Reported concepts for the treatment modalities and pain management of temporomandibular disorders (2024)

Clinical & Biomedical Research, 2019

Background. The purpose of this review was to assess the evidence concerning the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) in the management of Temporomandibular disorders (TMD). Methods. A literature search of published and unpublished articles resulted in the retrieval of 13 potential articles. Discussion. 17 articles were reviewed, out of which one study favors effectiveness of TENS in the management of TMD. Eight study evidence for the use of TENS in combination with other therapies to reduce pain and to improve oral opening. However, in another two studies no significant result found in TENS as compared to Occlusal splint therapy. One study favors Micro current electrical nerve (MENS) stimulation over TENS .one study favors muscular awareness relaxation training over TENS. Conclusion. In the presented review, 12 study out of 17 studies were in support of the effectiveness of TENS as a therapeutic module in alleviating pain in TMD patients.

Medicina

Background and Objectives: Temporomandibular joint disorders (TMJDs) are associated with pain and reduced jaw mobility. The aim of this study was to compare the outcome of patients with TMJ arthralgia when submitted to four different treatment modalities, in some cases using intra-articular injections of substances with anti-inflammatory properties and in others, a more conservative approach consisting only of a bite splint. Materials and Methods: The sample was made up of 80 patients, randomly distributed into 4 groups of 20 patients each. Each patient was given a nocturnal bite splint. One of the groups was treated with the bite splint only, while each patient in the other 3 was injected with betamethasone, sodium hyaluronate, or platelet-rich plasma in addition to using the bite splint. Two variables were assessed, namely pain intensity between 0 to 10 according to the visual analogue scale and maximum pain-free mouth opening in mm. The patients were evaluated at four different p...

Journal of Oral Rehabilitation, 2010

SciDoc Publishers, 2021

Objectives: Temporomandibular joint disorders (TMDs) are a set of clinical diseases that involve the temporomandibular joint (TMJ), myofascial muscles, and other related tissues. There is currently no single standard for the classification of TMD, although the most widely used criteria are the research diagnostic criteria for temporomandibular disorders (RDC/TMD).TMJ pain and clicking, myofascial or oral masticatory muscle pain, and irregular jaw movement are the most common signs and symptoms of TMD. It is a major public health issue since it is a leading cause of persistent oral and facial pain that interferes with daily activities. Splint therapy is one of the conservative modalities for the management of temporomandibular joint disorders. The aim of this study was to assess the effectiveness of splint therapy in patients with temporomandibular joint disorders in our regional population. Methods: In this retrospective study, a total of 192 patients who had temporomandibular disorders and treated with splint therapy were included. The following parameters were evaluated based on the dental records; age and gender of the patients, types of TMD, clinical manifestations of TMD, treatment outcomes, effectiveness of splint therapy, and types of splint therapy. Excel tabulation and SPSS version 23 was used for data analysis and results obtained. Results: In our study, a total of 192 patients with TMD undergoing splint therapy were assessed with the age range of 10-60 years and mean age of 21-40 years. The age group of 21-30 years had higher rate of splint therapy (37.82%) followed by 31-40 years age group with 32.12%. Male patients were predominantly on splint therapy (54.9%) than the females (45.08%) Splint therapy was predominantly provided for disc-condyle disorder patients followed by MPDS condition and least for the patients with degenerative disorders. Soft splint was predominantly (89.2%) chosen for patients with TMD with only 10.8% patients were provided with hard splint as it was required. Splint therapy was effective for majority of the patients (80%) with TMD. The association between age and gender of patients with the effectiveness of splint therapy for treating temporomandibular joint disorders was statistically significant. The association between type of splint therapy and effectiveness of splint therapy for treating temporomandibular joint disorders was statistically significant. Soft splints were more effective (70.98%) than the hard splints (8.29%). The association between type of temporomandibular joint disorder and effectiveness of splint therapy for treating temporomandibular joint disorders was statistically significant. Splint therapy was effective in 45% of patients with disc-condyle disorder and in 26.7% of patients with MPDS.It was not very useful in patient with degenerative disorders as it was effective in only 7.33% of patients. Conclusion: In our study, an increased number of people in the younger age, especially males received the splint therapy for the management of temporomandibular joint disorders. Soft splints were chosen for the vast majority of the people which were very effective in treating temporomandibular joint disorders. Splint therapy was very effective in treating younger age people than the elderly. Splint therapy was effective for both females and males with males exhibiting a higher response rate. Splint therapy was very effective in treating patients with disc-condyle disorder followed by MPDS patients. In our study, majority of the patients with TMJ pain responded well to splint therapy, but a small a percentage of patients developed refractory or persistent TMD.

Clinical Oral Implants Research, 2007

Appendix. Threshold of signs and symptoms. Post-hoc power analysis on measures of effectiveness. Two-way ANOVA statistical analysis for pain intensity. Rules for progressing and ending splint therapy. Rules for progressing and ending physiotherapy. A stepped-care model including two possible therapies. (PDF 86 kb)

Manual Therapy, 2015

Journal of Bodywork and Movement Therapies, 2007

Summary Objective: This study investigated the ability of massage therapy to mitigate the frequency and intensity of headaches, jaw clicking and masticatory pain associated with temporomandibular joint syndrome (TMJ). Methods: The subject reported 3 years of masticatory pain, clicking, teeth grinding, reduced jaw opening and headaches prior to the study. A log was kept documenting frequency, intensity and type of pain. Pre- and post-treatment jaw opening was recorded. Western massage techniques combined with strain-counterstrain techni- ques targeted the upper torso, cervical region and oral cavity twice weekly for 30 min each over 3 weeks. Results: TMJ-related pain decreased and maximal jaw opening increased by almost a third. Jaw clicking decreased fourfold to once monthly. Teeth grinding was unchanged. Conclusion: The results suggest that western massage and strain-counterstrain techniques can improve jaw range of motion, alleviate the intensity and reduce the frequency of TMJ-re...

American academy of orofacial pain stated that, TMD is referred as a combined term taking up a variety of clinical problems that involve the masticatory musculature, the TMJ and associated structures or both. A variety of therapeutic modalities have been proposed for the management of TMD‟s, such as orthopaedic stabilization, intraoral appliances, behavioural therapy, physiotherapy, pharmacological modalities and jaw exercise and collective treatment [1] . “Splint” can be several apparatus, appliance or device employed to provide stabilization or support of teeth or bones, or generally to resist motion or displacement of fractured or European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 7, Issue 07, 202

Revista Dor, 2017

Romanian Journal of Rhinology

BACKGROUND. Temporomandibular joint (TMJ) disorders represent a group of musculoskeletal and neuromuscular disorders, which can involve both the temporomandibular joint complex and the muscle and bone components in the immediate vicinity. The etiology is multifactorial and includes biological, environmental, social, emotional and cognitive triggers. Thus, there is no treatment of choice for this pathology. Physiotherapy is beginning to occupy an important place within the adjuvant therapies used in TMJ dysfunctions. OBJECTIVE. The current study aimed to evaluate the degree of awareness of TMJ dysfunction and, implicitly, the need for treatment, the level of knowledge of the role of physiotherapy in this regard, as well as the interdisciplinary collaboration between dentist and physical medicine rehabilitation doctor in terms of TMJ pathology. MATERIAL AND METHODS. We carried out a prospective study, based on a questionnaire made in the Google Forms platform. The questionnaire consis...

Türk fizyoterapi ve rehabilitasyon dergisi, 2022

Journal of Dental Research, 2012

Abstract: PURPOSE: The purpose of this study was to explore the comparative effect of chiropractic manipulation of the TMJ versus TENS, and the combination thereof in the treatment of TMD. The aim was to compare these findings in terms of the presence and severity of symptoms associated with TMD. The study would then determine which was the most effective treatment protocol in treating TMD...M.Tech. (Chiropractic

Journal of Oral & Facial Pain and Headache, 2014

Journal of Manipulative and Physiological Therapeutics, 2014