Evaluation of the Effects of Treatments Applied to Patients With Facial Myalgia on Occlusion Parameters
Status:
Completed
Trial end date:
2020-04-12
Target enrollment:
Participant gender:
Summary
The temporomandibular joint (TMJ) is closely related to neuromuscular components. A problem
occurring in any of these components or parts of the TMJ interferes with the harmonic
functioning of the TMJ and invites temporomandibular joint disorders (TMD).Management of TMD
can be conservative or surgical. Physiotherapy, local steam application, external muscle
massage, occlusal adjustment, analgesic and physiotherapeutic medication and splint
treatments are the most frequently recommended conservative treatments. Today, occlusal
adjustments are made with the help of a prosthetic or orthodontic appliance. With these
intraorally used occlusal splints, a balanced occlusal contact is achieved without applying
any force to the mandible in the resting position. Occlusal splints are available in
different designs and different construction materials. The stabilization splint, which is
one of the most frequently used occlusal splints, and the modified Hawley splint are
appliances produced from hard materials. However, some researchers have commented that soft
splints produced from resilient materials may also be useful in the distribution of excessive
force formed in parafunctional habits. While there are studies stating that hard splints
provide more successful results than soft splints in functional problems of the chewing
system, there are also studies reporting that they have similar efficacy on muscle pain after
short-term use. However, there are no studies in the literature that compare their efficacy
in short-term and long-term myalgia patients and demonstrate their efficacy using an
objective test such as digital occlusion analysis. There was no study on the effectiveness of
different splints on the patient's quality of life. It would be appropriate to carry out our
study to fill this gap in the literature.The main purpose of this study is to digitally
examine and compare the effects of three different treatment methods (medical therapy,
medical therapy+soft splint, medical therapy +hard splint) applied to patients diagnosed with
facial myalgia after temporomandibular joint examination on the existing occlusion changes.