Self-management program for chronic orofacial pain from temporomandibular disorder.

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized clinical trial enrolls 98 adults (18–65) with chronic temporomandibular disorder (TMD) pain and assigns them to a self-management program or to treatment based on TMD clinical practice guidelines. The self-management arm combines therapeutic education, cognitive-behavioral techniques, and therapeutic exercise, while the comparator follows conventional guideline-recommended care. Outcomes include pain perception, functional measures, and psychosocial variables, collected at baseline, five weeks, and six months. The analysis will also test whether personality traits and related factors (stress perception, coping, anxiety) moderate the treatment effect.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* The patient presents TMDs diagnosed according to the CD/TMD classification.
* Age between 18 and 65.
* Presence of pain in mandibular, temporal, facial, peri-auricular and/or auricular regions.
* Presence of chronic orofacial pain. Defined by the ICD-11 as orofacial pain or headache that occurs for more than two hours a day for 50% of the days of the last three months.
* Orofacial pain is related to TMDs according to the International Classification of Headaches.
* Moderate pain intensity, corresponding to a weekly average of at least 30 mm on a 100 mm VAS (validated representation of moderate pain on the VAS scale = 31-54 mm)

Exclusion Criteria:

* Concomitant rheumatic systemic pathologies.
* History of trauma or recent surgical intervention in the head, face, neck or chest.
* Presence of intraoral infections or odontogenic pain.
* Headache of neuropathic origin (trigeminal neuralgia, Arnold neuralgia, etc.).
* Being receiving therapy (except rescue pharmacological therapy) for this disorder or pain.
* Cognitive impairment that prevents the follow-up of an educational program (determined through the MoCA questionnaire)

Where it's running

• Catholic Univerity of Valencia
  Valencia, Valencia, Spain Recruiting

Study contacts

• Study coordinator: Marta M Martínez-Soler, Physiotherapist
• Email: marta.martinez@ucv.es
• Phone: +34 638 97 48 04

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.