Long-term efficacy of resilient appliance therapy in TMD pain patients : a randomised, controlled trial

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Long-term efficacy of resilient appliance therapy in TMD pain patients : a randomised, controlled trial

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Publication Article, peer reviewed scientific
Title Long-term efficacy of resilient appliance therapy in TMD pain patients : a randomised, controlled trial
Author Nilsson, Håkan ; Vallon, Danila ; Ekberg, EwaCarin
Date 2011
English abstract
Summary  The aim was to investigate long-term efficacy of a resilient appliance in patients with pain due to temporomandibular disorders (TMD). A randomised, controlled trial was performed in 80 recruited TMD pain patients. They were randomly allocated to one of two groups: treatment with a resilient appliance or treatment with a hard, palatal, non-occluding appliance. The primary treatment outcome was judged positive when patients' characteristic pain intensity decreased by at least 30%. Additional treatment outcomes were physical functioning, emotional functioning and headache. At the 12-month follow-up 50% of the patients in the treatment group and 42% in the control group had a 30% reduction of characteristic pain intensity, when calculated in an intent-to-treat analysis. Jaw function improved in both groups at the 6- and 12-month follow-up. Emotional functioning improved in both groups at the 6-month follow-up; an improvement concerning grade of depression was found in the control group at 12 months. Headache decreased in both groups at both follow-ups. There were no statistically significant differences found regarding primary and additional outcomes between groups at the 6- and 12-months follow-up. There was no statistically significant difference between the resilient appliance and the non-occluding control appliance in reducing TMD pain, physical functioning, emotional functioning and headache in a 12 months perspective.
DOI http://dx.doi.org/10.1111/j.1365-2842.2011.02210.x (link to publisher's fulltext)
Publisher Wiley Blackwell
Host/Issue Journal of Oral Rehabilitation;10
Volume 38
ISSN 1365-2842
Pages 713-721
Language eng (iso)
Subject occlusal splints
orofacial pain
randomised controlled trial
resilient appliance
temporomandibular disorders
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/12623 Permalink to this page
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