Is the therapeutic effect of occlusal stabilization appliances more than just placebo effect in the management of painful temporomandibular disorders? A network meta-analysis of randomized clinical trials

Alkhutari, A.S.; Alyahya, Abdulmalik; Conti, Paulo César Rodrigues; Christidis, Nikolaos; Al‐Moraissi, Essam Ahmed

doi:10.1016/j.prosdent.2020.08.015

Cited by 38 publications

(30 citation statements)

References 72 publications

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“…Interestingly, Alkhytari et al have conducted a systematic review on stabilization splints in 2018 and concluded that the patient-reported treatment satisfaction, including domains other than pain relief such as psychological well-being, was beyond that of a placebo effect. The authors also suggested that, apart from the pain scale, variables concerning patient-reported satisfaction should also be considered when evaluating the efficacy of different treatment modalities [ 62 ].…”

Section: Treatment Modalitiesmentioning

confidence: 99%

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Chan

et al. 2022

Diagnostics

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Myogenous temporomandibular disorders (M-TMDs) are the most common chronic orofacial pain, affecting the masticatory muscles and, thus, jaw movement. While a concise diagnosis is crucial to formulate a rational treatment plan, the similarities in clinical presentations that M-TMDs share with other neuromuscular disorders affecting the temporomandibular joint (TMJ) could easily confuse physicians. In addition to the basics, such as thorough history taking and meticulous clinical examinations, different imaging techniques are useful adjuncts to facilitate the diagnostic process. This review presents an overview of the current understanding on a variety of diagnostic and treatment modalities for M-TMD patients. It is essential to highlight that there is not a single treatment for all, and the benefits of multidisciplinary strategies have been noted for the effective management of myogenous TMD pain. Treatment modalities ranging from conservative to minimally invasive options are discussed in this review.

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Section: Treatment Modalitiesmentioning

confidence: 99%

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Chan

et al. 2022

Diagnostics

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“…As highlighted earlier that there is a huge ambiguity across the literature that has reflected upon participants and may lead to failure of treatments and outcomes and reported in earlier literature. 4,16,17 A major loop hole in assessing the outcomes of occlusal appliance on management of TMDs is that the assessment is mostly subjective, which mostly relate to decrease of symptoms as reported by the patient. 10,18 Thus, there is a dire need of revisiting this important and crucial aspect of minimal intervention dentistry.…”

Section: Discussionmentioning

confidence: 99%

Trends of Occlusal Appliance Therapy among Resident Dental Surgeons

Malik¹,

Khan²,

Tarrar³

et al. 2021

PJMHS

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Objective: Current study was planned to assess the trends of occlusal appliance construction and selection, among the resident dental surgeons. Method: Data was collected from 51 residents at Fatima Memorial Dental Hospital, which were given a questionnaire that had 20 questions. The frequency of each answer was calculated and compared between residents of different departments and was analyzed by SPSS version 20. Results: The selection and construction of occlusal appliances among the residents was inappropriate. Soft occlusal appliances were the most selected and practiced appliance. Occlusal appliances need to be revisited in the literature with easy to practice guidelines. Keywords: Occlusal appliances, Soft occlusal appliances, Temporo-mandibular joints.

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“…Measurement of VAS pain score and MMO was performed at the designated time points equally in both groups. Recovery was defined as a 50% reduction in VAS pain score as reported subjectively by the patients [43].…”

Section: Interventionsmentioning

confidence: 99%

Comparative Efficacy of Low-Level Laser Acupuncture and Cupping for Treatment of Patients with Myofascial Pain Dysfunction Syndrome: A Double-blinded, Randomized Clinical Trial

Sajedi

Abbasi

Asnaashari

et al. 2022

GMJ

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Background: Myofascial pain dysfunction syndrome (MPDS) is among the most common causes of facial pain. This study compared the efficacy of low-level laser (LLL) acupuncture and cupping for the treatment of MPDS. Materials and Methods: This double-blind, before-after, randomized clinical trial evaluated 60 MPDS patients that were divided into two groups for LLL acupuncture (808 nm, 0.5 W, 30 J, 4 J/cm2 energy density, 60 seconds; group 1), and cupping (group 2) of masticatory muscle trigger points. Both treatments were performed for maximally eight sessions once every other day. The level of pain at the trigger points was measured upon admission, before and 5 minutes after treatment in each session, at ten days, and two months after treatment completion by a visual analog scale (VAS). The painless maximum mouth opening (MMO) and patient satisfaction with treatment were also assessed at the time as mentioned earlier points. Results: Averagely, 4.5 treatment sessions were required to achieve a 50% reduction in VAS pain score, with no significant difference between the two groups (P=0.9). Both treatments significantly decreased the number of trigger points and pain score, but this reduction occurred significantly sooner in the cupping group (P<0.01). MMO significantly improved in both groups after treatment with no significant difference between them (P=0.2). Patients were significantly more satisfied with LLL acupuncture (P<0.05). Conclusion: Both cupping and LLL acupuncture are equally effective for MPDS; thus, the patient can choose the type of treatment after receiving sufficient information regarding the two modalities. [GMJ.2022;11:e2305]

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Is the therapeutic effect of occlusal stabilization appliances more than just placebo effect in the management of painful temporomandibular disorders? A network meta-analysis of randomized clinical trials

Cited by 38 publications

References 72 publications

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Trends of Occlusal Appliance Therapy among Resident Dental Surgeons

Comparative Efficacy of Low-Level Laser Acupuncture and Cupping for Treatment of Patients with Myofascial Pain Dysfunction Syndrome: A Double-blinded, Randomized Clinical Trial

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