The hierarchy of different treatments for myogenous temporomandibular disorders: a systematic review and network meta-analysis of randomized clinical trials

Al‐Moraissi, Essam Ahmed; Conti, Paulo César Rodrigues; Alyahya, Abdulmalik; Alkebsi, Khaled; Elsharkawy, Ahmed; Christidis, Nikolaos

doi:10.1007/s10006-021-01009-y

Cited by 45 publications

(64 citation statements)

References 91 publications

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“…Several treatment modalities have been reported to successfully treat M-TMD by pain relief and restoring mouth opening. Nonetheless, to date, there is still a lack of consensus and evidence as to which is the most preferred option [ 42 , 43 , 44 , 45 ].…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…The use of occlusal splints has been reported to have improved the mandibular movement and pain for patients with TMD [ 39 , 43 , 54 , 55 , 56 ] and is considered a basic treatment for TMD [ 44 , 54 , 57 , 58 ]. Yet, there has been, generally, a scarcity of strong evidence to validate its efficacy in these aspects [ 42 , 59 ], especially in the long term [ 57 , 60 , 61 ]. 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.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

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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%

Section: Treatment Modalitiesmentioning

confidence: 99%

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Chan

et al. 2022

Diagnostics

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“…Al-Moraissi et al ( 52 ), when studying the hierarchy of different treatments for myogenous TMDs, found that manual therapy, along with counseling and occlusal devices, were considered effective treatments. Almoznino et al ( 53 ) investigated the long-term adherence of patients to occlusal splints and reported that those with mild to major pain reduction had higher adherence rates compared with those with no or complete pain relief.…”

Section: Discussionmentioning

confidence: 99%

Oral splints in the management of nociceptive pain and migraines: A scoping review

et al. 2022

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Temporomandibular disorders (TMDs) are characterized by numerous pain manifestations. Their treatment often involves the use of an oral splint. Recent research has found a relationship between migraines, nociceptive pain and TMDs. The aim of the present study was to perform a scoping review of studies in order to evaluate the effectiveness of the various types of oral splint in the treatment of migraine or nociceptive pain. Publications were retrieved from seven databases (PubMed, Web of Science, EMBASE, Scopus, ProQuest, SpringerLink and Ovid). Out of the 15 included publications, three studies were before and after studies, with no control group, whereas the other twelve studies were clinical trials, among which two publications were crossover studies. A clear, single distinction of pain was difficult to describe. Therefore, numerous publications focused on a combination of various types of pains, including myofascial, temporomandibular joint, headaches and migraine-like symptoms, all of which mimicked TMD pain. Overall, six studies used the stabilization splint (SS), three explored the comparison between the SS and the nociceptive trigeminal inhibition splint (NTIS) and two the NTIS. The majority of publications reported a positive outcome of splint therapy. Regarding the type of oral splint usage, the most commonly used one was the SS, followed by the NTIS. The definition and assessment of pain were heterogenous in the identified articles. The findings of the current study showed that occlusal splints may help with pain management, and that effective treatment of TMD-related pain at an early stage can enhance the quality of life of patients.

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“…Practically, TMJ-OA presents as restricted lower jaw movement due to pain, crepitus, and local paraspinal tenderness in the joint promotion. OA is diagnosed when a radiographic scan indicates structural bone change [4][5][6]. OA may also be utilized to measure the condylar and Ramal asymmetry of the mandible in those with Juvenile Idiopathic Arthritis using orthopantomography (JIA).…”

Section: Introductionmentioning

confidence: 99%

Optimized Adversarial Network with Faster Residual Deep Learning for Osteoarthritis Classification in Panoramic Radiography

2022

IJIES

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Temporomandibular joint osteoarthritis (TMJ-OA) is a degenerative disorder affecting the TMJ and is distinguished by the gradual deterioration of the joint's interior surfaces. To identify and classify the TMJ-OA from panoramic dental X-ray images, many deep learning models were developed. Amongst, a faster region-based convolutional neural network (FRCNN) can find the condylar area and recognize its abnormalities by learning adequate features with a limited number of images. Nonetheless, the accuracy was not effective for larger databases. Hence in this article, an optimized generative adversarial network (OGAN) model is proposed to create larger panoramic dental X-ray images for TMJ-OA recognition. This GAN model utilizes the generator to produce synthetic panoramic dental images and trains the discriminator to decide whether the created images are real or counterfeit. Besides, an Elephant Herding Optimization (EHO) algorithm is adopted to select the most optimal hyperparameters of the GAN according to the clan and separating factors. Then, the created synthetic panoramic images are added to the actual database and partitioned into 2 distinct collections: training and test collections. The training collection is utilized to train the FRCNN, which extracts the condylar area from every image and identifies the abnormalities. Further, the trained model is tested using the test set to analyze the efficiency of TMJ-OA recognition. Finally, the experimental results exhibit that the OGAN-FRCNN model achieves an accuracy of 94.59% on the panoramic dental X-ray database, whereas the classical models such as VGG16,

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The hierarchy of different treatments for myogenous temporomandibular disorders: a systematic review and network meta-analysis of randomized clinical trials

Cited by 45 publications

References 91 publications

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Oral splints in the management of nociceptive pain and migraines: A scoping review

Optimized Adversarial Network with Faster Residual Deep Learning for Osteoarthritis Classification in Panoramic Radiography

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