The effectiveness of cognitive‐behavioural therapy for temporomandibular disorders: a systematic review

Liu, H. X.; Liang, Qiujuan; Xiao, Peipei; Jiao, Huachen; Gao, Yaowen; Ahmetjiang, A.

doi:10.1111/j.1365-2842.2011.02239.x

Cited by 37 publications

(24 citation statements)

References 29 publications

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“…This statement was confirmed by Liu et al (9) in a systematic review about the effectiveness of the CBT for patients with TMD. Those authors could include only five studies with some methodological limitations and concluded that there is a clear and urgent need for well-designed randomized controlled trials examining CBT for TMD.…”

Section: Discussionmentioning

confidence: 59%

Effectiveness of cognitive-behavioral therapy and amitriptyline in patients with chronic temporomandibular disorders: a pilot study

Calderón¹,

Tabaquim²,

Oliveira³

et al. 2011

Braz. Dent. J.

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The aim of this pilot study was to evaluate the effectiveness of cognitive-behavioral therapy (CBT) and use of amitriptyline, a tricyclic antidepressant, in patients with chronic temporomandibular disorders (TMD). Forty-seven women (mean age = 35.4 years old) with chronic TMD were enrolled in the study and divided into 4 groups: amitriptyline; amitriptyline and CBT; placebo and CBT; and placebo only (control). Patients were managed for 7 consecutive weeks. Follow-up evaluations were done at the 1st, 7th and 11th weeks of treatment. The presence and severity of pain, levels of depression, and quality of life and sleep were measured. Data were analyzed using ANOVA, Chi-square and Cochran tests, considering a significance level of 5%. Improvements were found for all factors considered in the intragroup analysis, although no significant differences were detected among groups. However, at the end of the treatment (11 weeks of follow-up), these positive outcomes persisted only for the women treated with amitriptyline and CBT. The obtained results suggest that the combination of amitriptyline and CBT may be effective in reducing pain and depression levels as well as in improving the quality of life and sleep in patients with chronic TMD.

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Section: Discussionmentioning

confidence: 59%

Effectiveness of cognitive-behavioral therapy and amitriptyline in patients with chronic temporomandibular disorders: a pilot study

Calderón¹,

Tabaquim²,

Oliveira³

et al. 2011

Braz. Dent. J.

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show abstract

“…28 Acupuncture is of limited long-term benefit 23 29 30 and there is insufficient evidence to support the use of low level laser therapy. 31 32 There is currently some evidence for the effectiveness of cognitive behaviour therapy (CBT) 33 and physiotherapy. 34 35 A Cochrane systematic review found 11 poor-quality studies on pharmacological therapy and there is inconclusive evidence for analgesics, benzodiazepines, anticonvulsants, Facial pain diagnosis and management 36 An open-label study of amitriptyline showed some benefit 37 whereas no benefit was noted in an RCT of Botulinum Toxin.…”

Section: Temporomandibular Disorders (Tmd)mentioning

confidence: 99%

Differential diagnosis of facial pain and guidelines for management

Zakrzewska

2013

British Journal of Anaesthesia

173

164

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The diagnosis and management of facial pain below the eye can be very different dependant on whether the patient visits a dentist or medical practitioner. A structure for accurate diagnosis is proposed beginning with a very careful history. The commonest acute causes of pain are dental and these are well managed by dentists. Chronic facial pain can be unilateral or bilateral and continuous or episodic. The commonest non-dental pains are temporomandibular disorders (TMDs), especially musculoskeletal involving the muscles of mastication either unilaterally or bilaterally; they may be associated with other chronic pains. A very wide range of treatments are used but early diagnosis, reassurance and some simple physiotherapy is often effective in those with good coping strategies. Dentists will often make splints to wear at night. Neuropathic pain is usually unilateral and of the episodic type; the most easily recognized is trigeminal neuralgia. This severe electric shock like pain, provoked by light touch, responds best to carbamazepine, and neurosurgery in poorly controlled patients. Trauma, either major or because of dental procedures, results in neuropathic pain and these are then managed as for any other neuropathic pain. Red flags include giant cell arteritis which much be distinguished from temporomandibular disorders (TMD), especially in >50 yr olds, and cancer which can present as a progressive neuropathic pain. Burning mouth syndrome is rarely recognized as a neuropathic pain as it occurs principally in peri-menopausal women and is thought to be psychological. Chronic facial pain patients are best managed by a multidisciplinary team.

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“…Likewise, several studies, including systematic reviews, revealed no strong evidence supporting the superiority of occlusal treatment over any other treatment modalities (e.g. cognitive behavioural, pharmacological or physical therapies) (30)(31)(32)(33)(34). In addition, altering the lateral occlusion schemes will not necessarily prevent or reduce the incidence of TMD.…”

Section: Tmd Relationshipmentioning

confidence: 99%

Lateral occlusion schemes in natural and minimally restored permanent dentition: a systematic review

Abduo

Tennant

McGeachie

2013

J of Oral Rehabilitation

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Clinicians commonly encounter the dilemma of which lateral occlusion schemes is most suitable for a specific patient. The aim of this review is to evaluate the prevalence of the lateral occlusion schemes that exist naturally. An electronic search was completed through PubMed (MEDLINE), Google Scholar and Cochrane Library. The search was confined to peer-reviewed studies published in English, up to April 2013. The literature search was supplemented by manual searching through the bibliography lists of the selected studies. The initial search retrieved a total of 575 studies. After applying the selection criteria, only 12 studies were suitable for inclusion. The Critical Appraisal Skills Programme (CASP) tools were utilised to appraise the quality of the studies. The prevalence of canine-guided, group function and balanced occlusions was reported. Overall, there was a clear variability between the studies. The prevalence of the lateral occlusion schemes appears to be influenced by the following factors: (i) the magnitude of excursion, (ii) an individual's age and (iii) the static occlusal relationship. During complete excursion, the canine-guided occlusion tends to be more frequently observed. After partial excursion, the most prevalent lateral occlusion schemes was group function occlusion. With ageing, the prevalence of canine-guided occlusion tends to be reduced and the prevalence of group function occlusion is increased. Dentition that is closer to Class II occlusion exhibits mainly canine-guided occlusion, while for Class III occlusion, group function occlusion is more prevalent. The studies revealed no relationship between the lateral occlusion schemes and TMD development.

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The effectiveness of cognitive‐behavioural therapy for temporomandibular disorders: a systematic review

Cited by 37 publications

References 29 publications

Effectiveness of cognitive-behavioral therapy and amitriptyline in patients with chronic temporomandibular disorders: a pilot study

Effectiveness of cognitive-behavioral therapy and amitriptyline in patients with chronic temporomandibular disorders: a pilot study

Differential diagnosis of facial pain and guidelines for management

Lateral occlusion schemes in natural and minimally restored permanent dentition: a systematic review

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