About this trial
Jaw disorders is the leading cause in facial pain, affecting many people in the world. Despite many patients finding relief from conservative treatment, many get referred to the surgeon for an evaluation. In order to improve access to care and reduce wait times, a new advanced practice physiotherapist-led triage model is being studied.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Referred for new consultation at the MUHC TMJ clinic for temporomandibular joint (TMJ) pain or dysfunction
Residents of the province of Quebec and benefiaries of provincial universal health insurance coverage (Régie de l'Assurance Maladie du Québec - RAMQ)
Be able to understand and communicate in either French of English
Be legally capable of providing informed consent
Disqualifiers
Presenting for a follow-up visit (i.e., not a new consultation)
Have undergone TMJ surgery within the past six months
Referred directly from a recognized orofacial pain dentist or oral medicine specialist
Referred for acute TMJ trauma requiring urgent management (e.g., fractures, dislocations)
Trial design
Single group
Treatments tested in this trial
Physiotherapy assessment
Diagnostic testThis is a non-randomized study as each participant will undergo two independent clinical assessments: one performed by the advanced-practice physical therapist (APPT) and one by the oral and maxillofacial surgeon (OMFS) and/or resident under supervision. For logistical and feasibility reasons, the APPT will conduct the first assessment. After a brief rest period, the participant will be seen by the OMFS. Both clinicians will be blinded to each other's findings, and participants will be explicitly instructed not to share any information from the first assessment during the second.
Treatment groups
Trial outcomes
Primary outcomes
Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)
Secondary outcomes
9-item Visit-Specific Satisfaction Questionnaire (VSQ-9)
9-item Visit-Specific Satisfaction Questionnaire (VSQ-9)
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: