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Internet-based treatment for adolescents with symptomatic temporomandibular joint disc displacement with reduction: A randomized controlled clinical trial
Department of Stomatognathic Physiology, Kalmar County Hospital, Kalmar, Sweden.
Center for Oral Rehabilitation, Norrköping, Sweden; Department of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.
Center for Oral Rehabilitation, Linköping, Sweden; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
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 Group, 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:umu:diva-182035DOI: 10.1080/00016357.2021.1901983ISI: 000632020100001PubMedID: 33756097Scopus ID: 2-s2.0-85103047312OAI: oai:DiVA.org:umu-182035DiVA, id: diva2:1546408
Available from: 2021-04-22 Created: 2021-04-22 Last updated: 2022-01-04Bibliographically approved

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Wänman, Anders

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