Treatment of Patients with Temporomandibular Joint and Masticatory Muscle Disorders

Trezubov, V. N.; Булычева, Е А; Trezubov, V V; Bulycheva, D.S.

doi:10.33029/9704-6151-8-sto-2021-1-96

Cited by 7 publications

(4 citation statements)

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“…Although it is suggested that there are multiple interlinked causes, i.e. biological, psychological, social, and environmental, of TMD‐M, 12,13 one cannot rule out the possibility that TMD‐M might just be a result of distinct receptor mechanisms, 14 since the majority of TMDs do not show signs of inflammatory changes 15,16 …”

Section: Introductionmentioning

confidence: 99%

“…biological, psychological, social, and environmental, of TMD-M, 12,13 one cannot rule out the possibility that TMD-M might just be a result of distinct receptor mechanisms, 14 since the majority of TMDs do not show signs of inflammatory changes. 15,16 Due to the variety of symptoms and complex aetiology in chronic pain patients, and especially TMD-M, a multimodal treatment approach is recommended. As implied, this includes a broad spectrum of different therapies, such as occlusal splints, pharmacological treatment, physiotherapy, behavioural therapy, and other therapies.…”

mentioning

confidence: 99%

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Are acupuncture and dry needling effective in the management of masticatory muscle pain: A network meta‐analysis of randomised clinical trials

Al‐Moraissi

Goddard

Christidis

2022

J of Oral Rehabilitation

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Background Several studies have shown that both acupuncture and dry needling are effective in the treatment of musculoskeletal pains. Therefore, the aim of this network meta‐analysis (NMA) was to investigate the treatment outcome of acupuncture and dry‐needling for masticatory muscle pain (TMD‐M) and to compare with active and inactive placebo. Material and Method An electronic search was performed to identify randomised controlled trials (RCTs) published until September 2019, comparing dry‐needling, acupuncture, and inactive as well as active placebo in patients with TMD‐M. Outcome variables were post‐treatment pain intensity, pressure pain threshold (PPT), and maximum mouth opening (MMO). The quality of evidence was rated according to Cochrane's tool for assessing the risk of bias. Mean difference was used to analyse via frequentist NMA using STATA‐software. Results Both NMA and direct pairwise meta‐analysis have shown that there was no difference between active treatment with either acupuncture or dry‐needling when compared to active and inactive placebo in patients with TMD‐M with respect to pain intensity, and PPT (p > .05). However, there was a significant increase in MMO following dry‐needling when compared to the placebo (very low‐quality evidence). Conclusion Despite the short‐term positive effect of MMO by dry‐needling, this NMA could not show any pain‐reducing effect in patients with TMD‐M by acupuncture or dry‐needling when compared to an active or inactive placebo. Taken together, this NMA indicates that it is the placebo effect that accounts for the majority of the treatment effect of TMD‐M, rather than a real therapeutic effect of acupuncture/dry‐needling.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Are acupuncture and dry needling effective in the management of masticatory muscle pain: A network meta‐analysis of randomised clinical trials

Al‐Moraissi

Goddard

Christidis

2022

J of Oral Rehabilitation

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“…В связи с вышеизложенным, очевидной становится необходимость междисциплинарного подхода, определяемого как участие широкого круга специалистов: врачей лечебной физкультуры, мануальных терапевтов и др., является ключевым положением, позволяющим избежать осложнений и ускорить реабилитацию пациентов с заболеваниями ВНЧС. Рекомендации коррекции осанки и приемов лечебной физкультуры при синдроме болевой дисфункции, рецидивирующем вывихе, травматическом артрите и других патологиях ВНЧС, основаны на высококачественных систематических обзорах и когортных исследованиях с высокой степенью достоверности и установления причинноследственной связи [25,26].…”

Section: результаты исследования и их обсуждениеunclassified

Mutual influence of posters and kinematics of the temporomandibular joint

Parkhomenko,

Shemonaev,

Barulin

et al. 2023

Journal of Volgograd State Medical University

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Achievements in integrative areas of medicine can significantly supplement the traditional ideas about the etiopathogenesis of temporomandibular joint dysfunction, based on the positions of occlusal and neuromuscular theories and mainly limited to consideration of the elements of the stomatognathic system. The article presents the results of a study of data on the influence of the state of the spine on the pathogenesis of diseases of the temporomandibular joint and data on the effectiveness of the treatment of combined pathology of the joint and posture according to publications in domestic and foreign literature over the past 15 years. Expanding the view on the structure and function of the maxillofacial region and the role of craniopostural and craniovisceral relationships requires the development of a unified methodological approach to the diagnosis of patients with dysfunction of the temporomandibular joint, which will help reduce the number of diagnostic errors and the risk of chronic pain phenomena.

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“…Full understanding of the anatomy and the morphology of the TMJ is crucial to detect the normal and the abnormal condition [8]. Normal condylar head is assumed to have convex structure and to be of the same shape bilaterally in the same person [23]. Morphological changes of mandibular condyle are most commonly observed in elderly people due to the degeneration of TMJ [17].…”

Section: Introductionmentioning

confidence: 99%

retrospective evaluation of condylar morphology using panoramic radiography in a sample of Turkish population

et al. 2024

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Treatment of Patients with Temporomandibular Joint and Masticatory Muscle Disorders

Cited by 7 publications

References 0 publications

Are acupuncture and dry needling effective in the management of masticatory muscle pain: A network meta‐analysis of randomised clinical trials

Are acupuncture and dry needling effective in the management of masticatory muscle pain: A network meta‐analysis of randomised clinical trials

Mutual influence of posters and kinematics of the temporomandibular joint

retrospective evaluation of condylar morphology using panoramic radiography in a sample of Turkish population

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