Psychological and Clinical Outcomes After Splint Therapy With Versus Without Doctor-Patient Communication Concept in the Management of TMDs: A Randomised Controlled Clinical Trial.
Mai Ahmed Haggag, Christine Raouf Micheal Ibrahim, Soaad Tolba Badawy
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引用次数: 0
Abstract
Background: Splint therapy is a common treatment approach for temporomandibular disorders (TMDs), but the role of doctor-patient communication in enhancing therapeutic outcomes remains underexplored.
Purpose: This study aimed to assess the impact of integrating a structured doctor-patient communication concept with splint therapy on psychological and clinical outcomes and patient satisfaction in managing TMDs.
Study design: A randomised clinical trial was conducted on patients diagnosed with TMDs at the Oral and Maxillofacial Surgery Department Clinics, Mansoura University. 435 participants were randomised into two groups: the control group (splint therapy alone) and the study group (splint therapy combined with doctor-patient communication).
Main outcome variables: The psychological distress evaluated using the Depression Anxiety Stress Scale-10 (DASS-10) and clinical outcomes, including intra-articular pain, unassisted maximal interincisal mouth opening, joint sounds and muscular pain, were measured at baseline (before intervention) and 6 months post-intervention. Patient satisfaction was analysed based on overall clinical satisfaction and postoperative expectations at 6 and 12 months after the intervention.
Results: Significant improvements in clinical and psychological outcomes were observed within both groups at 6 months compared to baseline (p < 0.001). The study group showed significantly improved anxiety and stress levels (p < 0.001), better clinical outcomes (p < 0.01), higher overall clinical satisfaction and better alignment with postoperative expectations at 6 months (p < 0.001) compared to the control group.
Conclusion: Integrating a structured doctor-patient communication concept with splint therapy significantly enhances psychological and clinical outcomes in managing TMDs, particularly enhancing long-term satisfaction and alignment with postoperative expectations.
Trial registration: ClinicalTrials.gov ID: NCT06783530. First Posted Date: 01/09/2025. Last Update Posted 01/14/2025. Retrospectively registered.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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