Preliminary Assessment of the Psycho-emotional State of Patients With TMD
1 other identifier
observational
260
1 country
1
Brief Summary
TMD (temporomandibular disorders) is the name for a collective syndrome of disorders that includes abnormal function of the muscles of mastication, the temporomandibular joints and surrounding structures. It is one of the most significant causes of orofacial pain, along with dental pain. In TMD syndrome, the cause of pain is often due to overloading of the masticatory muscles rather than primary changes in the joints themselves. Nowadays, doctors who treat patients with TMD have no doubt that one of the very important etiological factors of this condition is psycho-emotional disorders (excessive nervous excitability, anxiety, depression), which has been confirmed by numerous authors of studies on this subject \[4-11\]. The etiology of TMD is complex and multifactorial. Numerous factors may also contribute to the development of the disorder. An important factor affecting the state of masticatory function is an increase in stress levels (psycho-emotional tension). Structures such as the hypothalamus, reticular formation and limbic system have a decisive influence on the emotional state of each patient The activity of the limbic system, which governs the emotions of adults, and the additional connections of the gamma loops to the masticatory muscles, determine that increased emotional tension translates into a significant increase in the "contractile" activity of the masticatory muscles. TMD and functional disorder of the masticatory muscles are the most common complaint of the patients, seeking treatment in dental office. The two main symptoms of TMD problems are pain and dysfunction. Myalgia -the most common cause is an increased level of muscle use. It is related to vasocontraction of relevant arteries and accumulation of metabolic waste product in the muscles. Activities such as daytime clenching of the teeth and bruxism, habits of chewing gum, biting lips, finger nails or cheeks are factors that cause significant strain on the masticatory muscles and temporomandibular joints.
Trial Health
Trial Health Score
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participants targeted
Target at P75+ for all trials
Started Oct 2021
Typical duration for all trials
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2021
CompletedFirst Submitted
Initial submission to the registry
September 11, 2023
CompletedFirst Posted
Study publicly available on registry
September 18, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
October 30, 2023
CompletedSeptember 18, 2023
September 1, 2023
2.1 years
September 11, 2023
September 11, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Questionanire
The questionnaire survey includes a total of 30 questions, regarding the emotional state of the of the respondents over the past 4 weeks such as lowered mood, states of emotional irritability, feelings of sadness, lack of desire for daily activities, lack of concentration, or desire for self-isolation and critical thoughts toward one's own person person, or nervousness, fearfulness. Responses in each question included: \* no, \* a few times in the past 4 weeks, \*a few times during the week, and \*continuously/continually. The scores for each question were: 0 points for most favorable response and 4 points for the most unfavorable patient response. The result of the questionnaire was divided into four sections; A, B, C,D.
2021-2023
Study Arms (2)
Clinical
One hundred and thirty patients diagnosed with TMD constituted the study group (group I)
Control
One hundred and thirty patients were excluded from having TMD based on the RDC/ TMD questionnaire, and these patients constituted the control group (group II).
Interventions
Eligibility Criteria
Population of Patients of University Clinic
You may qualify if:
- (i) good general health, with no craniofacial trauma in the last 5 years and without severe mental conditions (ii) the presence of TMD symptoms (pain in the masticatory muscles, limitation of mouth opening range, clicking or popping in the temporomandibular joints. For control group there was absences of these symptoms.
- (iii) consent of the patient to participate in the research project
You may not qualify if:
- (i). willingness to resign out of the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Uniwersytecka Klinika Stomatologiczna
Krakow, 31-155, Poland
Related Publications (1)
Pihut ME, Kostrzewa-Janicka J, Orczykowska M, Bieganska-Banas J, Gibas-Stanek M, Gala A. Initial assessment of the psycho-emotional state of patients with temporomandibular disorders: A pilot study. Dent Med Probl. 2024 Jan-Feb;61(1):153-159. doi: 10.17219/dmp/178325.
PMID: 38441313DERIVED
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Małgorzata Pihut
Study Record Dates
First Submitted
September 11, 2023
First Posted
September 18, 2023
Study Start
October 1, 2021
Primary Completion
October 30, 2023
Study Completion
October 30, 2023
Last Updated
September 18, 2023
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share