Table 16.1 Randomized Controlled Trial to Evaluate Efficacy of Usual TMD Clinical Care Plus: 1. Low-Cost Soft Splint vs. 2. Hard, Flat Plane "Standard Splint" vs. 3. No Splint Control: Clinical Treatment Protocol Outline
Week
Visit
1. Low Cost Soft Splint + Usual Treatment
2. Standard Hard Flat-Plane Splint + Usual Treatment
3. No Splint + Usual Treatment
01Enrollment; treatment as usual begins; wax biteEnrollment; treatment as usual begins; impressions for splintEnrollment; treatment as usual begins
22Treatment a usual continues; low cost splint constructed in clinic with patient participation; instructions providedTreatment as usual continues; standard splint fitted, in clinic, with patient participation; instructions providedTreatment as usual continues
63Treatment reviewed and modified; splint adjusted as needed; untoward events notedTreatment reviewed and modified; splint adjusted as needed; untoward events notedTreatment reviewed and modified; untoward events noted
104Post-treatment assessment visit; questionnaire and clinical measures gathered by blinded study research staffPost-treatment assessment visit; questionnaire and clinical measures gathered by blinded study research staffPost-treatment assessment visit; questionnaire and clinical measures gathered by blinded study research staff
2656-month follow up: questionnaire and clinical measures gathered by blinded study research staff6-month follow up: questionnaire and clinical measures gathered by blinded study research staff6-month follow up: questionnaire and clinical measures gathered by blinded study research staff
52612-month follow up: questionnaire and clinical measures gathered by blinded study research staff12-month follow up: questionnaire and clinical measures gathered by blinded study research staff12-month follow up: questionnaire and clinical measures gathered by blinded study research staff
78718-month follow up: questionnaire and clinical measures gathered by blinded study research staff18-month follow up: questionnaire and clinical measures gathered by blinded study research staff18-month follow up: questionnaire and clinical measures gathered by blinded study research staff
104824-month follow up: questionnaire and clinical measures gathered by blinded study research staff24-month follow up: questionnaire and clinical measures gathered by blinded study research staff24-month follow up: questionnaire and clinical measures gathered by blinded study research staff