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CompletedNCT06758479DPTMDUpdated Apr 29, 2025

Differential Impact of TMJ Disc Displacement and Muscle Disorders on Pain, Function, and Quality of Life in TMD Patients

An observational study in Temporomandibular Disorders (TMD), Disc Displacement and Functional Impairment, sponsored by King Khalid University. Completed at 1 site in India. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-04-29.

Sponsored by King Khalid University · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
100
Ages
18 Years to 65 Years
Sex
All
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Study summary

This study aims to explore the relationship between the position of the temporomandibular joint (TMJ) disc and key clinical outcomes in patients with temporomandibular disorders (TMD). TMD is a condition that can cause pain, difficulty in jaw movement, and reduced quality of life. The research examines how disc displacement, as seen on MRI scans, correlates with pain levels, jaw function, and overall well-being. By better understanding these connections, the study seeks to provide insights that could improve the diagnosis and management of TMD, enhancing patient care and outcomes. This observational study involves non-invasive clinical and imaging assessments of TMD patients.

Read the detailed description

This observational, cross-sectional study investigates the correlation between temporomandibular joint (TMJ) disc position and clinical outcomes in patients diagnosed with temporomandibular disorders (TMD). TMD encompasses conditions causing pain, jaw dysfunction, and diminished quality of life. The study evaluates disc displacement using magnetic resonance imaging (MRI) and measures clinical outcomes such as pain severity (Visual Analog Scale), functional limitations (Helkimo Index), and quality of life (Oral Health Impact Profile-14).

Participants include 100 individuals aged 18-65 with clinically confirmed TMD. Data collection involves clinical evaluations and MRI imaging to classify disc displacement into categories such as normal, with reduction, and without reduction. Statistical analyses, including correlation and regression, identify relationships between disc position and outcomes while accounting for confounding factors.

The findings aim to improve understanding of the pathophysiology of TMD and guide diagnostic and therapeutic strategies for better patient outcomes. The study adheres to ethical guidelines, ensuring informed consent and patient confidentiality.

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Conditions studied

  • Temporomandibular Disorders (TMD)
  • Disc Displacement
  • Functional Impairment

Keywords

  • Temporomandibular Joint Disorders (TMD)
  • TMJ Disc Displacement
  • Jaw Pain and Dysfunction
  • MRI in TMD Assessment
  • Quality of Life in TMD
  • Helkimo Index
  • Oral Health Impact Profile (OHIP-14)
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In context

Temporomandibular Joint Disorders

591 studies on the registry are indexed under Temporomandibular Joint Disorders; 149 are open to participants now.

This study's enrollment of 100 is close to the median of 91 across 165 observational studies indexed under Temporomandibular Joint Disorders.

Browse Temporomandibular Joint Disorders studies →

Lead sponsor

King Khalid University is the lead sponsor of 18 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of adults aged 18 to 65 years diagnosed with temporomandibular disorders (TMD). Participants are recruited from a multidisciplinary clinic specializing in TMD diagnosis and management. Eligible individuals present with clinical symptoms such as jaw pain, restricted movement, or clicking sounds in the temporomandibular joint (TMJ) and have their diagnosis confirmed through physical examination and MRI imaging. The study excludes individuals with systemic diseases affecting the TMJ, recent jaw trauma, prior TMJ surgeries, and conditions that may interfere with TMD diagnosis or imaging. The population is representative of patients seeking care for TMD, allowing for analysis of clinical and imaging correlations.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults aged between 18 and 65 years.
  2. Diagnosed with temporomandibular disorders (TMD) based on clinical examination and imaging (MRI).
  3. Presence of at least one of the following symptoms:

    • Jaw pain
    • Restricted jaw movement
    • Clicking sounds in the temporomandibular joint (TMJ)
  4. No history of recent jaw or facial trauma.
  5. No systemic diseases affecting the TMJ or musculoskeletal system (e.g., rheumatoid arthritis).
  6. Able to provide .

Exclusion criteria

Exclusion Criteria:

  1. History of major jaw or facial trauma within the last six months.
  2. Systemic conditions that might affect TMJ function, such as diseases or bone disorders.
  3. Previous TMJ surgery or other major interventions.
  4. Pregnant or lactating women.
  5. Inability to undergo MRI due to (e.g., metal implants, pacemakers).
  6. Severe malocclusion or other dental/medical conditions interfering with TMD diagnosis.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
100 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Normal Disc Position

    Participants with an anatomically correct TMJ disc position as observed on MRI.

  • Disc Displacement with Reduction (DDwR)

    Participants whose TMJ disc is displaced anteriorly at rest but returns to its normal position during mouth opening.

  • Disc Displacement without Reduction (DDwoR)

    Participants whose TMJ disc remains displaced and does not return to its normal position during mouth opening

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What researchers measure

Primary outcomes

  1. Pain Severity

    Pain severity will be assessed using the Visual Analog Scale (VAS), with scores ranging from 0 (no pain) to 10 (worst possible pain)

    Time frame: Measured at the time of enrollment.

  2. Pain Severity

    Pain severity will be assessed using the Visual Analog Scale (VAS), but focused on the patient's retrospective assessment of the worst pain experienced within the last week.

    Time frame: Measured at the time of enrollment.

  3. Pain Severity

    Pain severity will be assessed using the Visual Analog Scale (VAS), considering the patient's average pain experienced over the past month.

    Time frame: Measured at the time of enrollment.

Secondary outcomes

  1. Functional Limitations

    Functional limitations will be evaluated using the Helkimo Index, assessing parameters such as jaw movement and mobility.

    Time frame: Measured at the time of enrollment

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Study locations

1 site
  • Sri Rajiv Gandhi College of Dental Sciences & Hospital
    Bangalore, India
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References and documents

Individual participant data

Plan to share: No — Individual Participant Data (IPD) will not be shared because the study involves sensitive patient information, including clinical and imaging data, which are subject to strict privacy and confidentiality regulations. Additionally, the scope of the study does not include provisions for external data sharing, as the data is intended solely for the purposes of this research and its analysis. Access to the data is restricted to the research team to ensure compliance with ethical standards and institutional review board (IRB) requirements.

No publications or documents are linked to this record.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2024 to primary completion in Feb 2025, 1 month.

Of 57 non-industry observational studies under Temporomandibular Joint Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 30. This study's 1 month is below that.

Counting every sponsor, half of 59 studies reached it within 12 months; a quarter within 5 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 26, 2024
First posted
Jan 3, 2025
StartActual
Dec 26, 2024
Primary completionActual
Feb 20, 2025
CompletionActual
Feb 22, 2025
Last update
Apr 29, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06758479
Lead sponsor
King Khalid University
Collaborators
Rajiv Gandhi University of Health Sciences
Responsible party
Sunil Kumar Vaddamanu (Dr, King Khalid University) — Principal investigator
First posted
Jan 3, 2025
Start date
Dec 26, 2024
Primary completion
Feb 20, 2025
Completion
Feb 22, 2025
Last update
Apr 29, 2025

Study contacts

Sunil K Vaddamanu, MDS
principal investigator · snu@kku.edu.sa

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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