Biofeedback-Based Cognitive Behavioral Treatment for Temporomandibular Disorders
Temporomandibular Disorders
About this trial
This is an interventional treatment trial for Temporomandibular Disorders focused on measuring Temporomandibular disorders, Biofeedback, Cognitive behavioral therapy, Pain
Eligibility Criteria
Inclusion Criteria:
- clinical diagnosis of painful temporomandibular disorder according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)
- symptoms persist at least 3 months
- sufficient language skills
Exclusion Criteria:
- somatic diagnosis that requires defined somatic treatment (e.g. occlusal interference)
- presence of a psychotic disorder
- presence of neurological disorders (e.g. dementia)
- alcohol or substance abuse
- presence of other pain condition of predominant severity
Sites / Locations
- Department of Clinical Psychology and Psychotherapy, Philipps University Marburg
- Department of Oral and Maxillofacial Surgery, Philipps University Marburg Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BFB-CBT
Occlusal Splint (OS)
Biofeedback-based cognitive-behavioral treatment: The biofeedback-based cognitive behavioral intervention comprises 8 individual sessions, each containing both cognitive behavioral and biofeedback elements. Treatment elements are education about the disorder, biofeedback training aimed at improving proprioceptive awareness and reversing parafunctional habits, relaxation techniques, and stress management. Furthermore patients receive portable biofeedback devices for EMG-biofeedback training during day and nighttime in order to reverse diurnal and nocturnal bruxing habits.
Dental treatment with occlusal splints: Maxillary or mandibular occlusal splints are made of hard acrylic after taking impressions of the upper and lower dental arches, face bow registration and recording of centric relation. Splints are adjusted to provide even occlusal contact during jaw closing and chewing, and canine and incisor contact during protrusive movements of the jaw. Patients are instructed to use the splint each night and during day time for a period of 7 weeks. One week after initial insertion of the splint patients are requested to return for adjustment.