The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials

Vieira, Leonardo Sette; Pestana, Priscylla Ruany Mendes; Miranda, Júlio Pascoal de; Soares, Luana Aparecida; Silva, Fabiana Cristina da; Alcântara, Marcus Alessandro de; Oliveira, Vinícius Cunha

doi:10.3390/life13020292

Cited by 9 publications

(7 citation statements)

References 58 publications

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“…Temporomandibular disorders (TMDs) are a group of disorders affecting the temporomandibular joint (TMJ) and the muscles that control its movements [1][2][3]. Typical symptoms of TMD are pain or tenderness in the preauricular area, difficulty opening or closing the mouth, and a clicking sensation within the TMJs [1,[4][5][6].…”

Section: Introduction 1rationalementioning

confidence: 99%

Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Sielski¹,

Chęcińska

Chęciński³

et al. 2023

JCM

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The aim of this review was to systematically map the research on the intra-articular administration of injectable platelet-rich fibrin (I-PRF) to the temporomandibular joints (TMJs). Medical databases covered by the ACM, BASE, Google, NLM, and ResearchGate were searched on 23 February 2023. The assessment of the level of evidence was based on the Oxford Center for Evidence-Based Medicine 2011 scale. The risk of bias was assessed for randomized controlled trials with the RoB2 tool. Extracted data were tabulated, and the changes in effect values were calculated. A total of eight studies qualified, of which five trials on 213 patients were randomized and controlled (RCTs). In each of the RTC study groups, arthrocentesis was performed, and 1–2 mL per joint of I-PRF (700 rpm/3 min/60 g centrifugation) was administered. Articular pain in three months decreased to 0–25% of the initial pre-interventional values in the study and 38–50% in the control groups. Mandible mobility increased to 121–153% and 115–120% in the I-PRF groups and controls, respectively. The main limitations of the evidence were the small number of RCTs and the lack of any RCT study groups receiving I-PRF without prior arthrocentesis. In conclusion, supplementing the temporomandibular joint rinsing with I-PRF administration further relieves pain and improves mandible mobility. The lack of RCTs on the intra-articular administration of I-PRF as a stand-alone procedure encourages further research. This research received no external funding. The review protocol has not been previously published.

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Section: Introduction 1rationalementioning

confidence: 99%

Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Sielski¹,

Chęcińska

Chęciński³

et al. 2023

JCM

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“…Lastly, surgery is the final option in cases where rehabilitative techniques are not effective. Chiropractic therapy is a promising non-invasive approach that has been shown to manage TMD symptoms effectively [ 9 , 10 ]. In a recent meta-analysis of 20 randomized controlled trials, chiropractic therapy was shown to significantly improve measures of pain, maximum mouth-opening (MMO), and disability in TMD patients [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Chiropractic therapy is a promising non-invasive approach that has been shown to manage TMD symptoms effectively [ 9 , 10 ]. In a recent meta-analysis of 20 randomized controlled trials, chiropractic therapy was shown to significantly improve measures of pain, maximum mouth-opening (MMO), and disability in TMD patients [ 9 ]. Furthermore, spinal manipulation and manual mandibular therapy were the most effective chiropractic techniques to treat TMD [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular Disorder Treated With Chiropractic Therapy

Chu¹,

Lee²,

Chau³

et al. 2023

Cureus

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Temporomandibular disorders (TMDs) are common and affect the temporomandibular joint (TMJ) and surrounding musculoskeletal tissues. Although traditional rehabilitative treatments such as physiotherapy, occlusal splints, orthodontics, and electrotherapy effectively manage TMDs, chiropractic therapy is emerging as a promising non-invasive treatment option. We report a 39-year-old female patient with TMD who underwent chiropractic therapy, including spinal adjustments, soft tissue therapy, and exercise rehabilitation. After four weeks of treatment, the patient reported a complete resolution of symptoms and an improved quality of life score. Thereafter, the patient continued chiropractic treatment monthly for six months, during which she reported no symptoms and demonstrated improvements in her spinal range of motion, open-mouth anatomy, and cervical lordosis. This case study highlights the efficacy of applying an interdisciplinary approach to treating TMD and the potential of chiropractic therapy as a valuable treatment option for managing TMD.

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“…Due to the multifactorial etiological characteristics, treatment should be initiated by minimally invasive and reversible therapies [13][14][15][16]. Among these treatments, the use of interocclusal splints [17], transcutaneous electrical nerve stimulation (TENS) [18], cognitive behavioral therapy [19], pharmacological therapy [20], acupuncture [21], manual therapies [22], ultrasound [23], and photobiomodulation (PBMT) [24] stand out.…”

Section: Introductionmentioning

confidence: 99%

Photobiomodulation Therapy on the Palliative Care of Temporomandibular Disorder and Orofacial/Cervical Skull Pain: Preliminary Results from a Randomized Controlled Clinical Trial

Carvalho,

Barros,

Gonçalves

et al. 2023

Healthcare

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The main symptoms of temporomandibular disorders (TMDs) are pain from musculoskeletal and/or joint—in the head and neck region—and complaints of difficulty in mandibular movements. The photobiomodulation therapy (PBMT) has been reported as a promising treatment in the management of these symptoms. The objective of this research was to assess the effect of PBMT immediately after irradiation on TMDs symptoms under a prospective clinical trial, randomized, triple-blinded, placebo-controlled, and with two parallel arms. According to the RDC/TMD, maximum mouth opening (MMO) and pain in the orofacial/cervical muscles and temporomandibular joint (TMJ) were recorded. One hundred forty-five participants (71 placebo and 74 PBMT experimental) were analyzed after irradiation protocols (sham-PBMT or PBMT) at the orofacial/cervical skull musculature and at the TMJ. The results showed a reduction in the total pain score (p = 0.026), a reduction in the number of painful points (p = 0.013), and an increase in the MMO (p = 0.016) in the PBMT protocol group when compared to the placebo protocol (sham-PBMT). The PBMT was shown to be effective in reducing orofacial/cervical skull pain immediately after the irradiation. It is clinically relevant and should be taken into consideration by professionals who are dedicated to treating this pathology because, in addition to bringing comfort to patients who need dental treatment, it also consists of a low-cost and low technical complexity clinical approach.

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The Efficacy of Manual Therapy Approaches on Pain, Maximum Mouth Opening and Disability in Temporomandibular Disorders: A Systematic Review of Randomised Controlled Trials

Cited by 9 publications

References 58 publications

Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Injectable Platelet-Rich Fibrin (I-PRF) Administered to Temporomandibular Joint Cavities: A Scoping Review

Temporomandibular Disorder Treated With Chiropractic Therapy

Photobiomodulation Therapy on the Palliative Care of Temporomandibular Disorder and Orofacial/Cervical Skull Pain: Preliminary Results from a Randomized Controlled Clinical Trial

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