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. 2018 Oct 1;2018(9):CD003968. doi: 10.1002/14651858.CD003968.pub5

Wahlund 2003.

Study characteristics
Methods RCT. 3 arms. Assessed at pretreatment, post‐treatment, and 6 months
Participants End of treatment: n = 110
Start of treatment: n = 122 (BI + RT = 41; BI + OA = 42; BI = 39)
Sex: 93 F, 29 M
Mean age = 15.3 years (SD 2.0)
Source = TMD clinic in Linköping, Sweden
Diagnosis = temporomandibular disorders
Mean years of pain = unknown
Interventions "Brief Information + Relaxation training (BI + RT)"*
"Brief Information + Occlusal appliance (BI + OA)"
"Brief Information"*
*For the purposes of this review, we excluded only BI + RT (treatment) and BI (control)
Outcomes Primary pain outcome: pain intensity
Primary disability outcome: none
Primary depression outcome: none
Primary anxiety outcome: none
  1. Pain intensity

  2. Pain frequency

  3. Pain Index

  4. Pain diary

  5. Clinical significance

  6. Subjective evaluation of treatment

  7. Analgesic consumption

  8. School absence

  9. Research diagnostic criteria for temporomandibular disorders

  10. Treatment motivation and credibility

  11. Pressure pain threshold

Notes COI: not reported
Funding: "The study was supported by the Public Dental Service of Östergötland (Östergötland's Country Council), Sweden."
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "The patients were randomly assigned to one of the following 3 treatment groups...."
Comment: randomisation procedure unclear
Allocation concealment (selection bias) Unclear risk Not described
Blinding of outcome assessment (detection bias)
All outcomes Low risk "At each evaluation, all subjects filled out a self‐administered questionnaire and were clinically examined by a 'blinded' calibrated clinician."
Comment: probably done
Incomplete outcome data (attrition bias)
All outcomes Low risk Attrition reported, and there were no differences between completers and non‐completers
Selective reporting (reporting bias) Low risk All measures were reported