Effectiveness of Vitamin D along with Splint therapy in the Vit D deficient patients with Temporomandibular disorder-A Randomized, double-blind, placebo-controlled clinical trial.
Study Goal
The researchers aimed to compare the effectiveness of Vitamin D supplementation combined with stabilization splint therapy versus splint therapy alone in improving symptoms of temporomandibular disorders (TMD) in patients with Vitamin D deficiency.
Results Summary
The study found that Vitamin D supplementation provided faster relief in TMD symptoms compared to splint therapy alone, with significant improvements in comfort mouth opening (CMO), maximum mouth opening (MMO), and pain (VAS score). However, no significant difference was observed in Vitamin D levels or total energy (TE) integral values between the groups.
Population
Patients aged 18-45 with Vitamin D deficiency and temporomandibular disorders (TMD).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
centric stabilization splint | decrease | symptoms of TMD | TMD patients | - | helps in improving | #1 |
Vitamin D supplementation | decrease | symptoms of TMD | TMD patients with low Vitamin D | - | provided faster relief | #2 |
Stabilization splint with Vitamin D supplementation | increase | comfort mouth opening (CMO) | patients with low Vitamin D and TMDs | - | significant difference was seen | #3 |
Stabilization splint with Vitamin D supplementation | decrease | Visual analog scale score (VAS Score) | patients with low Vitamin D and TMDs | - | significant difference was seen | #4 |
Stabilization splint with Vitamin D supplementation | increase | maximum mouth opening (MMO) | patients with low Vitamin D and TMDs | - | significant difference was seen | #5 |
Stabilization splint with Vitamin D supplementation | no change | mean values of total energy (TE) integral of right TMJ | patients with low Vitamin D and TMDs | - | no significant difference was seen | #6 |
Stabilization splint with Vitamin D supplementation | no change | mean values of total energy (TE) integral of left TMJ | patients with low Vitamin D and TMDs | - | no significant difference was seen | #7 |
Stabilization splint with Vitamin D supplementation | no change | Vitamin D levels | patients with low Vitamin D and TMDs | - | no significant difference was seen | #8 |
Stabilization splint with Vitamin D supplementation | increase | comfort mouth opening (CMO) | patients with low Vitamin D and TMDs | - | significant statistical variations | #9 |
Stabilization splint with Vitamin D supplementation | decrease | Visual analog scale score (VAS Score) | patients with low Vitamin D and TMDs | - | significant statistical variations | #10 |
Stabilization splint with Vitamin D supplementation | increase | maximum mouth opening (MMO) | patients with low Vitamin D and TMDs | - | significant statistical variations | #11 |
Stabilization splint with Vitamin D supplementation | decrease | total energy (TE) integral of right TMJ | patients with low Vitamin D and TMDs | - | significant statistical variations | #12 |
Stabilization splint with Vitamin D supplementation | decrease | total energy (TE) integral of left TMJ | patients with low Vitamin D and TMDs | - | significant statistical variations | #13 |
AIM: The purpose of this study is to comparatively evaluate the Vitamin D supplementation and stabilization splint therapy in patients exhibiting temporomandibular disorders (TMD). SETTINGS AND DESIGN: The study design was double-blinded, parallel-group, randomized and placebo-controlled trial conducted in patients with low Vitamin D and TMDs, which were allocated to two groups, Study group S + D (Stabilization splint with Vitamin D supplementation) and Control Group S (Stabilization Splint with placebo drug). SUBJECTS AND METHODS: Thirty-six participants of 18-45 years of age gap with Vitamin D deficiency and TMD were included in the study. Preoperative values of Vitamin D levels in ng/ml, comfort mouth opening (CMO) in mm, maximum mouth opening (MMO) in mm, temporomandibular joint (TMJ) tenderness (grading 0-3), Visual analog scale score (VAS Score 0-10 cm), and total energy (TE) integral values of both left and right TMJ's in Hertz (Hz) were recorded using joint vibration analysis All the values of CMO, MMO, TMJ Tenderness and VAS were recorded at each follow-up at 1 STATISTICAL ANALYSIS USED: For intergroup comparison, Mann-Whitney U-test and Pearson Chi-square tests were done. For Intragroup comparison, Wilcoxon signed rank test was used for comparison. RESULTS: In Intergroup comparison, a significant difference was seen in CMO, VAS score and MMO (P < 0.05) but not among mean values of TE of right and left TMJ, and Vitamin D levels (P < 0.05). In both groups, there were significant statistical variations in CMO, VAS score, MMO, and TE integral before and after treatment in the right and left TMJs (P < 0.05). CONCLUSIONS: The study concludes centric stabilization splint helps in improving symptoms of TMD patients and Vitamin D supplementation provided faster relief in those cases.