Management of @entity158 XXXX clicking with different intraoral devices and counseling: a controlled study.

@entity1 @entity2956 @entity158 @entity4841 @entity1348 @entity890
UNASSIGNED: Objective The benefit of the use of some intraoral devices in arthrogenous @entity2956 ( @entity2956 ) @entity1 is still unknown. This study assessed the effectiveness of the partial use of intraoral devices and counseling in the management of @entity1 with @entity890 ( @entity890 ) and @entity4841 . Materials and Methods A total of 60 @entity890 and @entity4841 @entity1 were randomly divided into three groups: group I (n=20) wore anterior repositioning occlusal splints (ARS); group II (n=20) wore the Nociceptive Trigeminal Inhibition Clenching Suppression System devices (NTI-tss); and group III (n=20) only received counseling for behavioral changes and self-care (the control group). The first two groups also received counseling. Follow-ups were performed after 2 weeks, 6 weeks and 3 months. In these sessions, @entity1 were evaluated by means of a visual analogue scale, pressure @entity158 threshold (PPT) of the @entity1348 ( @entity1348 ), maximum range of motion and @entity1348 sounds. Possible adverse effects were also recorded, such as discomfort while using the device and occlusal changes. The results were analyzed with ANOVA, Tukey's and Fisher Exact Test, with a significance level of 5%. Results Groups I and II showed improvement in @entity158 intensity at the first follow-up. This progress was recorded only after 3 months in Group III. Group II showed an increased in joint sounds frequency. The PPT values, mandibular range of motion and the number of occlusal contacts did not change significantly. Conclusion The simultaneous use of intraoral devices (partial time) plus behavioral modifications seems to produce a more rapid @entity158 improvement in @entity1 with @entity158 @entity890 . The use of NTI-tss could increase @entity1348 sounds. Although intraoral devices with additional counseling should be considered for the management of @entity158 @entity890 , dentists should be aware of the possible side effects of the intraoral device's design.
