The New Serial Treatment of Temporomandibular Disorders

Study Overview
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Brief Summary
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The purpose of this study is to look at temporomandibular joint (TMJ) pressure as a guideline to analyze the different treatments for temporomandibular disorder (TMD), and judge the feasibility of the adjust TMJ pressure treatment and to reach a conclusion on the different treatments for different types of TMD, and determine the new serial treatment of temporomandibular disorders.

Detailed Description
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Temporomandibular Disorder is a common disease nowadays, but there is no guideline for the treatment of TMD. TMD can be divided into masticating muscles dysfunction; internal derangement; inflammation; osteoarthrosis, this study will classify the internal derangement, inflammation and osteoarthrosis into three types according to the TMJ pressure. Then the patient will receive the adjust pressure treatment according to their TMJ pressure. The first part of the TMD patients will receive psychogenic treatment, medicine, physical treatment, bite plate, occlusion treatment, rebuilding occlusion treatment, orthodontic treatment, et. If the patients do not have a good curative effect, part of them will change the treatment into arthrocentesis, arthroscopic treatment or operation treatment, the other part of patients, according to their TMJ pressure, receiving the associated adjust pressure treatment or adjust pressure treatment only. This study will call on the patients for three years and collect the clinical information, then doing the medical statistics.

Official Title
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Create the New Serial Treatment of Temporomandibular Disorders

Conditions
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Temporomandibular Disorder

Intervention / Treatment
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* Procedure: Adjust the TMJ Pressure to Normal Value
* Other: Do not adjust the pressure of TMJ


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Limited Month Opening Abnormal of the Month Opening Type Paint During the Month Open or Close Condylar Position Paint Clicking of the Temporomandibular Joint Enlargement of the Upper Temporomandibular Joint Gap Dislocation of the Temporomandibular Disc Bone of the Temporomandibular Joint Changement Patient in the Age of 16-60 Voluntary Patient Exclusion Criteria: Dysimmunity Disease Dysfunction of Heart Liver and Kidney Disease Patient can not do the Guide Line Life-threatening Patient Serious Limited Mouth Opening Epilepsy Tetanus Pregnancy or Women in the Pregnancy Period Supportive Temporomandibular Disease

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1.Arthrocentesis only<br>Patients only have Arthrocentesis, but without adjusting the pressure of the TMJ | Other: Do not adjust the pressure of TMJ<br>* Do the treatments normally without additional treatment<br>|
| Active Comparator: 3.Arthroscopic Treatment<br>Patient receives Arthroscopic treatments without adjusting the TMJ pressure | Other: Do not adjust the pressure of TMJ<br>* Do the treatments normally without additional treatment<br>|
| Active Comparator: 4.Arthroscopic with Adjust Pressure<br>Arthroscopic Treatment with Adjust TMJ Pressure Treatment, during the Arthroscopic treatment adjust the pressure of TMJ to normal value | Procedure: Adjust the TMJ Pressure to Normal Value<br>* Adjust the TMJ Pressure by the Operation Only Once for Each Patient<br>|
| Active Comparator: 5.The TMJ Orperation Treatment<br>The TMJ Operation Treatment without adjusting the pressure of TMJ | Other: Do not adjust the pressure of TMJ<br>* Do the treatments normally without additional treatment<br>|
| Active Comparator: 6.The TMJ Operation with Adjust Pressure<br>The TMJ Operation with Adjust TMJ Pressure Treatment, during the treatments to adjust the TMJ pressure to normal value | Procedure: Adjust the TMJ Pressure to Normal Value<br>* Adjust the TMJ Pressure by the Operation Only Once for Each Patient<br>|
| Active Comparator: 7.Bite Plate Treatment<br>Bite Plate Treatment for Temporomandibular Disorders without adjusting the pressure of TMJ | Other: Do not adjust the pressure of TMJ<br>* Do the treatments normally without additional treatment<br>|
| Active Comparator: 8.Bite Plate with Adjust pressure<br>Bite Plate and Adjust Pressure Treatment for Temporomandibular Disorders, during the treatments adjust the pressure of TMJ to normal value | Procedure: Adjust the TMJ Pressure to Normal Value<br>* Adjust the TMJ Pressure by the Operation Only Once for Each Patient<br>|
| Active Comparator: 2.Arthrocentesis with adjust pressure<br>Arthrocentesis with adjust pressure according to the pressure of TMJ | Procedure: Adjust the TMJ Pressure to Normal Value<br>* Adjust the TMJ Pressure by the Operation Only Once for Each Patient<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| all cause mortality |  | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Create the New Serial Treatment of TMD, Promote the Classification of Biodynamics in the TMD, Evaluate the Effect of Adjusting TMJ Treatment, Establish the New Standard of the TMJ Treatment, Invent New Device to Measure Pressure without Trauma