Reported concepts for the treatment modalities and pain management of temporomandibular disorders.
Study Goal
The researchers aimed to evaluate the clinical management options for TMD pain, including the role of massage therapy as a conservative treatment.
Results Summary
Massage therapy was identified as one of the most commonly reported conservative treatments for TMD pain, alongside occlusal splints, manual therapy, and other non-invasive methods. The authors concluded that conservative treatments like massage should be considered as first-choice therapy due to their low risk of side effects.
Population
Individuals with temporomandibular disorders (TMD) experiencing pain.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
massage therapy | decrease | TMD pain | patients with temporomandibular disorders | - | most commonly reported | #1 |
individually fabricated occlusal splints | decrease | TMD pain | patients with temporomandibular disorders | - | most commonly reported | #2 |
manual therapy | decrease | TMD pain | patients with temporomandibular disorders | - | popular | #3 |
taping | decrease | TMD pain | patients with temporomandibular disorders | - | popular | #4 |
warming/cooling of aching joints | decrease | TMD pain | patients with temporomandibular disorders | - | popular | #5 |
light and laser therapy | decrease | TMD pain | patients with temporomandibular disorders | - | popular | #6 |
drugs | decrease | TMD pain | patients with temporomandibular disorders | - | commonly used | #7 |
surgical restoration of the joint | decrease | temporomandibular joint degeneration | patients with severe cases of temporomandibular joint degeneration | - | applied | #8 |
conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others | decrease | TMD pain | patients with temporomandibular disorders | - | should be considered as a first choice therapy | #9 |
pharmacotherapy, minimally invasive and invasive procedures | decrease | severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration | patients with temporomandibular disorders | - | should be considered | #10 |
BACKGROUND: Pain related to temporomandibular disorders (TMD) is a common problem in modern societies. The aim of the article is to present the concepts of TMD pain clinical management. METHODS: A survey was performed using the PubMed, SCOPUS and CINAHL databases for documents published between 1994 and 2014. The following search keywords were selected using MeSH terms of the National Library of Medicine in combination: TMD pain, TMD, TMJ, TMJ disorders, occlusal splint, TMD physiotherapy, TMJ rheumatoid disorders and TMJ surgery. Original articles and review papers which presented the clinical relevance and practical validity regarding the possibility of application in TMD management have been included. Authors have excluded articles without outstanding practical aspect and evidence-based background. A first selection was carried out by reviewing titles and abstracts of all articles found according to the criteria. After that the full texts of potentially suitable articles were assessed. In line with these criteria, among 11467 results the writers have included 66 papers. RESULTS: The most commonly reported conservative treatments are massage therapy and individually fabricated occlusal splints. In addition to massage, other popular methods include manual therapy and taping, warming/cooling of aching joints, and light and laser therapy. Drugs are also commonly used. In the most severe cases of the temporomandibular joint degeneration, surgical restoration of the joint is sometimes applied. CONCLUSIONS: The authors concluded that conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others should be considered as a first choice therapy for TMD pain because of their low risk of side effects. In the case of severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration pharmacotherapy, minimally invasive and invasive procedures should be considered.