The Journal of the American Dental Association
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The authors report the incidence of and factors associated with reduced and/or painful jaw movement after motor vehicle collisions that resulted in whiplash-associated disorders (WADs). ⋯ Reduced or painful jaw movement is an important aspect of WADs, and more studies are needed to determine how to best assess and treat this problem.
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Randomized Controlled Trial
The significance of needle bevel orientation in achieving a successful inferior alveolar nerve block.
The authors conducted a prospective, randomized, single-blinded, crossover study comparing the degree of pulpal anesthesia achieved with the use of a conventional inferior alveolar nerve (IAN) block administered with the needle bevel oriented away from the mandibular ramus or toward the mandibular ramus. ⋯ For IAN blocks administered with a 27-gauge needle, positioning the needle bevel away or toward the mandibular ramus does not affect anesthetic success.
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The authors conducted a cross-sectional survey to assess headache disability in patients with orofacial pain. ⋯ The coexistence of PH and MS disorders can lead to higher headache disability. Clinicians need to treat both disorders concomitantly, which will result in improved treatment outcomes.
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Randomized Controlled Trial Comparative Study
The treatment of painful temporomandibular joint clicking with oral splints: a randomized clinical trial.
The authors compared the efficacy of bilateral balanced and canine guidance (occlusal) splints in the treatment of temporomandibular joint (TMJ) pain in subjects who experienced joint clicking with a nonoccluding splint in a double-blind, controlled randomized clinical trial. ⋯ The type of lateral guidance did not influence the subjects' improvement. All of the subjects had a general improvement on the VAS, though subjects in the occlusal splint groups had better results that did subjects in the nonoccluding splint group.
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Randomized Controlled Trial Comparative Study
The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial.
Treatment recommendations for patients with painful temporomandibular disorders (TMDs) range from conservative treatments such as physiotherapy to aggressive and irreversible treatments such as restorative reconstruction and joint surgery. ⋯ These findings suggest that clinicians who treat patients with TMD should consider prescribing low-cost nonsplint self-care therapy for most patients.