At a glance
ClinicalIndex Comparison Record- ✓Age 18 to 65 years
- ✓TMD-related pain for at least 3 months duration
- ✓TMD pain is the primary pain condition if other pain conditions are present
- ✕Severe TMD with non-reducing disc displacement preventing mouth opening
- ✕Unstable or acute severe pain from another pain condition
- ✕Pregnant
- ✕Angle-closure glaucoma or symptomatic orthosis
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Pain Management in Temporomandibular Joint Disorders
In Brief
A Phase 2 clinical trial evaluating Nortriptyline Oral Capsule, Benztropine Oral Product, and 2 other interventions for Temporomandibular Joint Disorders. Completed, enrolled 140 participants across 1 site.
Detailed Summary
The purpose of this study is to determine whether the combination of cognitive-behavioral treatment and nortriptyline are more effective than each treatment alone in reducing the pain and disability associated with TMD.
Study Details
Timeline
Interventions
Nortriptyline will be titrated up from 25 mg qhs to a maximum dose of 150 mg qhs based on treatment response and side effect profile.
Benztropine will be titrated up from .125 mg qhs to a maximum dose of .750 mg qhs based on treatment response and side effect profile.
Six in-person, individual sessions of cognitive-behavioral therapy for pain management include relaxation training, pain coping skills training, cognitive therapy for negative and dysfunctional thoughts, and diaries for monitoring relaxation, goals, and negative thinking.
Six in-person, individual sessions of temporomandibular joint disorder (TMD) disease management (MGT) that include information about the jaw and good oral habits, diet, sleep, and general stress management.