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document
Treatment outcome of appliance therapy in temporomandibular disorder patients with myofascial pain after 6 and 12 months . AIM To compare the long-term effect of treatment with a stabilization appliance ( group T ) and treatment with a control appliance ( group C ) in temporomandibular disorder ( TMD ) patients with myofascial pain . METHODS In this controlled trial , 60 patients ( mean age 29 years ) with myofascial pain were evaluated after 10 weeks of treatment with either a stabilization appliance or a control appliance . All 60 patients were then assigned to 1 of 3 groups according to demand for treatment . Seventeen patients from group C requested another appliance and were given a stabilization appliance , thus creating a mixed group ( group M ) . RESULTS A significant difference in improvement of overall subjective symptoms in an intent-to-treat analysis between groups T and C was found at the follow-ups . In a survival analysis of treatment compliance , a significant difference was found between groups T and C. At the 6- and 12-month follow-ups , a significant reduction in myofascial pain , as measured on a visual analog scale , was found in all three groups . A significant decrease in frequency and intensity of myofascial pain was found in group T at the follow-ups . A significant decrease in number of tender sites on the masticatory muscles was found in group T at the follow-ups . CONCLUSION The results support the conclusion that the positive treatment outcome obtained by use of a stabilization appliance to alleviate the signs and symptoms in patients with myofascial pain persisted after 6 and 12 months . Most patients in groups T and M reported positive changes in overall subjective symptoms in this trial . We therefore recommend use of the stabilization appliance in the treatment of TMD patients with myofascial pain .
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Intervention_Physical
appliance therapy
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Intervention_Physical
stabilization appliance
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Intervention_Physical
control appliance
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Intervention_Physical
stabilization appliance
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Intervention_Physical
control appliance
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Intervention_Physical
stabilization appliance
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Intervention_Physical
stabilization appliance
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Intervention_Physical
stabilization appliance
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Outcome_Pain
myofascial pain
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Outcome_Physical
improvement of overall subjective symptoms
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Outcome_Pain
myofascial
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Outcome_Physical
visual analog scale
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Outcome_Pain
frequency and intensity of myofascial pain
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Outcome_Physical
number of tender sites on the masticatory muscles
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Outcome_Physical
overall subjective symptoms
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Outcome_Pain
myofascial pain .
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Participant_Condition
temporomandibular disorder
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Participant_Condition
temporomandibular disorder
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Participant_Condition
TMD
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Participant_Sample-size
60
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Participant_Age
29 years
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Participant_Condition
myofascial pain
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Participant_Sample-size
60
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Participant_Condition
myofascial pain
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Participant_Condition
TMD
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Participant_Condition
myofascial pain