Effect of Order and Conjugation of Different Photobiomodulation Therapies and Anterior Repositioning Appliance in Management of TMD Cases
1 other identifier
interventional
40
1 country
1
Brief Summary
This study aimed to evaluate the effect of using Low level laser therapy / Infrared led therapy with anterior repositioning appliance in anterior dislocation patients with reduction (ADDwR) concerning:
- 1.Range of mandibular motion
- 2.Helkimo questioner to evaluate :
- 3.A detailed questionnaire by the examiner was recorded for each patient including: personal data, chief complaint, medical as well as past dental histories
- 4.Magnetic resonance imaging (MRI) for each patient, the clinical diagnosis of disc displacement with reduction confirmed by MRI.
- 5.Maximum inter-incisal opening (MIO):was measured by Vernier caliper in millimetres (mm) as the vertical distance between the incisal edges of maxillary and mandibular central incisors.
- 6.Range of lateral mandibular excursions was also measured using Vernier caliper in millimetres as the horizontal distance extending from maxillary midline to mandibular midline. This was measured by asking the patient to move the mandible to one side then to the other side to the maximum extent.
- 7.Helkimos clinical dysfunction scale.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2022
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 20, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 24, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
August 3, 2023
CompletedFirst Submitted
Initial submission to the registry
October 22, 2023
CompletedFirst Posted
Study publicly available on registry
October 26, 2023
CompletedOctober 26, 2023
October 1, 2023
8 months
October 22, 2023
October 22, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Range of motion
Maximum opening, lateral movement and protrusion
Before treatment (T0) , After 6 months (T6)
Study Arms (4)
anterior repositioning appliance followed by Infra-red LED therapy
EXPERIMENTALanterior repositioning appliance followed by Infra-red LED therapy
Infra-red LED therapy followed by anterior repositioning appliance
EXPERIMENTALInfra-red LED therapy followed by anterior repositioning appliance
anterior repositioning appliance followed by Low level Laser therapy
EXPERIMENTALanterior repositioning appliance followed by Low level Laser therapy
Low level Laser therapy followed by anterior repositioning appliance
EXPERIMENTALLow level Laser therapy followed by anterior repositioning appliance
Interventions
Laser therapy using low level laser
Eligibility Criteria
You may qualify if:
- suffering from TMJ internal derangement with reduction.
- All the included patients show persistent restriction of mouth opening as well as TMJ pain and clicking.
You may not qualify if:
- Patients suffering from inflammatory or connective tissue diseases,
- neurologic disorders
- history of bony or fibrous adhesion
- gross mechanical restrictions and condylar fractures
- previous TMJ surgery
- TMJ ankylosis
- acute infection
- muscle relaxants, non-steroidal anti-inflammatory drugs within 48 h preoperatively, corticosteroid injection at treatment site within one month or systemic use of corticosteroids within 2 weeks
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mansoura University, Faculty of dentistry
Al Mansurah, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
October 22, 2023
First Posted
October 26, 2023
Study Start
October 20, 2022
Primary Completion
June 24, 2023
Study Completion
August 3, 2023
Last Updated
October 26, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share