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1. Counselling treatment versus counselling associated with jaw exercises in patients with disc displacement with reduction—a single-blinded, randomized, controlled clinical trial

Author

Carolina Antunes Santa Cecília Simões, Mayara Aparecida Moreira da Silva, Rafael Alvim Magesty, Saulo Gabriel Moreira Falci, Dhelfeson Willya Douglas-de-Oliveira, Patricia Furtado Gonçalves, and Olga Dumont Flecha

Subjects
Temporomandibular Disorders, Temporomandibular Joint Disc, Temporomandibular Joint Disorders / therapy, Temporomandibular Articular Disc, Dentistry, RK1-715
Abstract

Abstract Objective To compare effectiveness of counselling program versus counselling program plus jaw exercises to reduce pain and click in patients with temporomandibular joint disc displacement with reduction (DDWR). Materials and methods Patients were divided into two groups: instructions for temporomandibular disorders (TMD) plus jaw exercises (test, n = 34), only TMD instructions (control, n = 34). Pain was analyzed by palpation (RDC/TMD). It was investigated if the click caused discomfort. Both groups were evaluated at baseline, 24 h, 7 days, and 30 days’ post treatment. Results The click was present in 85.7% (n = 60). In 30-day evaluation, there was a statistically significant difference between groups in the right median temporal muscle (p = 0.041); and there was a statistically significant difference in treatment self-perception (p = 0.002) and click’s discomfort (p

Published
2023
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2. Oral health‐related quality of life in patients with disc displacement with reduction after counselling treatment versus counselling associated with jaw exercises

Author

Carolina Antunes Santa Cecília Simões, Rafael Alvim Magesty, Olga Dumont Flecha, Saulo Gabriel Moreira Falci, Dhelfeson Willya Douglas-de-Oliveira, Patrícia Furtado Gonçalves, and Mayara Aparecida Moreira da Silva

Subjects
Counseling, medicine.medical_specialty, Test group, Joint Dislocations, Oral health, 03 medical and health sciences, 0302 clinical medicine, Disc displacement, Quality of life, Surveys and Questionnaires, medicine, Humans, In patient, General Dentistry, Psychological disability, business.industry, Significant difference, 030206 dentistry, Temporomandibular Joint Disorders, Social disability, Exercise Therapy, stomatognathic diseases, Quality of Life, Physical therapy, business, 030217 neurology & neurosurgery
Abstract

OBJECTIVE The aim of this study was to compare the effectiveness of two types of treatment (counselling programme versus counselling programme plus jaw exercises) to improve the quality of life of patients with disc displacement with reduction (DDWR). MATERIALS AND METHODS Patients were divided into two groups. The test group received guidelines for temporomandibular disorders (TMD) plus jaw exercises for DDWR, and the control group received only guidelines for TMD. The total number of investigated patients was 70, thus 35 per group. The oral health-related quality of life was assessed by the OHIP-14 questionnaire. Both groups were evaluated at the baseline and 30 days post-treatment. RESULTS In the counselling group, there was statistically significant decrease in pain (P = .015) and social disability (P = .046) subscales. In the counselling plus jaw exercise group, there was statistically significant decrease in all subscales (P

Published
2020
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