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Patient's satisfaction and muscles activity after management of tmd patients using CAD/CAM versus conventional occlusal splints : Randomized clinical trial / Radhwan Saleh Abdullah Algabri ; Supervised Amal Fathy Kaddah , Amr Hosny Elkhadem , Eman Ahmed Maher

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Radhwan Saleh Abdullah Algabri , 2017Description: 139 P. : charts , facsimiles ; 25cmOther title:
  • معالجة اضطرابات المفصل الفكي الصدغي باستخدام الضمادات الإطباقية المصنعة باستخدام الكمبيوتر مقابل الضمادات الإطباقية المصنعة بالطريقة الاعتيادية لتقييم رضا المرضى والنشاط العضلي : دراسة سريرية عشوائية [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Prosthodontics Summary: Background: With continuous debate, regarding which are more effective in managements of the temporomandibular disorders (TMDs), CAD/CAM or conventionally made occlusal splint, this study aimed to answer the following question 2does the CAD/CAM occlusal splints have different effect regard to patient satisfaction, muscle activity, and time of adjustments when compared with conventional splints?3 Materials and Methods: A sample of 30 TMD patients, with a mean age of 30.2 years were randomly allocated into Groups 1 (CAD/CAM splint 15 patients) and 2 (conventional splint 15 patients). The research diagnostic criteria for TMD were used for TMD Axis I (Groups II disc displacement with reduction). Numeric scales (TMD/NS, 10 cm) were used to measure headaches, face pain, jaw joint pain, jaw joint noises, mastication pain, neck pain, face tension, limitation of mouth opening, complaints during mastication, and teeth sensitivity at baseline and then monthly for 3 months. Electromyography was used to measure the muscle activity of masseter and temporalis muscles at baseline, 1 month, and 3 months. The time needed for adjustment of splint from the beginning of splint insertion until became well fitted and occlusally adjusted was calculated using stopwatch (minutes). Results: TMD/NS showed statistically significant improvement in CAD/CAM splint group when compared to conventional splint after 1 and 3 months P = 0.001 and < 0.0001, respectively. There was highly statistical significant less time required for adjustment for the CAD\CAM occlusal splints when compared to the conventional occlusal splints (P < 0.0001). Conclusion: The CAD/CAM occlusal splints significantly require less time of adjustment and improve the patient{u2019}s satisfaction of TMD patients greater than that of conventional occlusal splint. However, both splints are similar in regard to improvements of the muscle activities
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.09.09.Ph.D.2017.Ra.P (Browse shelf(Opens below)) Not for loan 01010110074995000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.09.09.Ph.D.2017.Ra.P (Browse shelf(Opens below)) 74995.CD Not for loan 01020110074995000

Thesis (Ph.D.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Prosthodontics

Background: With continuous debate, regarding which are more effective in managements of the temporomandibular disorders (TMDs), CAD/CAM or conventionally made occlusal splint, this study aimed to answer the following question 2does the CAD/CAM occlusal splints have different effect regard to patient satisfaction, muscle activity, and time of adjustments when compared with conventional splints?3 Materials and Methods: A sample of 30 TMD patients, with a mean age of 30.2 years were randomly allocated into Groups 1 (CAD/CAM splint 15 patients) and 2 (conventional splint 15 patients). The research diagnostic criteria for TMD were used for TMD Axis I (Groups II disc displacement with reduction). Numeric scales (TMD/NS, 10 cm) were used to measure headaches, face pain, jaw joint pain, jaw joint noises, mastication pain, neck pain, face tension, limitation of mouth opening, complaints during mastication, and teeth sensitivity at baseline and then monthly for 3 months. Electromyography was used to measure the muscle activity of masseter and temporalis muscles at baseline, 1 month, and 3 months. The time needed for adjustment of splint from the beginning of splint insertion until became well fitted and occlusally adjusted was calculated using stopwatch (minutes). Results: TMD/NS showed statistically significant improvement in CAD/CAM splint group when compared to conventional splint after 1 and 3 months P = 0.001 and < 0.0001, respectively. There was highly statistical significant less time required for adjustment for the CAD\CAM occlusal splints when compared to the conventional occlusal splints (P < 0.0001). Conclusion: The CAD/CAM occlusal splints significantly require less time of adjustment and improve the patient{u2019}s satisfaction of TMD patients greater than that of conventional occlusal splint. However, both splints are similar in regard to improvements of the muscle activities

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