Studying jaw joint problems in completely edentulous Syrian patients before and after receiving new full dentures

ISRCTN ISRCTN11645832
DOI https://doi.org/10.1186/ISRCTN11645832
Submission date
09/06/2025
Registration date
10/06/2025
Last edited
10/06/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study aims to examine problems in the jaw joint (called the temporomandibular joint, or TMJ) in patients who have lost all their teeth (edentulous). Many completely edentulous patients wear old or poorly fitting dentures, which may lead to pain, joint sounds, or difficulty moving the jaw. The study aims to assess whether providing a new complete denture improves these symptoms.

Who can participate?
Completely edentulous patients aged 30 to 90 years who were already wearing old complete dentures and had symptoms related to the TMJ.

What does the study involve?
Participants underwent a clinical examination to assess pain, joint sounds, and jaw movement before and 6 months after receiving a new complete denture. The dentures were made according to proper dental standards. No medications or surgical treatments were involved.

What are the possible benefits and risks of participating?
Participants may experience relief from jaw pain, improved chewing function, and better denture comfort. There are no known medical risks, as the intervention is non-invasive and follows standard dental procedures.

Where is the study run from?
The study was conducted at the Faculty of Dentistry, Damascus University, Syria.

When is the study starting and how long is it expected to run for?
January 2021 to May 2024

Who is funding the study?
The study is self-funded as part of a postgraduate academic project and is supported by Damascus University, Syria.

Who is the main contact?
Dr. Yusra Abdulaziz Al-Kurdi, Faculty of Dentistry, Damascus University, yusraalkurdy9@gmail.com

Contact information

Dr Yusrs Abdalaziz alkurdy
Public, Scientific, Principal Investigator

Faculty of Dentistry, Damascus University
Damascus
00000
Syria

ORCiD logoORCID ID 0009-0001-1874-1670
Phone +963 0969014495
Email yusraalkurdy9@gmail.com

Study information

Study designSingle-centre non-randomized unblinded uncontrolled interventional pre–post study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital, University/medical school/dental school
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleEvaluation of the prevalence of temporomandibular disorders in completely edentulous Syrian patients before and after the delivery of new complete dentures: a clinical study
Study objectivesThe study hypothesizes that the insertion of a new, properly constructed complete denture will significantly reduce temporomandibular joint (TMJ) symptoms, including joint pain, joint sounds, and restricted mandibular movement, in completely edentulous Syrian patients.
Ethics approval(s)Ethics approval not required
Ethics approval additional informationThis is a retrospectively registered, observational study. No clinical intervention was performed. Accordingly, no formal ethics committee approval was required by the institution. However, all participants signed written informed consent forms before being included in the study.
Health condition(s) or problem(s) studiedTemporomandibular disorders (TMD) in completely edentulous patients requiring new complete dentures
InterventionThis is a retrospectively registered, single-centre interventional pre–post clinical study conducted to assess the impact of new complete denture insertion on temporomandibular joint (TMJ) symptoms in completely edentulous Syrian patients.

The intervention involves delivering a new, complete, and removable denture to completely edentulous Syrian patients. The dentures are fabricated according to prosthodontic standards to ensure proper fit, retention, occlusion, vertical dimension, and centric relation. There is no control group, no randomization, and no blinding. All participants will be examined before and after the intervention. The follow-up period is six months, during which TMJ symptoms will be clinically evaluated.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Complete removable denture
Primary outcome measureTemporomandibular joint symptoms (pain, joint sounds, movement limitation) measured using clinical examination based on RDC/TMD Axis I at baseline and after 6 months of new denture use
Secondary outcome measuresThe following Secondary outcome measures are assessed at baseline and after 6 months:
1. Pain severity measured using the Visual Analog Scale (VAS)
2. Range of mandibular movement measured using a millimeter ruler
3. Muscle tenderness measured using digital palpation, according to RDC/TMD Axis I criteria
Overall study start date01/01/2021
Completion date30/11/2024

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit30 Years
Upper age limit90 Years
SexBoth
Target number of participants103
Total final enrolment103
Key inclusion criteria 1. Completely edentulous patients (both maxilla and mandible)
2. Aged between 30 and 90 years
3. Wearing old, removable complete dentures
4. Complaining of temporomandibular joint symptoms (pain, sounds, movement limitation)
5. Willing and able to participate in clinical examination and follow-up
Key exclusion criteria1. Patients with a history of TMJ trauma or surgery
2. Patients with systemic joint diseases
3. Patients with incomplete records or who missed follow-up visits
4. Patients with psychological or neuromuscular disorders affecting TMJ assessment
Date of first enrolment10/09/2021
Date of final enrolment30/05/2024

Locations

Countries of recruitment

  • Syria

Study participating centre

Faculty of Dentistry – Damascus University
Mazzeh Highway
Damascus
-
Syria

Sponsor information

Damascus University
University/education

Funders

Funder type

University/education

Damascus University
Government organisation / Universities (academic only)
Alternative name(s)
University of Damascus, جَامِعَةُ دِمَشْقَ, DU
Location
Syria

Results and Publications

Intention to publish date12/12/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal and possible presentation in scientific conferences.
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Dr. Yusra Abdulaziz Al-Kurdi (yusraalkurdy9@gmail.com). Data will be anonymised and shared with qualified researchers upon reasonable request for academic purposes only. Participant consent was obtained, and ethical approval was granted for data use in this context.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 10/06/2025 No No

Additional files

47457_Protocol.pdf

Editorial Notes

10/06/2025: Study's existence confirmed by the Department of Removable Prosthodontics, Faculty of Dental Medicine, Damascus University.