The Journal of the American Dental Association
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Randomized Controlled Trial Comparative Study
Tobacco use quitline enrollment through dental practices: a pilot study.
Time and resource constraints limit the ability of oral health care professionals to help patients quit smoking. Opportunities exist for dental providers to help patients who smoke by enrolling them in tobacco use quitlines. The authors conducted a pilot study to investigate whether such referrals were feasible and effective. ⋯ Dental practitioners with limited time and other resources can assist patients who smoke by referring them to a tobacco use quitline.
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Randomized Controlled Trial
The significance of needle bevel orientation in achieving a successful inferior alveolar nerve block.
The authors conducted a prospective, randomized, single-blinded, crossover study comparing the degree of pulpal anesthesia achieved with the use of a conventional inferior alveolar nerve (IAN) block administered with the needle bevel oriented away from the mandibular ramus or toward the mandibular ramus. ⋯ For IAN blocks administered with a 27-gauge needle, positioning the needle bevel away or toward the mandibular ramus does not affect anesthetic success.
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Randomized Controlled Trial Comparative Study
The treatment of painful temporomandibular joint clicking with oral splints: a randomized clinical trial.
The authors compared the efficacy of bilateral balanced and canine guidance (occlusal) splints in the treatment of temporomandibular joint (TMJ) pain in subjects who experienced joint clicking with a nonoccluding splint in a double-blind, controlled randomized clinical trial. ⋯ The type of lateral guidance did not influence the subjects' improvement. All of the subjects had a general improvement on the VAS, though subjects in the occlusal splint groups had better results that did subjects in the nonoccluding splint group.
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Randomized Controlled Trial Comparative Study
The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial.
Treatment recommendations for patients with painful temporomandibular disorders (TMDs) range from conservative treatments such as physiotherapy to aggressive and irreversible treatments such as restorative reconstruction and joint surgery. ⋯ These findings suggest that clinicians who treat patients with TMD should consider prescribing low-cost nonsplint self-care therapy for most patients.
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Randomized Controlled Trial
Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: a one-year outcome study.
The authors conducted a randomized clinical trial to evaluate the efficacy of a biopsychosocial intervention for patients who were at high risk (HR) of progressing from acute to chronic temporomandibular disorder (TMD)-related pain. ⋯ The TMD-related pain experience is complex and requires early identification with a biopsychosocial EI to achieve maximal, sustainable results.