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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.

Journal of Indian Prosthodontic Society
January 1, 2022
Abhishek Kumar Gupta et al. (3 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

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

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
HumansOcclusal SplintsVitamin DTreatment OutcomeTemporomandibular Joint DisordersSplintsArthralgia
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations8
Citations/Year2.7
Relative Citation Ratio1.79
NIH Percentile71.1%
Research Impact Scores
APT Score0.75
Weight Score2.60
Normalized Score0.66
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