Internet-based treatment for adolescents with symptomatic temporomandibular joint disc displacement with reduction. A randomized controlled clinical trialShow others and affiliations
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
2021-04-022021-04-022022-05-25Bibliographically approved