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Occlusal adjustment in patients with craniomandibular disorders including headaches. A 3- and 6-month follow-up.

Abstract
The aim of this study was to evaluate the therapeutic effect of occlusal adjustment on symptoms and signs of craniomandibular disorders (CMD), including headaches, after 3 and 6 months. Fifty patients were selected and randomly assigned to a treatment (T) or a control (C) group. All patients in the treatment group were subjected to occlusal adjustment, whereas the controls were comforted only. Pre- and post-treatment assessment of subjective symptoms and clinical signs was made by a dentist not performing the occlusal adjustment. There was significant improvement in overall subjective symptoms within the T group at the 3- and 6-month follow-up visits, but a statistically significant difference between groups was found at the 3-month follow-up only. With regard to changes in frequency of facial pain a significant deterioration was reported within the C group, which resulted in a significant difference between groups at the 6-month follow-up. No other significant differences were found within or between groups at the follow-ups with regard to the variables investigated. In conclusion, the results from this study that occlusal adjustment is a treatment modality with a statistically significant short-term effect on symptoms of CMD of muscular origin and superior to counseling.
AuthorsD Vallon, E Ekberg, M Nilner, S Kopp
JournalActa odontologica Scandinavica (Acta Odontol Scand) Vol. 53 Issue 1 Pg. 55-9 (Feb 1995) ISSN: 0001-6357 [Print] England
PMID7740933 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Topics
  • Chi-Square Distribution
  • Counseling
  • Dental Occlusion, Balanced
  • Dental Occlusion, Traumatic (therapy)
  • Facial Pain (therapy)
  • Female
  • Follow-Up Studies
  • Headache (therapy)
  • Humans
  • Male
  • Pain Measurement
  • Single-Blind Method
  • Statistics, Nonparametric
  • Temporomandibular Joint Dysfunction Syndrome (therapy)
  • Time Factors
  • Treatment Outcome

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