A clinical approach to temporomandibular disorders. 1. Classification and functional anatomy

Gray, Robin J.M.; Davies, Stephen; Quayle, A. A.

doi:10.1038/sj.bdj.4808473

Cited by 59 publications

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“…13 The mean age of the patients was 40.6 years, ranging from 14-68 years. In the studies by Raustia et al, 15 or anatomy are available.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to the indicated points, 13 dentists used the following points, all located in the head or the neck: GB10, GB20, GB21, TE17, SI17, EX1 (Yintang), EX2 (Taiyang), and EX3 (Yuyao). As shown in Table 3, patients required an average 3.4 treatments lasting for on average 12.3 minutes (range [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. One patient received one treatment, 14 patients five, and five patients received six.…”

Section: Resultsmentioning

confidence: 99%

“…The five criteria were listed, for ticking, and a free text box was left for the dentist to give additional information which could be relevant for the study. As suggested by Gray, 13 patients with more than one of the five possible criteria are considered to have PDS. However, to ensure a more homogeneous patient group for this audit, we decided only to include patients who fulfilled at least three out of the five criteria.…”

Section: Methodsmentioning

confidence: 99%

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The Use of Acupuncture in the Treatment of Temporomandibular Dysfunction – An Audit

Rosted

Bundgaard²,

Pedersen

2006

Acupunct Med

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IntroductionThe term temporomandibular dysfunction (TMD) includes a number of painful conditions involving the masticatory muscles, the temporomandibular joint (TMJ) and the adjacent structures. 1 The aetiology of these pain conditions is not clearly understood but appears to be multifactorial and represents an interaction between physical, functional and psychosocial factors. 1 Acupuncture has been used for treatment of TMD and other musculoskeletal pain conditions, and the results of several studies suggest that acupuncture is useful as an adjunct or an alternative treatment of TMD. 2-5The literature regarding the use of acupuncture in the treatment of TMD is, however, limited. AbstractObjective Temporomandibular dysfunction often represents a major therapeutic problem in a dental practice. Evidence from clinical studies suggests that acupuncture may be useful in the treatment of temporomandibular dysfunction. However, most studies have been performed in university settings. The aims of this study were to determine if the results of acupuncture treatment of temporomandibular dysfunction in general dental practice are comparable to the results obtained in previous studies in university clinics, and whether the treatment approach differs from that used in previous studies. Methods The case reports submitted by 15 dentists applying for the diploma of the British Dental Acupuncture Society were combined into one audit. All dentists were informed before submitting the forms that the data might be used for scientific purposes. The criteria for Pain Syndrome Dysfunction were used as inclusion criteria. A visual analogue scale (VAS) was used to assess the pain intensity before and after acupuncture treatment. The acupuncture points and technique used were recorded for each treatment. Results A total number of 70 case reports were received. Ten patients were excluded, as they did not fulfil the criteria. The remaining 60 patients (50 female) fulfilled an average of 3.2 of the Pain Syndrome Dysfunction criteria, out of a possible five. Their mean age was 40.6 years (range 14-68). The average duration of temporomandibular dysfunction was 32 months (range 1-180). The patients received a mean of 3.4 treatments, each treatment lasting on average 12 minutes. The dentists used only manual stimulation, and mainly acupuncture points over the temporomandibular joint and in the masticatory muscles, points on the neck, and additional relaxing points. The mean pain scores were 7.35 (SD 1.52) before treatment and 2.67 (SD 0.58) after treatment (P<0.001). A beneficial effect was observed in 85% with an average reduction in the pain intensity of 75%. Conclusion This audit shows that the results of using acupuncture in the treatment of temporomandibular dysfunction in a general dental practice are comparable to those obtained in clinical studies in university settings. Also the therapeutic approach of using acupuncture is similar. Thus, acupuncture is a simple, relatively safe and potentially efficacious and useful technique in the ma...

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“…13 The mean age of the patients was 40.6 years, ranging from 14-68 years. In the studies by Raustia et al, 15 or anatomy are available.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The Use of Acupuncture in the Treatment of Temporomandibular Dysfunction – An Audit

Rosted

Bundgaard²,

Pedersen

2006

Acupunct Med

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“…Patients frequently present with pain in the face or TMJ area, pain during chewing and wide opening of the mouth, headaches, earaches, dizziness, limitation in mouth opening, clicking or locking of the joint, and other complaints such as neck or upper back pain. Gray et al classified TMD into three major conditions based on frequency of presentation of symptoms as follows: 1 …”

Section: Introductionmentioning

confidence: 99%

A Case Series of Temporomandibular Disorders Treated with Acupuncture, Occlusal Splint and Point Injection Therapy

Wong

Cheng

2003

Acupunct Med

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A treatment regime combining acupuncture, occlusal splint and point injection therapy for temporomandibular disorders (TMD) is presented. There were 89 consecutive patients treated by the regime in this case series but four patients dropped out after two to three visits. Data and treatment results of the remaining 85 patients who had treatment completed were analysed. It was found that 73 (85%) of patients with TMD had symptoms relieved within six visits under this regime. Complications were rare and minor. Acupuncture treatment, in combination with splint therapy and point injection therapy, appears to be effective for managing TMD. However, further research, using randomised controlled trials should be conducted to ascertain its effectiveness over other treatment modalities.

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“…There are many defi nitions of TMD, but one of the most widely used is the defi nition by Gray et al, 7 which divides TMD into (1) pain dysfunction syndrome (PDS); (2) arthrosis; and (3) malformation. Among the three possibilities, PDS is far the most common.…”

Section: Discussionmentioning

confidence: 99%

Temporomandibular Dysfunction Can Contribute to Aggravation of Tension-Type Headache: A Case Report

2010

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A 15-year-old girl, who had had occasional tension-type headache, developed, rather suddenly and without any obvious reason, severe headache. She was admitted to hospital, where examination including CT and magnetic resonance scans did not show any abnormality. A visit to her own general practitioner 7 months later showed tenderness in the muscle of mastication. The patient was referred to a dentist, who diagnosed temporomandibular dysfunction and tensiontype headache. After three acupuncture treatments, the patients was without headache and remained free of headache during the following 6 months.

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A clinical approach to temporomandibular disorders. 1. Classification and functional anatomy

Cited by 59 publications

References 0 publications

The Use of Acupuncture in the Treatment of Temporomandibular Dysfunction – An Audit

The Use of Acupuncture in the Treatment of Temporomandibular Dysfunction – An Audit

A Case Series of Temporomandibular Disorders Treated with Acupuncture, Occlusal Splint and Point Injection Therapy

Temporomandibular Dysfunction Can Contribute to Aggravation of Tension-Type Headache: A Case Report

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