A Survey of the Management of Patients with Temporomandibular Disorders by General Dental Practitioners in Southern Brazil

Aldrigue, Raquel Haidê Santos; Sánchez-Ayala, Alfonso; Urban, Vanessa Migliorini; Pavarina, Ana Cláudia; Jorge, Janaína Habib; Campanha, Nara Hellen

doi:10.1111/jopr.12255

Cited by 15 publications

(18 citation statements)

References 23 publications

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“…This finding is astonishing in the light of recommendations from systematic reviews and national guidelines that these treatments are not effective for TMD pain . This reflects the difficulty of changing clinical traditions and the view of general practitioners that occlusion still plays a role as an aetiological factor of TMD . This finding is also surprising, given that behavioural factors were also more frequently addressed in treatment in Sweden.…”

Section: Discussionmentioning

confidence: 97%

“…Patients with TMD pain seek treatment from both dental and non‐dental healthcare providers . From the clinical perspective, abundant data indicate that clinicians vary considerably in which treatments they prefer and will provide for the same condition . Among dentists, the most frequently used therapeutic approaches include occlusal appliances, occlusal adjustment, restorative procedures and orthodontic treatment .…”

Section: Introductionmentioning

confidence: 99%

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Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Al-Harthy

List

Ohrbach

et al. 2018

J of Oral Rehabilitation

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Among Saudi, Italian and Swedish women with chronic TMD pain, culture does not influence the type of practitioner consulted before visiting a TMD specialist or their beliefs about contributing and aggravating factors for their pain. However, treatment types and beliefs concerning mechanisms underlying the pain differed cross-culturally, with local availability or larger cultural beliefs also probably influencing the types of treatments that TMD patients pursue.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Al-Harthy

List

Ohrbach

et al. 2018

J of Oral Rehabilitation

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“…Management of TMD may differ depending on whether a general dental practitioner or a TMD specialist is providing the treatment. Investigations of dental practice patterns indicate that general practitioners treat most TMD patients and that the most common therapies remain occlusal appliances and forms of self‐care . However, few dentists believe that they have good practice routines and sufficient confidence to diagnose, select therapy and provide a prognosis .…”

Section: Health Literacy and Education Of Students Clinicians And Pamentioning

confidence: 99%

“…Investigations of dental practice patterns indicate that general practitioners treat most TMD patients and that the most common therapies remain occlusal appliances and forms of self-care. [92][93][94] However, few dentists believe that they have good practice routines and sufficient confidence to diagnose, select therapy and provide a prognosis. 92 While general dental practitioners and TMD specialists agree in several areas, some, such as occlusal therapies in the management of TMD, reflect differences.…”

Section: Clinician and Patient Understanding Of The Use Of Axis-iimentioning

confidence: 99%

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Sharma

Breckons

Lambelet³

et al. 2019

J of Oral Rehabilitation

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Distress, suffering and care‐seeking behaviour are characteristics of pain‐related disease and illness. Pain that transitions from an acute to a chronic phase carries with it the potential of further effects: these include a worsening of the disease or illness; high‐impact chronic pain; and substantial personal, societal and economic burden. The biopsychosocial model directly addresses these multiple processes, yet clinical frameworks supporting this model are not universally implemented. This paper explores barriers to clinical implementation of a full biopsychosocial framework for temporomandibular disorders (TMD) and other oro‐facial pain (OFP) conditions. In June 2016, INfORM invited OFP researchers to a workshop designed to optimise the DC/TMD Axis‐II. Workshop groups identified five sources of implementation barriers: (1) cultures and societies, (2) levels‐of‐care settings, (3) health services, (4) cross‐cultural validity of self‐report instruments and (5) provider and patient health literacy. Three core problems emerged: (A) mental health aspects are seldom fully considered, thus impairing the recognition of illness, (B) training in use of validated multi‐axial assessment protocols is under‐rated and insufficiently used, and (C) clinical assessment often fails to recognise that sensory and emotional dimensions are fundamental aspects of pain. To improve patient care, these barriers and problems require action. Most importantly, TMD/OFP educators and researchers need to coordinate globally and (i) be educated in the biopsychosocial model, (ii) implement evidence‐based biopsychosocial guidelines for assessment and management of OFP conditions at their institutions, (iii) incorporate this model in undergraduate and postgraduate dental curricula and (iv) be responsive to stakeholders, including regulatory authorities and practitioners.

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“…Temporomandibular disorders still represent one of the most controversial topics in dentistry ( 2 ). Although centric relation is considered a reliable and reproducible position ( 3 ), studies showed lower reproducibility of mandibular movements in patients with temporomandibular disorders compared to the control group ( 4 - 6 ).…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of the Obtained Centric Relation Records in Patients with Disc Displacement with Reduction

Čimić

Šimunković

Mlakar

et al. 2018

Acta Stomatol Croat

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ObjectiveThe aim of this study was to investigate reproducibility of the position of centric relation in patients with disc displacement with reduction.Materials and methodsThe test group included 30 subjects, diagnosed with disc displacement with reduction in right, left or both joints. The control group included 12 individuals with no signs and symptoms of temporomandibular disorders. Using chin point guidance with a jig, centric relation record was made three times by every participant, in a single session. Left and right condylar position for each centric relation record was determined and recorded using the electronic ultrasonic measuring device. The data were transferred to the computer, processed and analyzed. Condylar distances between centric relation records were measured (anteroposterior, vertical, transversal and linear values), and the data were statistically analyzed using the t and the F tests.ResultsNo statically significant difference was found between the test and the control groups. Two thirds of study participants demonstrated condylar position of the repeated centric relation recording within the area of 0.3 mm in diameter. For more than 90% of participants that area was within 0.4 mm.ConclusionsThere is no difference in reproducibility of the centric relation between patients with disc displacement with reduction and healthy temporomandibular joint individuals (p>0.05). When doing centric relation record on a patient with disc displacement with reduction there is no need for previous splint therapy and standard precautions are acceptable. The obtained results must be interpreted within the experimental group, and not projected on the other groups of temporomandibular disorders.

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A Survey of the Management of Patients with Temporomandibular Disorders by General Dental Practitioners in Southern Brazil

Abstract: The evaluated general dental practitioners manage TMD patients according to international guidelines.

Cited by 15 publications

References 23 publications

Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Cross‐cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain

Challenges in the clinical implementation of a biopsychosocial model for assessment and management of orofacial pain

Reproducibility of the Obtained Centric Relation Records in Patients with Disc Displacement with Reduction

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