Multidisciplinary team in temporomandibular disorders (original) (raw)
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The journal of contemporary dental practice, 2012
Aim: This study aimed to compare the effectiveness of interdisciplinary work between dentistry and physiotherapy as well as to determine the temporomandibular disorders (TMD) patients' treatment plan. Materials and methods: The sample consisted of 300 patient records from the ATM service (Faculty of Dentistry, Federal University of Juiz de Fora) file. Three factors were analyzed: (1) Therapy, which were transcribed physical therapy modalities used; 2) If there were any guidelines or procedures for home exercises without the professionals presence; 3) the temporomandibular joint (TMJ) palpation pain rates, transferred to a pain level measurements table according to visual analog scale (VAS). The Chi-square test was applied for statistical analysis with a significance level p 0.05. Results: All physiotherapy modalities used separately or mixed contributed to TMJ pain relief. Guidelines for physical therapy at home proved to be very useful to pain decreasing. Conclusion: It was concluded that the effectiveness of an interdisciplinary work in dentistry and physiotherapy treatments for TMD has been properly verified. It is essential to have an interdisciplinary treatment plan, where the physical therapy helps the pain relief and dentistry treats the disorders related to the stomatognathic system. Clinical significance: The interdisciplinary work between dentistry and physiotherapy is more effective in TMD treatment.
International Journal of Environmental Research and Public Health
Temporomandibular disorders (TMD) is an umbrella term that encompasses many musculoskeletal problems that include the masticatory muscles, the temporomandibular joint, and other associated structures. TMD can be divided into two large groups: those that affect the musculature and those that affect the joint. The treatment of TMD requires the combined skills of physiotherapists and dentists, as well as sometimes psychologists and other medical specialists. This study aims to examine the effectiveness of the interdisciplinary approach using physiotherapy and dental techniques on pain in patients with temporomandibular disorders (TMDs). This is a Scoping Review of studies investigating the effects of combined therapy on patients with TMD. PRISMA guidelines were followed during this review’s design, search, and reporting stages. The search was carried out in the MEDLINE, CINHAL, and EMBASE databases. A total of 1031 studies were detected and analyzed by performing the proposed searches ...
International Bulletin of Otorhinolaryngology, 2020
Introduction: The mandibular articulation is a complex system involving muscles, tendons, ligaments and innervation and it can cause pain or discomfort that should not be overlooked. Pathological changes in the joint can reduce the patient's quality of life by affecting his ability to eat and speak. Objectives: The aim of this study is to show that the collaboration between dentists and otorhinolaryngologists is the basis for good treatment of temporomandibular joint malfunctions. Materials and methods: A retrospective cross-sectional study was performed in patients with signs and symptoms of temporomandibular joint pain syndrome from 2018 to 2021 year. A total of 23 patients with clinical features consistent with TMS were enrolled. Patients were referred to dentists by otorhinolaryngologists. Results: The age range of patients was 23-67 years, mean of 45.30 ± 18.9 years. We found that 12 of them had bruxism, 6 abrasion due to stress and squeezing and 5 were with tooth damage. Almost 87% of them (20 of 23) had pain in the joint and masticatory muscles, 6clicking sounds, 3-pain when opening mouth and chewing. Mouth opening was normal in 20 patients and 3 had impaired movement of the jaws. All patients were treated conservatively-soft foods, antiinflammatory drugs, 13,1%-occlusal spints, 21.7%-selective filing of the contact interferences, 65,2%-height adjustment with nonremovable structures. Along with the height adjustment we applied botulinum toxin injections and for pain-NSAIDs. Conclusion: Good collaboration is crucial for the diagnosis, quality and competent treatment of temporomandibular disorders, especially in patients with overlapping signs and symptoms.
2020
Introduction: This study was conducted to assess the attitude and practice of general dental practitioners when dealing with Temporomandibular Disorders (TMDs) and referral to physiotherapy. Materials and Methods: This comparative cross-sectional study was conducted with a study population of General Dental Practitioners (GPDs) of Mirpur Khas Sindh. The total study population estimated was about 55 GPDs in this district. A convenient sampling technique was used to recruit the samples. The study questionnaire was adopted from the different articles and modified as per our socio-cultural needs. The reliability and validity of the questionnaire were calculated via chrome back alpha test by doing a pilot study on 25 participants and found its validity as 80% and reliability as 75%. The questionnaire consisted of three sections of general questions regarding referral to physiotherapy, attitude, and practice of general dental practitioners in managing temporomandibular joint dysfunctions (TMD). Results: The results showed that 57.1% of GPDs believe that 53.1% of patients had neck pain and poor posture. Also, 81.6% of patients were referred to other healthcare providers, and only 22.4% of patients were referred to a physiotherapist. About 28.6% of patients were referred to physiotherapists just because of neck pain, only 22.4% of patients with postural alterations were referred to a physiotherapist. Also, 53.1% of GPDs had little confidence in assessing, therapeutic decision, and treatment outcomes of TMDs. About 69.4% of GPDs provided medical management to the patients suffering from TMD, while 44.9% of GPDs provided pharmacological management. Conclusion: This study concluded that there is a need for TMD experts to deal with patients suffering from TMDs. General dental practitioners of Mirpur Khas, Sindh know little about the physiotherapeutic benefits for TMD. The majority of GPDs have very little confidence in making a diagnosis and treating patients suffering from temporomandibular dysfunctions.
Journal of Riphah College of Rehabilitaion Sciences, 2014
Background: Temporomandibular joint disorder (TMD) is a complex disorder usually characterized by pain, crepitus and reduced movement. It may be due to various causes i.e. unbalanced activity, muscular spasm, or overuse of the jaw muscles, Objective:-The aim of our study is to find the awareness level of physiotherapy among dentists regarding its role in TMD. Methodology: A Descriptive case series was conducted in FMH (Dentistry department) and different private dental clinics in Shadman Lahore. A convenient base sample of 100 respondents has been collected in 1 month. Results: In our study 65% dentist did not consider physiotherapy as a treatment option for TMD, while 27% considered that it may be a treatment option and only 8% considered it as a treatment option. Association of dentists' awareness level of physiotherapy as a treatment for TMD found to be significantly low p=0.0001 in our study. Treatment choice of most dentists was using a combination of medications and precautions (64%) while only 7% of dentist referred patients with TMD for physiotherapy. According to our study, most common complaints of patients to dentists were pain during eating and yawing (52%) followed by Crepitus/Clicking (30.0%) as the second most common complaint. According to our study results, 40% dentists prescribed muscle relaxants and rest as a most effective treatment for TMD. Conclusion: TMD is a problem requiring multiple remedies for symptoms relief. Medications alone are unable to give satisfactory results in relieving all the symptoms of TMJ dysfunction. Physiotherapy is an effective mean of symptoms' relief yet awareness level is found to be significantly low in dentists regarding its effectiveness.
Temporomandibular joint multidisciplinary team clinic
British Journal of Oral and Maxillofacial Surgery, 2014
Patients with dysfunction of the temporomandibular joint (TMJ) commonly present to oral and maxillofacial departments and are increasingly being managed by a subspecialist group of surgeons. We review the outcomes of patients attending a specialist TMJ multidisciplinary team (MDT) clinic. All patients are simultaneously reviewed by a consultant oral and maxillofacial surgeon, consultant in oral medicine, specialist physiotherapist, and maxillofacial prosthetist, and they can also see a consultant liaison psychiatrist. They are referred from primary, secondary, and tertiary care when medical and surgical treatment in the routine TMJ clinic has failed, and are triaged by the attending maxillofacial surgeon. On discharge they are returned to the care of the referring practitioner. We review the outcomes of patients attending this clinic over a 2-year period and show improvements in pain scores and maximal incisal opening, as well as quality of life outcome measures. All units in the UK with an interest in the management of diseases of the TMJ should consider establishing this type of clinic and should use available resources and expertise to maximise outcomes.
Physiotherapy role in diseases of the temporomandibular joint
Romanian Journal of Rhinology
BACKGROUND. Temporomandibular joint (TMJ) disorders represent a group of musculoskeletal and neuromuscular disorders, which can involve both the temporomandibular joint complex and the muscle and bone components in the immediate vicinity. The etiology is multifactorial and includes biological, environmental, social, emotional and cognitive triggers. Thus, there is no treatment of choice for this pathology. Physiotherapy is beginning to occupy an important place within the adjuvant therapies used in TMJ dysfunctions. OBJECTIVE. The current study aimed to evaluate the degree of awareness of TMJ dysfunction and, implicitly, the need for treatment, the level of knowledge of the role of physiotherapy in this regard, as well as the interdisciplinary collaboration between dentist and physical medicine rehabilitation doctor in terms of TMJ pathology. MATERIAL AND METHODS. We carried out a prospective study, based on a questionnaire made in the Google Forms platform. The questionnaire consis...
Temporomandibular joint dysfunction syndrome – a therapeutic approach
Balneo and PRM Research Journal, 2023
- Background: Temporomandibular joint (TMJ) is responsible for vital functions like mastication, swallowing, and suction reflex and other relational functions, like talking and phonation. The etiology of temporomandibular joint disorders is multifactorial and involves subjective and objective clinical symptomatology. (2) Methods: The therapy is complex and encompasses a series of methods that interconnects various medical specialties. Bad habits and parafunction are risk factors that may initiate and exacerbate a temporomandibular joint pathology. This prospective study aimed to show the positive impact of correct multidisciplinary therapy on the complex of TMJ disorders-pain and bad oral behaviors. The therapy methods used in this study were: medical, prosthetic, orthodontic, surgical, and physiotherapy (PKT). (3) Results: The data obtained showed good results if the oral habits and TMJ disorders are treated correctly and simultaneously. (4) Conclusions: All therapeutical approaches addressed in this study had beneficial effects on the recovery of the temporomandibular joint.