Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial

Background: Contradicting evidence regarding the effects of occlusal splint therapy in the management of Temporomandibular disorder (TMD) and promising results shown by muscle energy technique. Aim: To determine and compare the effects of occlusal splint therapy, muscle energy technique, and combine...

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Autores principales:	Hardik K Ram, Darshana N Shah
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	counseling muscle energy technique orofacial pain self-management stabilization splint temporomandibular joint disorders Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/711470c5137b4bfeaa4fd03ec063cad3
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spelling	oai:doaj.org-article:711470c5137b4bfeaa4fd03ec063cad32021-11-19T10:59:31ZComparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial0972-40521998-405710.4103/jips.jips_332_21https://doaj.org/article/711470c5137b4bfeaa4fd03ec063cad32021-01-01T00:00:00Zhttp://www.j-ips.org/article.asp?issn=0972-4052;year=2021;volume=21;issue=4;spage=356;epage=365;aulast=Ramhttps://doaj.org/toc/0972-4052https://doaj.org/toc/1998-4057Background: Contradicting evidence regarding the effects of occlusal splint therapy in the management of Temporomandibular disorder (TMD) and promising results shown by muscle energy technique. Aim: To determine and compare the effects of occlusal splint therapy, muscle energy technique, and combined treatment with education for self-management and counseling in the management of TMD. Study Design and Settings: Randomized clinical trial. Methodology: A total of 160 participants diagnosed with TMD according to Diagnostic Criteria/TMD axis I were randomly allocated into four treatment groups with equal allocation ratio using random numbers table. The main inclusion criteria were the presence of pain in the preauricular area, TMJ and/or muscles of mastication and maximum mouth opening <40 mm. Group A participants received muscle energy technique, Group B participants received occlusal splint therapy, Group C participants received combined treatment, and Group D participants received education for self-management and counseling (control). Control group treatment was provided to all the trial participants. Statistical Analysis: Intragroup comparison was made using Friedman test and Wilcoxon test while intergroup comparison was done using Kruskal–Wallis test and Mann–Whitney U test. Results: Intensity of pain on a visual analog scale and maximum mouth opening were measured at baseline, at 1 week, at 2 weeks, at 1 month, and after 3 months. Conclusion: Muscle energy technique, occlusal splint therapy and combined treatment significantly reduce pain compared to controls and muscle energy and combined treatment are superior to other groups for mouth opening improvements in patients with TMD.Hardik K RamDarshana N ShahWolters Kluwer Medknow Publicationsarticlecounselingmuscle energy techniqueorofacial painself-managementstabilization splinttemporomandibular joint disordersDentistryRK1-715ENThe Journal of Indian Prosthodontic Society, Vol 21, Iss 4, Pp 356-365 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	counseling muscle energy technique orofacial pain self-management stabilization splint temporomandibular joint disorders Dentistry RK1-715
spellingShingle	counseling muscle energy technique orofacial pain self-management stabilization splint temporomandibular joint disorders Dentistry RK1-715 Hardik K Ram Darshana N Shah Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
description	Background: Contradicting evidence regarding the effects of occlusal splint therapy in the management of Temporomandibular disorder (TMD) and promising results shown by muscle energy technique. Aim: To determine and compare the effects of occlusal splint therapy, muscle energy technique, and combined treatment with education for self-management and counseling in the management of TMD. Study Design and Settings: Randomized clinical trial. Methodology: A total of 160 participants diagnosed with TMD according to Diagnostic Criteria/TMD axis I were randomly allocated into four treatment groups with equal allocation ratio using random numbers table. The main inclusion criteria were the presence of pain in the preauricular area, TMJ and/or muscles of mastication and maximum mouth opening <40 mm. Group A participants received muscle energy technique, Group B participants received occlusal splint therapy, Group C participants received combined treatment, and Group D participants received education for self-management and counseling (control). Control group treatment was provided to all the trial participants. Statistical Analysis: Intragroup comparison was made using Friedman test and Wilcoxon test while intergroup comparison was done using Kruskal–Wallis test and Mann–Whitney U test. Results: Intensity of pain on a visual analog scale and maximum mouth opening were measured at baseline, at 1 week, at 2 weeks, at 1 month, and after 3 months. Conclusion: Muscle energy technique, occlusal splint therapy and combined treatment significantly reduce pain compared to controls and muscle energy and combined treatment are superior to other groups for mouth opening improvements in patients with TMD.
format	article
author	Hardik K Ram Darshana N Shah
author_facet	Hardik K Ram Darshana N Shah
author_sort	Hardik K Ram
title	Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
title_short	Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
title_full	Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
title_fullStr	Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
title_full_unstemmed	Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial
title_sort	comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: a randomized controlled clinical trial
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/711470c5137b4bfeaa4fd03ec063cad3
work_keys_str_mv	AT hardikkram comparativeevaluationofocclusalsplinttherapyandmuscleenergytechniqueinthemanagementoftemporomandibulardisordersarandomizedcontrolledclinicaltrial AT darshananshah comparativeevaluationofocclusalsplinttherapyandmuscleenergytechniqueinthemanagementoftemporomandibulardisordersarandomizedcontrolledclinicaltrial
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Comparative evaluation of occlusal splint therapy and muscle energy technique in the management of temporomandibular disorders: A randomized controlled clinical trial

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