Promising minimally invasive treatment modalities for symptomatic temporomandibular joint disc displacement with reduction: a randomized controlled clinical trial

Autor: Nermeen A. Rady, Mariam M. Bahgat, Ahmed M. Abdel-Hamid
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Oral Health, Vol 22, Iss 1, Pp 1-14 (2022)
Druh dokumentu: article
ISSN: 1472-6831
DOI: 10.1186/s12903-022-02579-3
Popis: Abstract Background Pain and clicking are the primary complaints in patients suffering from temporomandibular joint disc displacement with reduction (DDwR), negatively affecting the patients' quality of life, making the treatment essential. This prospective randomized controlled trial (RCT) was conducted to evaluate the effectiveness of botulinum toxin type-A (BTX-A) and low level laser therapy (LLLT) in comparison to anterior repositioning appliance (ARA) for the treatment of DDwR. Methods A total of 27 patients were randomly allocated to 3 groups; ARA (control group), BTX-A, and LLLT; with 9 patients each. All patients were evaluated before and 3 months after the treatment using a visual analogue scale (VAS) and magnetic resonance imaging (MRI). Results At 3 months follow-up, all groups showed a significant reduction in pain assessed by VAS (P = 0.007). Measured on MRI, there was a significant improvement in disc position and joint space index (JSI) in BTX-A group (P
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