Impact of Therapeutic Interventions on Temporomandibular Disorders; A Systematic Review
Therapeutic Interventions in Temporomandibular Disorders
DOI:
https://doi.org/10.55735/hjprs.v3i10.227Keywords:
temporomandibular disorders, therapeutic interventionsAbstract
Background: Temporomandibular disorders which are also known as craniomandibular disorders are defined as the group of disorders that affect the masticatory muscles, the temporomandibular joint and other associated structures. It is recognized as a musculoskeletal masticatory pathology that has been known to affect more than 25% of the population globally. The cervical and temporomandibular mobilization (Maitland approach), pulsed radio frequency energy, dry needling, acupuncture, and NAG/ SNAG are manual interventions employed to treat the temporomandibular disorder. Objective: Our systematic review aims to determine the effectiveness of the therapeutic interventions on temporomandibular joint disorders. Methods: A systematic review was conducted using various databases for searching from January 2011 to September 2020. Databases included the Cochrane Library, PubMed, PEDro and APTA, EMBASE and MEDLINE for most recently conducted studies on treatment approaches including Manual therapy, exercise therapy and electrotherapy for temporomandibular joint disorders. Those randomized controlled trials which focused on determining the effects of therapeutic interventions on temporomandibular joint disorders and which met our inclusion criteria were included in our review. Results: After assessing assessment-based eligibility a total of twelve studies were included in our review. All the included studies were randomized control trials. All the included studies had their score which varied significantly between 7 and 10 on the PEDro scale score which represented a higher methodology quality. All the included studies showed improvement in the quality of life after employing therapeutic interventions for treating temporomandibular joint disorders. The risk of bias in all the included studies was altered in selection bias and detection bias. Conclusion: Our systematic review concluded that all the included randomized control trials and studies supported the effects of therapeutic interventions on temporomandibular disorders positively. Our review supported the fact that improvements were observed in the quality-of-life outcomes of these patients after the application of therapeutic disorders.
References
Shao GN, Kim H, Imran S. https://www. sciencedirect. com/science/article/abs/pii/S092633731500346X. 2016.
https://doi.org/10.1002/pen.24333
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical therapy 2006; 86(5): 710-25.
https://doi.org/10.1093/ptj/86.5.710
Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Physical therapy 2016; 96(1): 9-25.
https://doi.org/10.2522/ptj.20140548
Rongo R, Ekberg E, Nilsson IM, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for children and adolescents: An international Delphi study—Part 1‐Development of Axis I. Journal of Oral Rehabilitation 2021; 48(7): 836-45.
https://doi.org/10.1111/joor.13175
Sturdivant J, Fricton J. Physical therapy for temporomandibular disorders and orofacial pain. Current opinion in dentistry 1991; 1(4): 485-96.
https://europepmc.org/article/med/1802010
DuPont Jr JS. Simplified anesthesia blocking of the temporomandibular joint. General Dentistry 2004; 52(4): 318-20.
https://europepmc.org/article/med/15366297
Kreiner M, Viloria J. A novel artificial neural network for the diagnosis of orofacial pain and temporomandibular disorders. Journal of Oral Rehabilitation 2022; 49(9): 884-9.
https://doi.org/10.1111/joor.13350
de Melo LA, Bezerra de Medeiros AK, Campos M, Bastos Machado de Resende CM, Barbosa GAS, de Almeida EO. Manual therapy in the treatment of myofascial pain related to temporomandibular disorders: a systematic review. J Oral Facial Pain Headache 2020; 34(2): 141-8.
Arribas-Romano A, Fernández-Carnero J, Molina-Rueda F, Angulo-Diaz-Parreno S, Navarro-Santana MJ. Efficacy of physical therapy on nociceptive pain processing alterations in patients with chronic musculoskeletal pain: a systematic review and meta-analysis. Pain Medicine 2020; 21(10): 2502-17.
https://doi.org/10.1093/pm/pnz366
Brighenti N, Battaglino A, Sinatti P, et al. Effects of an interdisciplinary approach in the management of temporomandibular disorders: a scoping review. International Journal of Environmental Research and Public Health 2023; 20(4): 2777.
https://doi.org/10.3390/ijerph20042777
Michelotti A, Rongo R, D'Antò V, Bucci R. Occlusion, orthodontics, and temporomandibular disorders: Cutting edge of the current evidence. Journal of the World federation of orthodontists 2020; 9(3): S15-S8.
https://doi.org/10.1016/j.ejwf.2020.08.003
Huang Z, Ma J, Chen J, Shen B, Pei F, Kraus VB. The effectiveness of low-level laser therapy for nonspecific chronic low back pain: a systematic review and meta-analysis. Arthritis research & therapy 2015; 17(1): 1-8.
DOI: https://doi.org/10.1186/s13075-015-0882-0
Awan KH. The role of transcutaneous electrical nerve stimulation in the management of temporomandibular joint disorder. The Journal of Contemporary Dental Practice 2016; 16(12): 984-6.
http://thejcdp.com/doi/JCDP/pdf/10.5005/jp-journals-10024-1792
Rodrigues D, Siriani AO, Bérzin F. Effect of conventional TENS on pain and electromyographic activity of masticatory muscles in TMD patients. Brazilian oral research 2004; 18: 290-5.
https://doi.org/10.1590/S1806-83242004000400003
Çetiner S, Kahraman SA, Yücetas Ş. Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomedicine and Laser Therapy 2006; 24(5): 637-41.
https://doi.org/10.1089/pho.2006.24.637
Vicente-Barrero M, Yu-Lu S-L, Zhang B, et al. The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome. Medicina oral, patologia oral y cirugia bucal 2012; 17(6): e1028.
doi: 10.4317/medoral.17567
González-Iglesias J, Cleland JA, Neto F, Hall T, Fernández-De-Las-Peñas C. Mobilization with movement, thoracic spine manipulation, and dry needling for the management of temporomandibular disorder: a prospective case series. Physiotherapy theory and practice 2013; 29(8): 586-95.
https://doi.org/10.3109/09593985.2013.783895
von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Manual therapy 2013; 18(4): 345-50.
https://doi.org/10.1016/j.math.2012.12.005
Shimada A, Ishigaki S, Matsuka Y, et al. Effects of exercise therapy on painful temporomandibular disorders. Journal of oral rehabilitation 2019; 46(5): 475-81.
https://doi.org/10.1111/joor.12770
Valesan LF, Da-Cas CD, Réus JC, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clinical Oral Investigations 2021; 25: 441-53.
DOI: https://doi.org/10.1007/s00784-020-03710-w
SF D. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and classification, critique. J Orofac Pain 1992; 6: 302-55.
https://doi.org/10.1016/j.tripleo.2011.04.021
Krasińska-Mazur M, Homel P, Gala A, Stradomska J, Pihut M. Differential diagnosis of temporomandibular disorders—A review of the literature. Folia Medica Cracoviensia 2022: 121-37--37.
DOI: 10.24425/fmc.2022.141703
Khan J, Singer SR, Young A, Tanaiutchawoot N, Kalladka M, Mupparapu M. Pathogenesis and Differential Diagnosis of Temporomandibular Joint Disorders. Dental Clinics 2023; 67(2): 259-80.
https://www.dental.theclinics.com/article/S0011-8532(22)03505-4/abstract
Mercuri LG. Temporomandibular Joint Facts and Foibles. Journal of Clinical Medicine 2023; 12(9): 3246.
https://doi.org/10.3390/jcm12093246
Pisarevskiy YL, Naidanova I, Marchenko M, Pisarevskiy IY. Electromyography characteristics of the motor unit action potential of the lateral pterygoid muscle and bioelectrical activity of masticatory muscles during splint therapy for pain temporomandibular joint dysfunction. Stomatologiia 2019; 98(6): 72-8.
https://doi.org/10.17116/stomat20199806172
Furlan A, Van Tulder M, Cherkin D, et al. Acupuncture: Acupuncture for low-back pain: An updated Cochrane systematic review. The Journal of Pain 2004; 5(3): S88.
DOI:https://doi.org/10.1016/j.jpain.2004.02.320
van Tulder MW, Touray T, Furlan AD, et al. Muscle relaxants for non‐specific low‐back pain. Cochrane database of systematic reviews 1996; 2017(3).
https://doi.org/10.1002/14651858.CD004252
Weiner DK, Ernst E. Complementary and alternative approaches to the treatment of persistent musculoskeletal pain. The Clinical journal of pain 2004; 20(4): 244-55.
Goddard G, Karibe H, McNeill C, Villafuerte E. Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients. Journal of orofacial pain 2002; 16(1).
List T, Helkimo M, Andersson S, Carlsson G. Acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders. Part I. A comparative study. Swedish dental journal 1992; 16(4): 125-41.
https://doi.org/10.3109/00016359209012785
List T, Helkimo M, Karlsson R. Pressure pain thresholds in patients with craniomandibular disorders before and after treatment with acupuncture and occlusal splint therapy: a controlled clinical study. Journal of orofacial pain 1993; 7(3).
Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low‐level laser therapy in temporomandibular disorder. Scandinavian journal of rheumatology 2003; 32(2): 114-8.
Downloads
Published
How to Cite
License
Copyright (c) 2023 The Healer Journal of Physiotherapy and Rehabilitation Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
CC BY
