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Clinical Trials in TMD Sections
Author Bio
Currently selected section: Introduction
The Biopsychosocial Model
Designing Multicenter RCTs
Players in an RCT
Randomization
Trial Design Quality
TMD Case Definition
Endpoints and Outcome Measures
Blinding & Masking
Study Sample Size
Number and Nature of Interventions
Study Length and Follow up
Intent-to-treat Analyses and Sample Size
Compliance
Multicenter RCTs
Implementing RCTs: Practical Issues
Analysis of TMD Trials
Conclusions
Acknowledgments
Appendix A
Appendix B

 

Chapter 22: Clinical Trials in Temporomandibular: Introduction
          

RCT Defined

Definition of Randomized Controlled Trial (RCT)
An RCT is an epidemiologic experiment in which subjects in a population are randomly allocated into treatment groups (sometimes called intervention groups) or into control groups, to evaluate the efficacy or effectiveness of a preventive, therapeutic procedure or intervention (International Epidemiological Association, 1995).

Randomized control trials to date have been largely under utilized in the evaluation of TMD clinical treatments, and, out of the 15,000+ total articles published about TMD since 1965, about 4000 have been about therapy, yet less than 100 have been randomized controlled trials, or less than 3% of all therapy articles, and less than 0.1% of all TMD articles (see Figure 1.2).

Figure 1.2 Number of Cumulative Scientific Articles About TMD, 1965-2002
Graphic depiction of cumulative scientific articles on TMD, described in text.

In an effort to spur broader and more rigorous programs of clinical dental research, the National Institute for Craniofacial and Dental Research (NIDCR) has recently created the Clinical Epidemiology and Behavioral Research Branch and produced useful materials to guide dental researchers toward more effective scientific evaluations of treatment interventions. See http://www.nidr.nih.gov/clinicalTrials/Clinical_Trials_Program.asp



 

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