About this trial
The study aims to compere mandibular splint versus botox injection in lateral pterygoid on cervical muscle activity in patients with temporomandibular disorders
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 18-40 years old.
Both sexes.
Duration of the disease is more than 3 months.
Anterior mandibular disc displacement with reduction will be included.
Disqualifiers
Neurological or musculoskeletal diseases that affect cervical spine other than mandibular disc displacement (eg: cervical spondylosis, spondylolisthesis, and cervical disc injuries)
Bilateral anterior mandibular disc displacement patients.
Musculoskeletal disorders such as severe arthritis, cervical spine surgery or contractures of fixed deformity, leg length discrepancy.
women during pregnancy and lactation.
Trial design
Parallel
Treatments tested in this trial
Botox injection
DrugPatients will be treated by Botox injection in lateral pterygoid muscle and medications like muscle relaxants, antidepressants and nonsteroidal anti-inflammatory drugs. A Botox-A vial was diluted with normal saline to a concentration of 10 U per 0.1 mL for injection in a 1-ml insulin syringe. This will be injected into the ipsilateral lateral pterygoid muscle.
Mandibular stabilization splint
DrugPatients will be treated by mandibular stabilization splint and medications like muscle relaxants, antidepressants and nonsteroidal anti-inflammatory drugs.
Muscle relaxant
DrugPatients will be treated by medications like muscle relaxants, antidepressants and nonsteroidal anti-inflammatory drugs.
Treatment groups
Trial outcomes
Primary outcomes
Muscle activity of upper trapizieus and sternocleidomastoid
Muscle activity of upper trapizieus and sternocleidomastoid will be recorded before and after injection for 3 months by neurosoft Electromyography
Secondary outcomes
Amplitude of muscle activity
Amplitude of muscle activity will be recorded before and after injection for 3 months by neurosoft Electromyography.
Root mean square of muscle activity
Root mean square of muscle activity will be recorded before and after injection for 3 months by neurosoft Electromyography.
Sponsors and contacts
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