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IRCT20210321050751N3 IRCT 2022-09-27 Yazd University of Medical Sciences Comparison of the effect of diode laser with transcranial direct current stimulation(TDCS) in reducing symptoms in patients with temporomandibular disorders (TMD) Comparison of the effect of diode laser with transcranial direct current stimulation(TDCS) in reducing symptoms in patients with temporomandibular disorders (TMD) 2022-11-22 anticipated 34 Complete https://irct.ir/trial/63322 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The design of the study is done before and after (before & after). The samples are randomly divided into two groups of 17 and one group will be treated with laser and the other group with TDCS. In this study, a simple randomization method is used. It is an individual randomization unit and the randomization tool is the use of a random number table. N/A Temporomandibular joint disorders (TMD). Intervention 1: Intervention group: In the laser group, 9 sessions of laser therapy using diode laser ( 980 nm, 100 mW) will be performed during 3 weeks (3 times a week).The diode laser is applied in three areas in the TMJ joint, temporalis muscle and gonial angle with a 90 degree angle in contact with the skin and for 10 seconds at each point in 3 points with a distance of 4 mm. Intervention 2: Intervention group: In the TDCS group, treatment will be performed in 5 sessions for 5 consecutive days.The TDCS device consists of anode and cathode electrodes, which are connected to an energy source that produces direct current (DC). Two electrodes, one positive pole and the other negative pole, are placed on the head through a sponge pad that is moistened with a conductive solution such as washing serum. They take Passing a weak current to the brain between two electrodes, where the current enters the brain from the anode, passes through the tissue and exits from the cathode, creates changes in the brain. The anode pole in this method leads to an increase in excitability and pole Cathode reduces cortical excitability and the duration of stimulation is up to 20 minutes. Yes - There is a plan to make this available What will be shared: After unidentifying ,it is possible to share all variables of patients. When: Start the access period 6 months after publishing the results. To whom: Researchers working in academic and scientific institutions and valid scientific research journals. Conditions: In order to use the documents of this study for other studies and researches to apply the results and efficiency of modern TMD treatments Where to obtain: Responsible person in this field :parisa mohsenzade ,email address : p.mzade75tums@gmail.com How to obtain: The applicant can send his request to the above- mentioned email address his/her introduction and the reason for the request and receive the information as soon as possible (finally within 7-10 days) Comments:
public Parisa Mohsenzade
Yazd. Dahe fajr Boulevard. Imam Reza Street.Shahid Sadoughi University of Medical Science
Yazd Iran (Islamic Republic of) 8914881167 +98 34 3428 4157 p.mzade75tums@gmail.com Yazd University of Medical Sciences scientific Parisa Mohsenzade
Yazd. Dahe fajr Boulevard. Imam Reza Street.Shahid Sadoughi University of medical science
Yazd Iran (Islamic Republic of) 8914881167 +98 34 3428 4157 p.mzade75tums@gmail.com Yazd University of Medical Sciences Iran (Islamic Republic of) 1) Patients 40-18 years old 2) Have vague or obvious pain in the temporomandibular joint for at least 2 months (score 4 or higher on the VAS scale). 3) Have at least one of the following two symptoms.1. Sensitivity to the touch of one or more masticatory muscles2. Mandibular restriction on opening 4) Fill in the informed consent of the patient to enter the study 5) Do not have a history of jaw trauma. 6) Do not have a history of joint disease and rheumatoid arthritis. 7) Do not currently be treated for TMD. 18 years 40 years Both 1. Any illness or trauma that occurs after the start of the study for the samples and affects the rate of TMD symptoms. 2.Taking drugs such as cartilage-building drugs and Nsaid 3.Lack of cooperation in continuing the study to complete the treatment sessions M26.6 Temporomandibular joint disorders Treatment - Other Treatment - Other Intervention group: In the laser group, 9 sessions of laser therapy using diode laser ( 980 nm, 100 mW) will be performed during 3 weeks (3 times a week).The diode laser is applied in three areas in the TMJ joint, temporalis muscle and gonial angle with a 90 degree angle in contact with the skin and for 10 seconds at each point in 3 points with a distance of 4 mm. Intervention group: In the TDCS group, treatment will be performed in 5 sessions for 5 consecutive days.The TDCS device consists of anode and cathode electrodes, which are connected to an energy source that produces direct current (DC). Two electrodes, one positive pole and the other negative pole, are placed on the head through a sponge pad that is moistened with a conductive solution such as washing serum. They take Passing a weak current to the brain between two electrodes, where the current enters the brain from the anode, passes through the tissue and exits from the cathode, creates changes in the brain. The anode pole in this method leads to an increase in excitability and pole Cathode reduces cortical excitability and the duration of stimulation is up to 20 minutes Pain score changes. Timepoint: Before treatment, 1 and 3 months after treatment. Method of measurement: VAS. Masticatory muscle tenderness changes. Timepoint: Before treatment, 1 and 3 months after treatment. Method of measurement: 1،2،3،4. Changes in the range of maximum mouth opening. Timepoint: Before treatment, 1 and 3 months after treatment. Method of measurement: mm. Patient satisfaction score of treatment. Timepoint: after treatment. Method of measurement: questionnaire, Contains questions about improving function, jaw sounds, sleep disorders, etc. after treatment. Yazd University of Medical Sciences Approved 2022-04-16 Yazd Shahid Sadoughi University of Medical Science Yazd. Dahe fajr Boulevard. Imam Reza Street.Shahid Sadoughi University of Medical Science Yazd Yazd Iran (Islamic Republic of)