‘Usual treatment’ vs. ‘psychosocial interventions’ in the treatment of TMD: What’s the difference? A systematic review
This summary is based on the article published in the Journal of Oral & Facial Pain and Headache: A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofacial temporomandibular disorder pain (summer 2014)
Carolina Roldán-Barraza, DDS/Steffani Janko, DDS, PhD/Julio Villanueva, DDS, MBA/Ignacio Araya, DDS, MSc/Hans-Christoph Lauer, DDS, PhD
- Temporomandibular disorders (TMD) represent a complex set of conditions reflecting different symptoms that affect the Temporomandibular joint and surrounding structures.
- Epidemiologic studies have shown that the majority of TMD patients are diagnosed with myofacial pain. (1)
- The different approaches to treatment as well as the varying types of diagnoses exemplify the lack of consensus and understanding of TMD.
- Although multiple possibilities have been proposed for the treatment of TMD, most recognized standards prioritize reversible interventions over invasive ones.
Purpose of the Review
To compare the effects of occlusal splint therapy (usual treatment) and psychosocial interventions for the treatment of myofacial TMD pain in adult patients.
- The outcomes “long-term self-reported pain” and “long-term depression” were significantly different for the comparisons of “usual treatment” and “psychosocial interventions”, and they favoured the latter.
- A tendency toward greater improvements of psychosocial outcomes was observed for psychosocial interventions, while physical functioning was slightly more responsive to “usual treatment.”
- No evidence was found to distinguish the clinical effectiveness between “usual treatment” and “psychosocial interventions” for myofacial TMD pain.
- Winocur E., Steinkeller-Dekel M., Reiter S., Eli I. A retrospective analysis of temporomandibular findings among Israeli-born patients based on the RDC/TMD. J Oral Rehabil 2009: 36:11-17.
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