edge of maxillary central incisor to the incisal edge of mandibular central incisor, when the mouth is opened as wide as possible painlessly or as the inter incisal distance plus the overbite.
bruxism [1 day]
bruxism is a stereotyped movement disorder characterized by grinding or clenching of the teeth
limitation of the movement of the temporomandibular joint [1 day]
limitation of the movement of the temporomandibular joint
temporomandibular joint noises [1 day]
noises of the temporomandibular joint
locking of the temporomandibular joint [1 day]
locking of the temporomandibular joint
Graded Chronic pain Scale v.2.0 [1 day]
Version 2 of the GCPS includes, in addition to the 3 items for pain intensity and 4 items for function, one item for number of days of pain.
Jaw Functional Limitation Scale-8 [1 day]
The JFLS was initially developed as an 8-item global scale for overall functional limitation of the masticatory system; based on the resultant items and supporting psychometric data, the instrument was re-developed in order to expand measured constructs to also include masticatory limitation, vertical mobility limitation, and verbal and non-verbal communication limitation.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

18-65 years old of both genders.
Presence of disc displacement with reduction with/without myofascial trigger points in master muscles.
Being accepted of the participation in the study.

Exclusion Criteria:

Lack of cognitive ability to understand test instructions, illiteracy, aphasia, presence of a known psychiatric illness
Refusal to participate in the study
Patients under the age of 18 and over the age of 65
Having other temporomandibular joint disorders other than the diagnosis of RDD and/or myofascial trigger points