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IRCT20221113056489N1 IRCT 2022-11-19 Tehran University of Medical Sciences The effect of Self-care in improving symptoms of Temporomandibular Disorders in Rheumatoid Arthritis patients The effect of self-care in improving the symptoms of Temporomandibular Disorders in drug-treated Rheumatoid Arthritis patients 2022-11-19 anticipated 44 Complete https://irct.ir/trial/66836 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment. N/A Temporomandibular joint Disorders. Intervention group: In Rheumatoid Arthritis patients under drug treatment, the symptoms of Temporomandibular Disorders will be examined by a trained examiner, and the diagnosis of Temporomandibular Disorders will be confirmed with the criteria of the RDC-TMD questionnaire, and the severity of dysfunction will be recorded based on the Helkimo clinical criteria. Patients are then asked to rate the pain intensity on a scale of 0 to 10, where 0 represents no pain and 10 represents maximum pain. After recording symptoms, the necessary "self-care" training will be given in the form of a short seminar, along with skills training provided through demonstrations, exercises between sessions, and structured feedback during sessions and phone calls. Self-care includes: education (about the socio-biology model of TMD, chronic pain, multifaceted aspects of the cause of TMD, management methods, and the logic of self-management), bilateral chewing, limitation of mouth opening (opening the mouth within the range of the patient's pain threshold ), diet control (avoid eating hard food), yawn control (opposite pressure on the back of both hands under the chin), thermal modalities (use of moist heat (twice a day for 20 minutes each time) and ice compresses) 1 time and 10 minutes each time) alone or together), massage therapy (touching and caressing the muscles along them), controlling parafunctional behaviors (putting their tongue behind the front teeth of the upper jaw, such as when say "N" and then close your mouth and when the lower jaw was in a resting position, leave a few millimeters of space between the occlusion surfaces of the upper and lower teeth while the lips are slightly in contact with each other (free space) (Patients will be instructed to maintain this relaxed position at all times at rest, except when eating or talking and to avoid involuntary muscle contraction with teeth in central occlusion). Then two weeks later, by phone, the patient will be monitored to ensure that the training is done correctly, and 2 months later, an examination will be done again, similar to the first session, and the severity of the symptoms will be recorded.. Yes - There is a plan to make this available What will be shared: After deidentifying the patient's demographic information, the results obtained after the treatment can be shared When: The access period starts 6 months after the results are published To whom: Researchers working in academic and scientific institutions will be available Conditions: After deidentifying the patient's demographic information, the results obtained after the treatment can be shared Where to obtain: Faculty of Dentistry, Tehran University of Medical Sciences Hosna Bahrami 09186796325 bahrami.h1994@gmail.com How to obtain: The access period starts 12 months after receiving the request Comments:
public Hosna Bahrami
Faculty of Dentistry, Tehran University of Medical Sciences, North Kargar Street
Tehran Iran (Islamic Republic of) 1439955991 +98 83 3429 0450 bahrami.h1994@gmail.com Tehran University of Medical Sciences scientific Hosna Bahrami
Faculty of Dentistry, Tehran University of Medical Sciences, North Kargar Street
Tehran Iran (Islamic Republic of) 1439955991 +98 83 3429 0450 bahrami.h1994@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) All patients with Rheumatoid Arthritis under anti-rheumatoid drug treatment with Temporomandibular Disorder No previous treatment for Temporomandibular Disorders 18 years 65 years Both History of jaw trauma History of head, mouth and neck neoplasia History of maxillofacial surgery Changing the therapeutic dose of Rheumatoid Arthritis during the follow-up period K07.6 Temporomandibular joint-pain-dysfunction syndrome Treatment - Other Intervention group: In Rheumatoid Arthritis patients under drug treatment, the symptoms of Temporomandibular Disorders will be examined by a trained examiner, and the diagnosis of Temporomandibular Disorders will be confirmed with the criteria of the RDC-TMD questionnaire, and the severity of dysfunction will be recorded based on the Helkimo clinical criteria. Patients are then asked to rate the pain intensity on a scale of 0 to 10, where 0 represents no pain and 10 represents maximum pain. After recording symptoms, the necessary "self-care" training will be given in the form of a short seminar, along with skills training provided through demonstrations, exercises between sessions, and structured feedback during sessions and phone calls. Self-care includes: education (about the socio-biology model of TMD, chronic pain, multifaceted aspects of the cause of TMD, management methods, and the logic of self-management), bilateral chewing, limitation of mouth opening (opening the mouth within the range of the patient's pain threshold ), diet control (avoid eating hard food), yawn control (opposite pressure on the back of both hands under the chin), thermal modalities (use of moist heat (twice a day for 20 minutes each time) and ice compresses) 1 time and 10 minutes each time) alone or together), massage therapy (touching and caressing the muscles along them), controlling parafunctional behaviors (putting their tongue behind the front teeth of the upper jaw, such as when say "N" and then close your mouth and when the lower jaw was in a resting position, leave a few millimeters of space between the occlusion surfaces of the upper and lower teeth while the lips are slightly in contact with each other (free space) (Patients will be instructed to maintain this relaxed position at all times at rest, except when eating or talking and to avoid involuntary muscle contraction with teeth in central occlusion). Then two weeks later, by phone, the patient will be monitored to ensure that the training is done correctly, and 2 months later, an examination will be done again, similar to the first session, and the severity of the symptoms will be recorded. Temporomandibular Disorders. Timepoint: Measuring symptoms of Temporomandibular Disorders at the beginning of the study (before the start of the intervention) and 2 months after self-care training. Method of measurement: Numerical Analogue Scale. Tehran University of Medical Sciences Approved 2022-05-28 Shcool of Dentistry, Tehran Univrsity of Medical Sciences School of Dentistry, Tehran University of Medical Sciences, North Karegar St., Enghelab Sq., Tehran. Tehran Tehran Iran (Islamic Republic of)