Temporomandibular Disorders

Ec, Bond; Mackey, Sean; R, English; Ct, Liverman; Yost, Olivia

doi:10.17226/25652

Cited by 27 publications

(10 citation statements)

References 0 publications

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“…New patient appointments were allocated a 60min appointment while follow-up appointments were allocated a 40min appointment. All patients received the treatment guide 23 divided into 4 steps, and which is easy to read (age equivalent 12-13 years (Flesch-Kincaid level 6.4)), engaging and allows patients to personalise it to their needs:…”

Section: Interventionmentioning

confidence: 99%

“…18 Additional components (posture control and habit reversal) were identified which led to further refinement of the intervention. 23 Overall, the intervention incorporated a biopsychosocial approach with principles of cognitive behaviour therapy for the psychosocial components and posture control for physical self-regulation. 23 This intervention aligns with recent recommendations by the US National Academies high profile international expert committee that advocated therapist-guided self-management approaches that combine a psychoeducational rationale with techniques drawn from cognitive-behavioural therapy (CBT) and biofeedback for temporomandibular disorders.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach

Aggarwal

Fox

et al. 2021

J Oral Rehabil

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Background Aims of the study were to: Implement supported self‐management for chronic primary oro‐facial pain in a clinical setting. Evaluate its impact on consultation rates, pain severity, interference with life and patient experience. Methods Sixty‐six patients with chronic primary oro‐facial pain received the intervention at a facial pain clinic at Leeds Dental Institute, UK. Brief Pain Inventory (BPI) scores measured pain severity and interference with life before and after the intervention. Process mining outlined patient care pathways. Monthly consultation rates measured 12 months before and after the intervention were used to evaluate burden on healthcare services and economic impact. Patient feedback was assessed via Patient and Public involvement discussion groups. Results Mean BPI scores significantly improved after intervention—from 5.70 (SD 1.89) to 3.78 (SD 2.34) (p < .001); mean pain interference score reduced from 19.95 (SD 9.41) to 12.05 (SD 9.64) (p < .001). Average monthly consultations significantly (p = .001) reduced from 0.42/month before the intervention to 0.16/month after the intervention. Economic assessment showed cost savings of £293 per patient per year. Process mining showed high rates of service usage with 31 patients also attending 51 other specialist services between them. Patient and Public Involvement discussion groups with 5 patients identified that the intervention was a ‘constant companion’ and should be implemented at the outset in the care pathway. Conclusion Supported self‐management for chronic primary oro‐facial pain has a positive impact on health outcomes (physical functioning, pain intensity and patient experience), as well as service usage and healthcare costs when implemented in a secondary care clinical setting. Reconfiguring current care pathways to upscale early implementation of such interventions should be a priority for future testing.

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Section: Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach

Aggarwal

Fox

et al. 2021

J Oral Rehabil

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“…In the United Kingdom, studies demonstrated that the quality and quantity of the work performed by individuals with TMDs is decreased by 12 percent each. This translates to a “hidden” cost to employers of £584 and £1,225 in lost productivity for each 6-month period among individuals living with TMD ( 9 , 10 ). The natural history and etiology of the disorder are poorly understood and thus, appropriate treatment options are difficult to determine, limited, and complex ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Building the foundation for a modern patient-partnered infrastructure to study temporomandibular disorders

Gressler,

Cowley,

Velezis

et al. 2023

Front. Digit. Health

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BackgroundConflicting reports from varying stakeholders related to prognosis and outcomes following placement of temporomandibular joint (TMJ) implants gave rise to the development of the TMJ Patient-Led RoundTable initiative. Following an assessment of the current availability of data, the RoundTable concluded that a strategically Coordinated Registry Network (CRN) is needed to collect and generate accessible data on temporomandibular disorder (TMD) and its care. The aim of this study was therefore to advance the clinical understanding, usage, and adoption of a core minimum dataset for TMD patients as the first foundational step toward building the CRN.MethodsCandidate data elements were extracted from existing data sources and included in a Delphi survey administered to 92 participants. Data elements receiving less than 75% consensus were dropped. A purposive multi-stakeholder sub-group triangulated the items across patient and clinician-based experience to remove redundancies or duplicate items and reduce the response burden for both patients and clinicians. To reliably collect the identified data elements, the identified core minimum data elements were defined in the context of technical implementation within High-performance Integrated Virtual Environment (HIVE) web-application framework. HIVE was integrated with CHIOS™, an innovative permissioned blockchain platform, to strengthen the provenance of data captured in the registry and drive metadata to record all registry transaction and create a robust consent network.ResultsA total of 59 multi-stakeholder participants responded to the Delphi survey. The completion of the Delphi surveys followed by the application of the required group consensus threshold resulted in the selection of 397 data elements (254 for patient-generated data elements and 143 for clinician generated data elements). The infrastructure development and integration of HIVE and CHIOS™ was completed showing the maintenance of all data transaction information in blockchain, flexible recording of patient consent, data cataloging, and consent validation through smart contracts.ConclusionThe identified data elements and development of the technological platform establishes a data infrastructure that facilitates the standardization and harmonization of data as well as perform high performance analytics needed to fully leverage the captured patient-generated data, clinical evidence, and other healthcare ecosystem data within the TMJ/TMD-CRN.

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“…As one of the most complex joints in the human body, temporomandibular joint (TMJ) plays an important role in breathing, speaking, chewing and many other vital activities. 1 However, many associated diseases would affect the normal physiological structures and functions of TMJ, the most prevalent among which are temporomandibular disorders (TMDs). 2 As the third most common oral illness in society, TMDs are considered a heterogeneous collection of musculoskeletal and neuromuscular diseases involving the TMJ, muscles of mastication and/or related issues.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, many patients suffered from excessive or even detrimental therapy and high expense on account of lacking accurate diagnosis and treatment for TMDs. 1 To date, the high complexity, high prevalence and high cost of TMDs have attracted numerous scholars to research on fields related to TMDs. 3 , 4 The correct ways to diagnose and cure TMDs still need to be explored and clarified.…”

Section: Introductionmentioning

confidence: 99%

Bibliometric Analysis of Research on Temporomandibular Joint and Occlusion from 2000 to 2022

Xiong¹,

Gao²,

Zhong³

et al. 2023

JPR

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Purpose This study conducted a bibliometric analysis that comprehensively described publications on temporomandibular joint and occlusion from 1 January 2000 to 31 October 2022, aiming to reveal hotspots and predict future research trends. Methods A total of 2985 articles and reviews were retrieved from Web of Science Core Collection (WoSCC). Excel 2019, VOSviewer and CiteSpace software were used for visualizing analysis of research trends, authors, journals, institutions, countries, keywords and cited references. Results Both the annual publication counts and citation times increased significantly. Wang MQ was the most active author. Moreover, Manfredini D and Okeson JP were the most influential two. Journal of Oral Rehabilitation was the core journal. University of Sao Paulo was the most productive institutions. “Temporomandibular disorders” (TMDs), “temporomandibular joint” and “occlusion” were the top 3 keywords with the most frequencies. Keywords and references with burst showed that the causes of TMDs, diagnosis and treatments for TMDs as well as bruxism may be hotspots currently and in the future. Conclusion In this study, the research trends, the most productive and influential authors, journals, institutions, countries, in addition to keywords and cited references with burst in the field of temporomandibular joint and occlusion were revealed by a bibliometric analysis, which could help scholars to understand recent hotspots and future trends.

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Temporomandibular Disorders

Cited by 27 publications

References 0 publications

Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach

Implementation of biopsychosocial supported self‐management for chronic primary oro‐facial pain including temporomandibular disorders: A theory, person and evidence‐based approach

Building the foundation for a modern patient-partnered infrastructure to study temporomandibular disorders

Bibliometric Analysis of Research on Temporomandibular Joint and Occlusion from 2000 to 2022

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