A Systematic Review and Meta-analysis of Usual Treatment Versus Psychosocial Interventions in the Treatment of Myofascial Temporomandibular Disorder Pain

Roldán-Barraza, Carolina; Janko, Steffani; Villanueva, Julio; Araya, Ignacio; Lauer, Hans–Christoph

doi:10.11607/ofph.1241

Cited by 51 publications

(40 citation statements)

References 34 publications

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“…41 Literatürde splint tedavisi; gevşeme tedavisi, psikolojik tedavi, düşük lazer tedavisi, akupunktur, ısırma plakları, stres yönetimi, çene egzersizleri, plasebo splintleri ile karşılaştırılmıştır. 39,40,[42][43][44][45][46] Kapsamlı bir derleme çalışmasında; stabilizasyon splintinin ağız açıklığını artırma ve kas ağrısını azaltmadaki etkinliği; kontrol grubu, plasebo splinti, akupunktur, ısırma plağı ve çene egzersizi uygulamaları ile karşılaştırılmış, aralarında anlamlı bir fark bulunmadığı sonucuna varılmıştır. 42 Oklü-zal splint tedavisi ile yumuşak splint, plasebo splinti, fizik tedavi ve akupunkturun temporomandibuler bozukluklardaki etkisinin değerlendirildiği bir çalışmada, stabilizasyon splintinin diğer yön-temlerden daha etkin olduğuna dair yeterli bir kanıtın bulunmadığı bildirilmiştir.…”

Section: Posteri̇or Isirma Plağiunclassified

“…46 Splint ve psikolojik tedavi hastaları iyileştirmede benzer etkiye sahiptir. 44 Grootel ve ark., kas kaynaklı temporomandibuler rahatsızlıklarda fizyoterapi uygulamasının oklüzal splintten daha kısa sürede benzer iyileş-tirme etkisi gösterdiğini bildirmişlerdir. 47 Bir başka çalışmada, temporomandibuler probleme bağlı yüz ağrısının tedavisinde çiğneme kası egzersizinin stabilizasyon splinti kullanımından daha etkili olduğu gözlenmiştir.…”

Section: Posteri̇or Isirma Plağiunclassified

See 1 more Smart Citation

Splint Therapy in Temporomandibular Joint Disorders: Review

Türker¹,

Büyükkaplan²

2017

Turkiye Klinikleri J Dental Sci

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Ö ÖZ ZE ET T Toplumda yüksek oranda gözlemlenen temporomandibuler eklem (TME) rahatsızlıkları çene, boyun ve baş ağrıları, eklem sesleri gibi pek çok semptomla bireylerin yaşam kalitesini düşürmek-tedir. Bu rahatsızlıklar tedavi edilmediği takdirde ilerlemekte ve TME'de kalıcı hasara sebep olabilmektedir. TME rahatsızlıkları için pek çok tedavi yöntemi bildirilmiştir. Bu tedavi yöntemleri geri dönüşümlü (noninvaziv) ve geri dönüşümsüz (invaziv) tedaviler olmak üzere ikiye ayrılmıştır. Geri dönüşümlü tedaviler arasında bilgilendirme yöntemi, fizik tedavi yöntemleri, farmakolojik tedavi, psikiyatrik destek tedavisi ve oklüzal splint tedavileri yer alır iken; geri dönüşümsüz tedaviler oklüzal uyumlama ve cerrahi girişimleri içermektedir. TME rahatsızlıklarında geri dönüşümsüz tedavilerden önce daha konservatif yöntemler olan geri dönüşümlü tedaviler denenmesi temel prensiptir. Tavsiye edilen tedavi yöntemlerinin etkinliklerini araştırmak amacıyla pek çok çalışma yapılmıştır. Bununla birlikte, tedavi etmede ya da semptomları azaltmada hangi tedavi yönteminin ya da hangi splint tipinin daha etkin olduğuna dair kesin bir kanıt mevcut değildir. Etki mekanizmaları ve tedavi başarıları tartışmalı olmasına rağmen, TME rahatsızlıkları tedavisinde en çok kullanılan yöntem oklüzal splint tedavisidir. Diş hekimliğinde her biri farklı özel durumlar için olmak üzere birçok oklüzal splint kullanılmaktadır. Splint endikasyonları TME inflamasyonu, eklem içi dü-zensizlik, cerrahi sonrası tedavi, hipertonik yüz kasları, diş sıkma ve gıcırdatma olarak belirtilmektedir. Bu çalışmada, oklüzal splint çeşitleri ele alınmış ve güncel literatür bilgisine dayanılarak TME rahatsızlıklarının tedavisinde kullanılan geri dönüşümlü yöntemlerin etkinliklerinin değer-lendirilmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Temporomandibuler eklem bozuklukları; oklüzal splintler A AB BS ST TR RA AC CT T Temporomandibular joint (TMJ) disorders are highly prevalent in the community and reduces the quality of life with many symptoms such as jaw and neck pain, headache and joint sounds. These disorders progress when they are not treated and may cause permanent damage to the TMJ. Many treatment modalities have been reported for TMJ disorders. These treatment methods are divided into two as non-invasive treatments and invasive treatments. Non-invasive treatments include informative methods, physical therapy, pharmacological treatment, psychiatric support therapy and occlusal splint therapies and invasive treatments include occlusal adjustment and surgical interventions. Non-invasive treatments, which are more conservative methods should be employed before invasive treatments for TMJ disorders. Many studies have been conducted to investigate the effectiveness of recommended treatment modalities. However, there is no definitive evidence of which treatment method or splint type is more effective in treating or reducing symptoms. Although the mechanisms of influence and treatment success are controversial, the most common method of tre...

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Section: Posteri̇or Isirma Plağiunclassified

Splint Therapy in Temporomandibular Joint Disorders: Review

Türker¹,

Büyükkaplan²

2017

Turkiye Klinikleri J Dental Sci

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“…Outcomes are usually fair in patients suffering from odontogenic pain and temporomandibular disorders (TMD), with significant reduction in pain symptoms and related disability and increase in mandibular function; 4–6 they are hardly predictable in patients with neuropathic pain. 7–9 …”

Section: Introductionmentioning

confidence: 99%

“…1 The outcome of such therapies is highly dependent on the specific diagnosis. Outcomes are usually fair in patients suffering from odontogenic pain and temporomandibular disorders (TMD), with significant reduction in pain symptoms and related disability and increase in mandibular function; [4][5][6] they are hardly predictable in patients with neuropathic pain. [7][8][9] Ancillary factors, in addition to pain treatment, often play a significant role in the healing processes and affect response to treatments and consequently therapeutic outcomes.…”

Section: Introductionmentioning

confidence: 99%

Ancillary factors in the treatment of orofacial pain: A topical narrative review

Melis

Giosia²,

Colloca

2018

J of Oral Rehabilitation

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Summary Ancillary factors, not directly related to treatment, often play a significant role by affecting therapeutic outcome. A search of the literature was conducted including words related to the placebo phenomenon and orofacial diseases. Therefore, critical factors have been grouped into three major categories: (a) the natural course of the diseases; (b) the regression of the symptoms to their mean intensity; and (c) placebo response. This topical narrative review describes the elements mentioned above, provides an up-to-date overview of the hot topics and gaps in the field and indicates developing and future research direction of the orofacial pain field. Such a knowledge might be positively used during daily clinical practice to optimise the management of orofacial pain diseases, as well as in conducting future clinical trials for validating new interventions.

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“…A review on psychosocial treatments for TMD demonstrated that CBT is often conducted using multiple techniques, such as education, stress management, cognitive restructuring, and relaxation (Table 2). Although treatments that include multiple techniques might provide unnecessary techniques and increase the cost of treatment, the use of a simple CBT technique has not yet been reported [5]. Questions pertaining to the types of patients affected by multiple CBT techniques were evaluated in a qualitative systematic review [15], wherein CBTs were applied to three different groups of TMD patients; those presenting with disc displacement and no reduction in pain or major psychological symptoms (Group 1), those with TMD pain and no major psychological symptoms (Group 2), and those presenting with TMD pain along with major psychological symptoms (Group 3).…”

Section: Introductionmentioning

confidence: 99%

Cognitive behavioral therapy for psychosomatic problems in dental settings

Matsuoka

Chiba

Sakano

et al. 2017

BioPsychoSocial Med

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Cognitive behavioral therapy (CBT) has been applied for various problems, including psychiatric diseases such as depression and anxiety, and for physical symptoms such as pain. It has also been applied for dental problems. Although the effect of CBTs on temporomandibular disorders and dental anxiety are well documented, its effectiveness on other types of oral symptoms remain unclear. Little information comparing the different types of CBTs in the dental setting is currently available. Because dental professionals are often expected to conduct CBTs in the dental setting, it is important to develop proper training programs for dental professionals.In this review article, we demonstrate and discuss the application of CBTs for psychosomatic problems, including temporomandibular disorders, dental anxiety, burning mouth syndrome, and other oral complaints in dental settings.

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A Systematic Review and Meta-analysis of Usual Treatment Versus Psychosocial Interventions in the Treatment of Myofascial Temporomandibular Disorder Pain

Abstract: No evidence was found to distinguish the clinical effectiveness between "usual treatment" and psychosocial interventions for myofascial TMD pain. Future studies of TMD and related subdiagnoses should be reported according to core standardized outcomes to facilitate comparisons.

Cited by 51 publications

References 34 publications

Splint Therapy in Temporomandibular Joint Disorders: Review

Splint Therapy in Temporomandibular Joint Disorders: Review

Ancillary factors in the treatment of orofacial pain: A topical narrative review

Cognitive behavioral therapy for psychosomatic problems in dental settings

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