Comparative evaluation of efficacy of tens, holistic approaches and occlusal splints in management of tmds - rct

To compare and evaluate the effects of Acupuncture, Occlusal splint and Pharmacological therapy in the treatment of Temporomandibular dysfunctions. A randomized controlled clinical study consisting of 60 patients between 18-58 years age group visiting dental opd diagnosed with Temporomandibular dysfunctions were divided into 3 groups A, B and C randomly. Group A received biweekly Trans-Cutaneous Electrical Nerve Stimulation therapy. Group B patients were given holistic therapies (Acupuncture, Facial massage and facial muscular exercises). Group C was given occlusal splint preferentially in upper arch. The duration of treatment was of three months and all the patients were analyzed using Pain Scale and Perceived stress scale before treatment and after 15 days, 1 month, 2 month and 3 months. All the results obtained were statistically analyzed. It was observed that the stress reduction in patients treated with Trans-Cutaneous Electrical Nerve Stimulation Therapy was significant followed by Acupuncture therapy and Occlusal Splint therapy respectively. In the present study the patients treated with Trans-Cutaneous Electrical Nerve Stimulation therapy had better reduction in pain comparing to acupuncture and occlusal splint therapy.