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Internet-based treatment for adolescents with symptomatic temporomandibular joint disc displacement with reduction. A randomized controlled clinical trial
Detpartment of Stomatagnathic Pphysiology, Kalmar Cty Hosp, Kalmar, Sweden.
Region Östergötland, Public Dental Health Care, Center for Oral Rehabilitation Norrköping. Department of Orofacial Pain and Jaw Function, Malmö Univ, Malmö, Sweden.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Public Dental Health Care, Center for Oral Rehabilitation Linköping.
Regional Center for Child and Youth Mental Health and Child Welfare - Central Norway; Norwegian University of Science and Technology, Trondheim, Norway.
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2021 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 79, no 6, p. 473-481Article in journal (Refereed) Published
Abstract [en]

Objective To evaluate treatment outcome of a jaw exercise (JE) intervention program combined with an information/counselling program (IC) vs. information/counselling alone. Materials and methods A clinical sample of 83 adolescents, experiencing painful clicking or catching/locking of the jaw, and diagnosed with symptomatic disc displacement with reduction according to RDC/TMD, were randomly assigned to JE/IC or IC program. Both programs were internet-delivered. The adolescents were examined clinically at baseline, at a 2-month mid-evaluation, and at 4months posttreatment by examiners blinded to which programs the adolescents were assigned to. Results The JE/IC group showed significantly more improvements of painful catching/locking (p = .017), eating ability (p = .006) and of their jaw function limitation (p = .026) compared to the IC group. Significantly more adolescents in the JE/IC group also reported a >= 50% improvement of the catching/locking of the jaw with pain (p = .024) and for eating ability (p = .034) based on a severity index. Treatment method credibility and satisfaction were also significantly higher in the JE/IC group. Conclusion The internet-delivered JE/IC program showed a better outcome compared to IC alone. The former is thus a feasible and cost-effective treatment for adolescents with symptomatic disc displacement with reduction.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2021. Vol. 79, no 6, p. 473-481
Keywords [en]
Adolescence; e-health; jaw exercise; randomized controlled trial; temporomandibular disorders
National Category
Dentistry
Identifiers
URN: urn:nbn:se:liu:diva-174774DOI: 10.1080/00016357.2021.1901983ISI: 000632020100001PubMedID: 33756097OAI: oai:DiVA.org:liu-174774DiVA, id: diva2:1541730
Note

Funding Agencies|Research Council of Southeast Sweden [FORSS-566901]; Public Dental Service of Kalmar (Kalmar County Council), Sweden; Public Dental Health Scientific Funds in Ostergotland County (Ostergotland County Council), Sweden

Available from: 2021-04-02 Created: 2021-04-02 Last updated: 2022-05-25Bibliographically approved

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Nilsson, Ing-MarieDimitrijevic Carlsson, Alexandra

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Nilsson, Ing-MarieDimitrijevic Carlsson, Alexandra
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Center for Oral Rehabilitation NorrköpingDivision of Diagnostics and Specialist MedicineFaculty of Medicine and Health SciencesCenter for Oral Rehabilitation Linköping
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