Psychological therapies for temporomandibular disorders (TMDs)

Penlington, Chris; Bowes, Charlotte; Gd, Taylor; Otemade, Adetunji Adebowale; Waterhouse, Paula; Durham, Justin; Ohrbach, Richard

doi:10.1002/14651858.cd013515.pub2

Cited by 25 publications

(22 citation statements)

References 110 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to manage TMD, it is important to reduce stress. 26,27 This can include relaxation techniques, such as deep breathing, yoga and meditation. 26 It is also important to avoid activities that may cause further strain on the TMJ, such as chewing gum, nail-biting and clenching or grinding of the teeth.…”

Section: Introductionmentioning

confidence: 99%

“…26,27 This can include relaxation techniques, such as deep breathing, yoga and meditation. 26 It is also important to avoid activities that may cause further strain on the TMJ, such as chewing gum, nail-biting and clenching or grinding of the teeth. 28 Treatment for TMD may include medications, physical therapy or even surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Stress can also cause the jaw muscles to tighten, making it difficult to open and close the mouth. In order to manage TMD, it is important to reduce stress 26,27 . This can include relaxation techniques, such as deep breathing, yoga and meditation 26 …”

Section: Introductionmentioning

confidence: 99%

“…In order to manage TMD, it is important to reduce stress 26,27 . This can include relaxation techniques, such as deep breathing, yoga and meditation 26 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Post‐traumatic stress, prevalence of temporomandibular disorders in war veterans: Systematic review with meta‐analysis

Franco

Minervini

Fiorillo

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

IntroductionThe physical and psychological effects of war are not always easy to detect, but they can be far‐reaching and long‐lasting. One of the physical effects that may result from war stress is temporomandibular disorder (TMD).ObjectiveTo evaluate the prevalence of TMD sign and symptoms among war veterans diagnosed with PTSD.MethodsWe systematically searched in Web of Science, PubMed and Lilacs for articles published from the inception until 30 December 2022. All documents were assessed for eligibility based on the following Population, Exposure, Comparator and Outcomes (PECO) model: (P) Participants consisted of human subjects. (E) The Exposure consisted of exposition to war. (C) The Comparison was between war veterans (subjects exposed to war) and subjects not exposed to war. (O) The Outcome consisted of presence of temporomandibular disorders sign or symptoms (we considered pain to muscle palpation in war veterans).ResultsForty studies were identified at the end of the research. We chose only four study to draw up the present systematic study. The included subjects were 596. Among them, 274 were exposed to war, whereas the remaining 322 were not exposed to war stress. Among those exposed to war, 154 presented sign/symptoms of TMD (56.2%) whereas only 65 of those not exposed to war (20.18%). The overall effect revealed that subjects exposed to war and diagnosed with PTSD had a higher prevalence of TMD signs (pain at muscle palpation) than controls (RR 2.21; 95% CI: 1.13–4.34), showing an association PTSD war‐related and TMD.ConclusionsWar can cause lasting physical and psychological damage that can lead to chronic diseases. Our results clearly demonstrated that war exposure, directly or indirectly, increases the risk of developing TMJ dysfunction and TMD sign/symptoms.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In order to manage TMD, it is important to reduce stress 26,27 . This can include relaxation techniques, such as deep breathing, yoga and meditation 26 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Post‐traumatic stress, prevalence of temporomandibular disorders in war veterans: Systematic review with meta‐analysis

Franco

Minervini

Fiorillo

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In daily clinical practice, it can be observed that TMD treatment is usually carried out by a team using several types of interventions, including splint therapy [10], physiotherapeutic techniques such as transcutaneous electrical nerve stimulation (TENS) [11], lasers [12], soft tissue therapies [13], joint mobilization and therapeutic exercise (TE) [14] and psychotherapy [15]. As a conservative treatment, PT is increasingly recognized as an essential part of multimodal approach in TMD management.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy of manual soft tissue therapy and therapeutic exercises in patients with pain and limited mobility TMJ: a randomized control trial (RCT).

Gębska

Dalewski

Pałka

et al. 2022

Preprint

View full text Add to dashboard Cite

Summary The limited number of randomized controlled trials (RCTs) comparing the efficacy of soft tissue manual therapy and self-therapy interventions prompted the authors to focus on the analgesic and myorelaxant use of massage, post-isometric muscle relaxation (PIR) and therapeutic exercise in TMD patients. Objectives To evaluate the effectiveness of soft tissue therapy and therapeutic exercises in female patients with pain, increased masseter muscle tension and limited mandibular mobility. Material and Methods The study was conducted on a group of 82 women (G1) with the Ib disorder diagnosed in DC/TMD (Ib - myofascial pain with restricted mobility). The control group (G2) consisted of 104 women without diagnosed TMDs (normal reference values for TMJ ROM and masseter muscle sEMG bioelectric activity). Diagnostic procedures were performed in both groups (sEMG of the masseter muscles at baseline and during exercise, measurement of TMJ mobility, assessment of pain intensity - NRS scale). The G1 group was randomly divided into 3 therapeutic groups in which the therapy was carried out for 10 days: therapeutic exercises (TE), manual therapy – massage and therapeutic exercises (MTM_TE), manual therapy – PIR and therapeutic exercises (MTPIR_TE). Each time after therapy, the intensity of pain and TMJ mobility were assessed. Sealed, opaque envelopes were used for randomization. After 5 and 10 days of therapy, bilateral sEMG signals of the masseter muscles were acquired. Results Massage, PIR and self-therapy led to a decrease in sEMG at rest as well as in exercise. After day 6 of therapy, the groups obtained a significant difference (p = 0.0001). Each of the proposed forms of therapy showed a minimal clinically significant difference (MID) in the sEMG parameter at the endpoint, with the most considerable difference in the MTM_TE group. The forms of MT used were effective in reducing the patients' pain intensity; however, a significant difference between therapies occurred after 4 treatments (p = 0.0001). Analyzing the MID between methods, it was observed that self-therapy had an analgesic effect only after 8 treatments, while PIR after 3 and massage after 1 treatment. After day 7, the mean pain score in the MTM_TE group was 0.889 and in the TMPIR_TE group was 3.44 on the NRS scale. In terms of MMO, a significant difference was obtained between monotherapy and each form of TM, i.e. massage (p = 0.0001) and PIR (p = 0.0001). Analyzing mandibular lateral movements, the authors got a significant difference in the proposed MT forms, of which massage treatments exceeded the effectiveness of PIR. Conclusions Soft tissue manual therapy and therapeutic exercise are simple and safe interventions that can potentially benefit patients with myogenic TMDs, with massage showing better analgesic effects than PIR.

show abstract