Beta
404594

Cryotherapy versus Ultrasound on Temporomandibular Joint Dysfunction after Surgical Tooth Extraction. A randomized controlled study

Article

Last updated: 13 Jan 2025

Subjects

-

Tags

Physical Therapy for Burns

Abstract

Background: Disorders of the temporomandibular joint (TMJ) due to surgical tooth extraction have a negative impact on jaw function due to pain and locking in the TMJ, causing patients to present with limited mouth opening or difficulty chewing. Purpose: This study compared between the therapeutic effects of cryotherapy and ultrasound on TMJ dysfunction (maximum mouth opening and pain) after surgical tooth extraction. Methods: A randomized controlled trial enrolled 40 patients diagnosed with TMJ dysfunction after surgical tooth extraction, aged 30-60 years. Participants were randomly assigned into two groups (n=20/group): Group A: Cryotherapy in addition to traditional physiotherapy program (deep friction massage, stretching exercises and jaw exercises). Group B: Ultrasound therapy in addition to traditional physiotherapy program, all treatments were applied for one week, three times/week. Maximum mouth opening (MMO) was assessed using Boley Gauge Caliper and pain accompanying TMJ dysfunction was assessed using Visual Analogue Scale (VAS) at baseline, post treatment and follow-up after one week from treatment. Results: There was a significant difference (P<0.05) between the two groups in mean ±SD values of MMO and VAS (P=0.001) at post-treatment and at follow-up. This significant increase in MMO (P=0.0001) and significant decrease in VAS (P=0.005) is favorable in ultrasound therapy group than cryotherapy group. Conclusion: Surgical tooth extraction has a negative effect on TMJ function due to limitation of maximum mouth opening and TMJ pain which are prevalent between those patients. Adding ultrasound therapy to traditional physiotherapy program is crucial for the management of TMJ dysfunction after surgical tooth extraction.

DOI

10.21608/bijpt.2024.340581.1050

Keywords

Cryotherapy, maximum mouth opening, TMJ dysfunction, Ultrasound, visual analogue scale

Authors

First Name

Samar

Last Name

Mahmoud

MiddleName

Elsayed

Affiliation

Teaching Assistant at the Department of Physical Therapy for Surgery and Burn, Faculty of Physical Therapy, MUST University.

Email

samarelsayed1093@gmail.com

City

-

Orcid

0009-0004-7166-6704

First Name

Amal

Last Name

Abd El Baky

MiddleName

-

Affiliation

Professor of Physical Therapy for Surgery, Vice Dean for Post Graduate Studies and Researches, Faculty of Physical Therapy, Cairo University

Email

-

City

-

Orcid

-

First Name

Elnoman

Last Name

Kamel

MiddleName

-

Affiliation

Lecturer of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Surgery, MUST University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Hefny

MiddleName

-

Affiliation

Assisstant Lecturer of Physical Therapy for Neuromuscular Disorders and it’s Surgeries, Faculty of Physical Therapy, Benha University

Email

-

City

-

Orcid

-

First Name

Amany

Last Name

Mohamed

MiddleName

-

Affiliation

Lecturer of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University

Email

doctoramany97@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

2

Related Issue

52589

Issue Date

2024-12-01

Receive Date

2024-11-30

Publish Date

2024-12-01

Page Start

87

Page End

100

Online ISSN

3009-7266

Link

https://bijpt.journals.ekb.eg/article_404594.html

Detail API

http://journals.ekb.eg?_action=service&article_code=404594

Order

404,594

Type

Original Article

Type Code

2,950

Publication Type

Journal

Publication Title

Benha International Journal of Physical Therapy

Publication Link

https://bijpt.journals.ekb.eg/

MainTitle

Cryotherapy versus Ultrasound on Temporomandibular Joint Dysfunction after Surgical Tooth Extraction. A randomized controlled study

Details

Type

Article

Created At

13 Jan 2025