A Device Improves Signs and Symptoms of TMD

Abstract

Background. Temporomandibular joint dysfunction (TMD) therapy remains an open challenge for modern dentistry. Herein, we propose a new neuromuscular lingual device able to reduce signs and symptoms of TMD in female patients with chronic orofacial pain. Methods. 50 females with myofascial TMD according to RDC/TMD were randomly assigned to study (n = 25) and control groups (n = 25). At T0, both groups received sEMG/KNG and pain evaluation by the VAS scale. The study group received the ELIBA device (lingual elevator by Balercia) constructed under ULF-TENS (ultra-low-frequency transcoutaneous electrical nervous stimulation). Subjects were instructed to use ELIBA at least for 16 h/day. After 6 months (T1), both groups underwent to sEMG/KNG and VAS revaluation. Results. T1 study group compared to controls showed a significant reduction in total (p<0.0001) and mean (p<0.0001) sEMG values, as well as a significant increase in both maximum vertical mouth opening (p=0.003) and maximum velocity in mouth opening (p=0.003) and closing (p<0.0001). Interestingly, a significant reduction in pain measured by VAS (p<0.0001) was reported. Conclusions. After 6 months, the ELIBA device is able to significantly reduce TMD-associated myogenous pain and to promote the enhancement of sEMG/KNG values. Practical Implications. ELIBA can be considered as a new device, potentially useful for head-neck pain relief in patients suffering from chronic TMD. In addition, its use promotes a muscles relaxation inducing freeway space increase. This characteristic makes it particularly useful for rehabilitation of patients with not enough space for construction of conventional orthotics or neuromuscular bites.

Analysis of risk factors and interactions for pain in temporomandibular disorder: A cross‐sectional study

“…However, here, previous orthodontic treatment did not pose a risk of TMD pain. This is consistent with previous findings that orthodontic treatment produces a stable occlusion, which balances tension among masticatory muscles 32 . Godoy et al 33 .…”

“…This is consistent with previous findings that orthodontic treatment produces a stable occlusion, which balances tension among masticatory muscles. 32 Godoy et al 33 observed that orofacial pain after orthodontic treatment is an adaptive response of the masticatory muscles and usually resolves within a week.…”

Synthesis of temporomandibular disorders management intervention outcomes for development of core outcome sets: A systematic review

“…used data from the same clinical trial but investigated different outcomes. In addition, the study of Pietropaoli et al., 28 was revised and republished by Monaco et al 29 . In all these cases, the two or three reports that evaluated the same outcomes were treated as a single RCT for analysis purposes.…”

“…Thus, the methodology used in the included articles did not influence the results of this review. 29 In all these cases, the two or three reports that evaluated the same outcomes were treated as a single RCT for analysis purposes. Therefore, 106 studies were included in the final synthesis (Figure 1).…”

Corrigendum to “A New Device Improves Signs and Symptoms of TMD”

“…In the article titled "A New Device Improves Signs and Symptoms of TMD" [1], we would like to clarify the title, the authorship, the provenance of the device with the International Academy of Posture and Neuromyofascial Occlusion Research (I.A.P.N.O.R. ), and details of the methods.…”