The effect of reduced disclusion time in the treatment of myofascial pain dysfunction syndrome using immediate complete anterior guidance development protocol monitored by digital analysis of occlusion

Thumati, Prafulla; Manwani, Rakhi; Mahantshetty, Minal

doi:10.1179/2151090314y.0000000004

Cited by 57 publications

(32 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The advent of disclusion time reduction therapy using properly performed ICAGD[16203233343536] is a potentially new direction in the treatment of myofascial pain dysfunction patients. Further studies with longer follow-up should be performed using ICAGD in the treatment of occluso-muscle pains of TMD disorders.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, this study's results corroborate the findings of previous disclusion time reduction studies involving the ICAGD coronoplasty as a treatment for myofascial pain symptoms. [17181920212223] The role of occlusion in activating myofascial pain symptoms has long been debated. While some authors have shown occlusal equilibration to be a successful treatment modality in treatment of such disorders[567], other controlled studies have shown there were similar symptom resolutions in both the control and the treated groups.…”

Section: Discussionmentioning

confidence: 99%

“…[17181920212223] Shortening the disclusion time can be accomplished with the immediate complete anterior guidance development (ICAGD) enameloplasty or by an additional procedure performed with the aid of computerized occlusal analysis (T-Scan III, Tekscan Inc., S. Boston, MA, USA) that records real-time measurements of excursive movements as dynamic force movies. [17]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of disocclusion time-reduction therapy to treat chronic myofascial pain: A single group interventional study with 3 year follow-up of 100 cases

Thumati

2016

J Indian Prosthodont Soc

Self Cite

View full text Add to dashboard Cite

Purpose:The purpose of this study is to evaluate the longevity of reduced disclusion time in treating and removing myofascial pain dysfunction symptoms following the T-Scan-based, immediate complete anterior guidance development (ICAGD) coronoplasty. This measured occlusal adjustment has been shown to reduce the muscle hyperactivity of myofascial pain.Methods:Myofascial pain symptomatic patients were recruited as per the diagnostic criteria for temporomandibular disorders (TMDs), including the clinical protocol and assessment instruments outlined by the international RDC/TMD consortium network (version: January 20, 2014) to assess the efficacy of reduced disclusion time in left and right lateral excursions to resolve the myofascial pain symptoms. As per the inclusion and exclusion criteria, 100 cases were treated with ICAGD in three visits, each 1 week apart. Recall disclusion time measurements were recorded every 3 months over 3 years. The RDC/TMD questionnaire was used for symptom assessment at every recall visit. ICAGD brought pretreatment prolonged disclusion time down to <0.4 s, as quantified from T-Scan force and time data records, while the subjects were assessed for symptom relief. The Wilcoxon signed-rank test was used for statistical analysis (P < 0.05).Results:Changes in the intensity of many symptoms from reducing the disclusion time to <0.4 s were statistically significant from treatment day 1, and onward through the 3-year period of observation (P < 0.05).Conclusion:The results indicate that ICAGD reduces the musculoskeletal symptoms of myofascial pain, such that this methodology increases clinical therapeutic success.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of disocclusion time-reduction therapy to treat chronic myofascial pain: A single group interventional study with 3 year follow-up of 100 cases

Thumati

2016

J Indian Prosthodont Soc

Self Cite

View full text Add to dashboard Cite

show abstract

“…OT is directly related with patients’ occlusal contact pattern 21 and has been considered as a capable description of occlusion 22, 40 , whereas, DT could relate tooth contacts to muscle activity 26 . Abnormalities in DT would result in change of muscle activity, thus facilitating the occurrence of TMD 23 . According to the manufacturer, OT is recommended as less than 0.2 s, and DT less than 0.4 s 25, 26 .…”

Section: Discussionmentioning

confidence: 99%

Occlusion and Disocclusion Time Changes in Single Unit Crowns Designed by Functional Generated Path Technique: A Randomised Clinical Trial

Lin

Jiao²,

Zhao

et al. 2017

Sci Rep

View full text Add to dashboard Cite

Although it is believed that implementation of the functional generated path (FGP) technique can facilitate occlusal surface design for restorations, it has not been objectively compared in situ with the conventional fabrication yet. Therefore, in the present study, a single-blind crossover clinical trial was conducted using T-scan to compare changes in occlusion time (OT) and disocclusion time (DT) of single posterior artificial crowns designed differently using FGP technique (FGP), average-value FGP technique (AVR) and conventional fabrication (CON). Each of the 10 participants took part in the study tried three artificial crowns in different sequences according to a computer generated randomization list. The results objectively revealed that changes in OT and DT were significantly smaller for FGP than CON (P < 0.05) and considerably smaller for AVR than CON, respectively. The subjective feedback and the occlusal adjusting time were better and shorter for FGP and AVR than CON (P < 0.05). No harm to the participants occurred. Overall, FGP is an efficient technique showing more physiological harmonious relationship with the articulating system.

show abstract

“…After obtaining patient consent, the immediate complete anterior guidance development enameloplasty (ICAGD) enameloplasty was performed on his right and left excursive movements as previously described, [30] to remove the prolonged occlusal surface friction and reduce the DTs to within physiologic durations. Post ICAGD, the JVA frequency spectra [ Figure 3] analysis showed normalization of amplitude and frequency of left and right joint.…”

Section: Technologies Usedmentioning

confidence: 99%

Diagnostic tests for temporomandibular disorders 81

Thumati¹,

David²

2016

JCRI

Self Cite

View full text Add to dashboard Cite

Etiology and treatment of temporomandibular disorders (TMDs) have two schools of thought; one depends on the Axis I (physical/functional) and the other is on Axis II (biopsychosocial) as per the research diagnostic criteria for TMDs. TMDs are a group of musculoskeletal disorders affecting the structure and/or function of the temporomandibular joints (TMJ), masticatory muscles, dentition, and supporting structures.

show abstract

The effect of reduced disclusion time in the treatment of myofascial pain dysfunction syndrome using immediate complete anterior guidance development protocol monitored by digital analysis of occlusion

Cited by 57 publications

References 16 publications

The effect of disocclusion time-reduction therapy to treat chronic myofascial pain: A single group interventional study with 3 year follow-up of 100 cases

The effect of disocclusion time-reduction therapy to treat chronic myofascial pain: A single group interventional study with 3 year follow-up of 100 cases

Occlusion and Disocclusion Time Changes in Single Unit Crowns Designed by Functional Generated Path Technique: A Randomised Clinical Trial

Diagnostic tests for temporomandibular disorders 81

Contact Info

Product

Resources

About