Minimally invasive techniques in the management of muscular temporomandibular joint disorders: A five-year observational study.


Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
May 2024
Historique:
received: 12 04 2024
accepted: 23 04 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

To evaluate the effectiveness of three minimally invasive techniques for managing patients with myofascial pain dysfunction, determine their association with sociodemographic factors, habits, medication usage, comorbidities, treatment history, pain duration, complaint intensity, and diagnosis limitations. This five-year observational study scrutinized 1,000 medical records from individuals treated at the TMD Orofacial Dental Research Center. TMD treatments were organized into Group 1 (thermotherapy, exercises, and CBT), Group 2 (Group 1 plus intramuscular manual therapy), and Group 3 (Group 1 and Group 2 plus occlusal appliances) and correlated with sociodemographic factors, habits, prior medication usage, comorbidities, history of prior treatments, duration of pain, intensity of complaint, and diagnosis limitations or without limitations regarding the symptoms of muscular temporomandibular disorders (TMD). Treatment durability was proportionally higher in Groups II and III ( Intraoral devices do not constitute the primary treatment for myofascial pain. For cases of prolonged pain, comorbidities, limited mouth opening, and a history of prior medication or treatments, a splint combined with other therapies is recommended for effective management.

Sections du résumé

Background UNASSIGNED
To evaluate the effectiveness of three minimally invasive techniques for managing patients with myofascial pain dysfunction, determine their association with sociodemographic factors, habits, medication usage, comorbidities, treatment history, pain duration, complaint intensity, and diagnosis limitations.
Material and Methods UNASSIGNED
This five-year observational study scrutinized 1,000 medical records from individuals treated at the TMD Orofacial Dental Research Center. TMD treatments were organized into Group 1 (thermotherapy, exercises, and CBT), Group 2 (Group 1 plus intramuscular manual therapy), and Group 3 (Group 1 and Group 2 plus occlusal appliances) and correlated with sociodemographic factors, habits, prior medication usage, comorbidities, history of prior treatments, duration of pain, intensity of complaint, and diagnosis limitations or without limitations regarding the symptoms of muscular temporomandibular disorders (TMD).
Results UNASSIGNED
Treatment durability was proportionally higher in Groups II and III (
Conclusions UNASSIGNED
Intraoral devices do not constitute the primary treatment for myofascial pain. For cases of prolonged pain, comorbidities, limited mouth opening, and a history of prior medication or treatments, a splint combined with other therapies is recommended for effective management.

Identifiants

pubmed: 38988752
doi: 10.4317/jced.61618
pii: 61618
pmc: PMC11231891
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e602-e609

Informations de copyright

Copyright: © 2024 Medicina Oral S.L.

Déclaration de conflit d'intérêts

The authors report that there are no conflicts of interest to declare.

Auteurs

Mario-Roberto Homem (MR)

DDS, MSc. Clinical Professor, Department of Prosthodontics, Brazilian Association of Dentistry, UniABOSC.

Debora-Lemos Backer (DL)

DDS. Private Practice, Brasilia, Brazil.

Franciele Floriani (F)

DDS, MSc, PhD. Clinical Assistant Professor, Department of Prosthodontics, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA.

Carlos A Jurado (CA)

Associate Professor and Director of Operative Dentistry Division, Division of Operative Dentistry, Department of General Dentistry, The University of Tennessee Health Science Center.

Kelvin I Afrashtehfar (KI)

DDS, MSc, PhD, FDS RCS, FRCDC. Assistant Professor and Director of Evidence-Based Practice Unit, Clinical Sciences. Department, College of Dentistry, Ajman University, Ajman City, AE, United Arab Emirates.
DDS, MSc, PhD, FDS RCS, FRCDC. Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, BE, Switzerland.

Classifications MeSH