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

• Published in: BMC oral health 2023-06, Vol.23 (1), p.389-389, Article 389
• Main Authors: Simões, Carolina Antunes Santa Cecília, da Silva, Mayara Aparecida Moreira, Magesty, Rafael Alvim, Falci, Saulo Gabriel Moreira, Douglas-de-Oliveira, Dhelfeson Willya, Gonçalves, Patricia Furtado, Flecha, Olga Dumont
• Format: Article
• Language: English
• Subjects: Brazil; Care and treatment; Clinical trials; Counseling; Exercise; Exercise Therapy; Health counseling; Humans; Intervention; Jaw; Methods; Mouth; Nonsteroidal anti-inflammatory drugs; Pain; Patients; Perception; Performance evaluation; Periodontics; Physiological aspects; Questionnaires; Statistical analysis; Temporomandibular Articular Disc; Temporomandibular Disorders; Temporomandibular joint; Temporomandibular Joint Disc; Temporomandibular joint disorders; Temporomandibular Joint Disorders - therapy
• ISSN: 1472-6831; 1472-6831
• DOI: 10.1186/s12903-023-03096-7

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). 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. 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