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Altuhafy M, Ahmed S, Jabr L, Khan J. Effectiveness of photobiomodulation and orofacial myofunctional therapy in orofacial pain disorders. A systematic review of randomized control trials. Lasers Med Sci 2024; 39:127. [PMID: 38722392 DOI: 10.1007/s10103-024-04073-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 04/29/2024] [Indexed: 07/10/2024]
Abstract
Orofacial pain can significantly affect physical, psychological, and overall quality of life. This study aimed to compare the effectiveness of combining photobiomodulation (PBM) with orofacial myofunctional therapy (OMT) in managing orofacial pain disorders. An electronic search of randomized controlled trials in electronic databases was performed until March 2024. Randomized controlled trials (RCTs) focusing on PBM and OMT for the management of orofacial pain were included. Risk of bias across individual studies was performed using the Cochrane risk of bias tool for interventions. A total of 10 RCTs were included, out of which 7 RCTs revealed that the combined approach of PBM and OMT had a more pronounced impact on diminishing pain and enhancing functional activity in patients with orofacial disorders. One study reported significant increases in pressure pain threshold for TMJ, masseter, and anterior temporalis muscles at both sides in the post-treatment compared with the pre-treatment in both groups. The risk of bias was low in 7, moderate in 2, and high in 1 study. The efficacy of a combined modality treatment of PBM with OMT for orofacial pain disorder shows promising results. However, further randomized controlled trials with extended follow-up periods standardized PBM and OMT parameters are warranted to obtain firm conclusions.
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Affiliation(s)
- Maryam Altuhafy
- Department of Orofacial Pain and TMJ Disorders, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA
| | - Shahneel Ahmed
- Department of Orofacial Pain and TMJ Disorders, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA
| | - Luay Jabr
- Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA
| | - Junad Khan
- Department of Orofacial Pain and TMJ Disorders, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
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Li Y, Li W, Liu X, Liu X, Zhu B, Guo S, Wang C, Wang D, Li S, Zhang Z. Effects of Low-Intensity Pulsed Ultrasound in Tendon Injuries. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2023; 42:1923-1939. [PMID: 37079603 DOI: 10.1002/jum.16230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 03/16/2023] [Accepted: 03/22/2023] [Indexed: 05/03/2023]
Abstract
Tendon injuries are the most common soft tissue injuries, caused by tissue overuse and age-related degeneration. However, the tendon repair process is slow and inefficient due to the lack of cellular structure and blood vessels in the tendon. Low-intensity pulsed ultrasound (LIPUS) has received increasing attention as a non-invasive, simple, and safe way to promote tendon healing. This review summarizes the effects and underlying mechanisms of LIPUS on tendon injury by comprehensively examining the published literature, including in vitro, in vivo, and clinical studies. This review reviewed 24 studies, with 87.5% showing improvement. The application of LIPUS in tendon diseases is a promising field worthy of further study.
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Affiliation(s)
- Yujie Li
- Institute of Physical Education, Southwest Medical University, Luzhou, Sichuan, China
| | - Wei Li
- Orthopaedics Department, Hejiang County People's Hospital, Luzhou, Sichuan, China
| | - Xinyue Liu
- Institute of Physical Education, Southwest Medical University, Luzhou, Sichuan, China
| | - Xueli Liu
- Institute of Physical Education, Southwest Medical University, Luzhou, Sichuan, China
| | - Bin Zhu
- Institute of Physical Education, Southwest Medical University, Luzhou, Sichuan, China
| | - Sheng Guo
- Spinal Surgery Department, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Chenglong Wang
- Spinal Surgery Department, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Dingxuan Wang
- Institute of Physical Education, Southwest Medical University, Luzhou, Sichuan, China
| | - Sen Li
- Spinal Surgery Department, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China
| | - Zhongfa Zhang
- Orthopaedics Department, Hejiang County People's Hospital, Luzhou, Sichuan, China
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Azam I, Chahal A, Kapoor G, Chaudhuri P, Alghadir AH, Khan M, Kashoo FZ, Esht V, Alshehri MM, Shaphe MA, Khan AR, Singh G. Effects of a program consisting of strain/counterstrain technique, phonophoresis, heat therapy, and stretching in patients with temporomandibular joint dysfunction: A pilot study. Medicine (Baltimore) 2023; 102:e34569. [PMID: 37565891 PMCID: PMC10419340 DOI: 10.1097/md.0000000000034569] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 07/13/2023] [Indexed: 08/12/2023] Open
Abstract
BACKGROUND The present study was conceptualized as a pilot study to examine the effects of a 3-week program consisting of strain/counterstrain technique (SCST), phonophoresis, heat therapy, and stretching exercises on pain and functions in patients with temporomandibular dysfunction (TMD). METHODS Seven participants (mean age 25.85 years) diagnosed with TMD having pain in the temporomandibular joint (TMJ) area with decreased jaw opening were recruited for the study. Treatment interventions consisting of SCST, phonophoresis (ultrasound gel mixed with diclofenac gel), heat therapy, and stretching (mouth-opening) exercises were performed 3 days a week for 3 weeks. SCST was performed on the masseter, medial, and lateral pterygoid muscles. No control group was present in the study. RESULTS Paired samples t test revealed a significant difference in numerical pain rating scale (NPRS) (decreased by 50%, P < .001) and jaw functional limitation scale (JFLS) (reduced by 59.58%, P < .001) scores after 3 weeks of intervention. A large effect size (Cohen d = -3.00 for NPRS and -3.16 for JFLS) was observed for both variables. No correlation (R = 0) was found between the baseline values of NPRS and JFLS. CONCLUSION A 3-week program consisting of SCST, phonophoresis, heat therapy, and stretching exercises was effective in reducing the pain and improving the functions related to TMJ in patients suffering from TMD. However, a randomized controlled trial is needed to reach a definite conclusion.
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Affiliation(s)
- Insha Azam
- Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Haryana, India
| | - Aksh Chahal
- Department of Physiotherapy, School of Medical and Allied Health Science, Galgotias University, Greater Noida, Uttar Pradesh, India
| | - Gaurav Kapoor
- Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Haryana, India
| | | | - Ahmad H. Alghadir
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Masood Khan
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Faizan Z. Kashoo
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AL Majmaah, Saudi Arabia
| | - Vandana Esht
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
| | - Mohammed M. Alshehri
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
| | - Mohammad Abu Shaphe
- Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
| | | | - Gurjant Singh
- Department of Physiotherapy, UIAHS, Chandigarh University, Mohali, Punjab, India
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Ekici Ö, Dündar Ü, Gökay GD, Büyükbosna M. Evaluation of the efficiency of different treatment modalities in individuals with painful temporomandibular joint disc displacement with reduction: a randomised controlled clinical trial. Br J Oral Maxillofac Surg 2021; 60:350-356. [PMID: 34756640 DOI: 10.1016/j.bjoms.2021.08.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 08/19/2021] [Indexed: 11/29/2022]
Abstract
The aim of the study was to investigate and compare short and long-term effects of occlusal splints (OS), ultrasound (US), and high-intensity laser therapy (HILT) in patients with painful temporomandibular joint (TMJ) disc displacement with reduction (DDWR). This prospective, randomised, single-blinded, controlled clinical study was conducted on patients with DDWR at a university oral and maxillofacial surgery clinic. A total of 140 patients were allocated randomly to four groups (OS, US, HILT, and control), with 35 patients in each. Patients were evaluated for pain, range of motion of the jaw, disability, and quality of life. A total of 132 patients completed the study. In all treatment groups (OS, US, and HILT), a significant improvement was observed in terms of pain, function, disability, and quality of life, at both weeks four and 12 compared with the control group (p < 0.001). Improvements in VAS pain and maximum mouth opening were not significantly different between the treatment groups. However, compared with the OS group, there was a significant improvement in the HILT and US groups in terms of total Oral Health Impact Profile (OHIP-14) and Jaw Functional Limitation Scale-20 (JFLS-20) scores at week four, but no difference between the groups at week 12. The results of this study show that OS, US, and HILT are effective treatments for pain and functional jaw movements in patients with DDWR. HILT, a new method, can be an alternative treatment in cases of TMD.
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Affiliation(s)
- Ömer Ekici
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
| | - Ümit Dündar
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
| | - Gonca Deste Gökay
- Department of Prosthetic Dentistry, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
| | - Murat Büyükbosna
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
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Budakoti A, Puri N, Dhillon M, Ahuja US, Rathore A, Choudhary A, Kour M. A comparative evaluation of the effectiveness of low-level laser therapy, ultrasound therapy, and transcutaneous electric nerve stimulation in the treatment of patients with TMDs: a prospective study. ACTA ACUST UNITED AC 2019. [DOI: 10.1007/s41547-019-00073-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Elgohary HM, Eladl HM, Soliman AH, Soliman ES. Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer. Ann Rehabil Med 2018; 42:846-853. [PMID: 30613078 PMCID: PMC6325320 DOI: 10.5535/arm.2018.42.6.846] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Accepted: 06/26/2018] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC). METHODS Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks. RESULTS ANOVA test revealed significant improvements across all three groups with outcomes of p<0.05. The results of the UW-QOL questionnaire showed a significant difference between groups A, B and C in favor of group A (p<0.05). The VAS results showed a more improvement in group A as compared to group B (p<0.05), while there was no statistical difference between groups B and C (p>0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p<0.05), while there was minimal difference between groups A and B (p>0.05). CONCLUSION The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.
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Affiliation(s)
- Hany Mohamed Elgohary
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Hadaya Mosaad Eladl
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Ashraf Hassan Soliman
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.,Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt
| | - Elsadat Saad Soliman
- Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
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Karumuri SK, Rastogi T, Beeraka K, Penumatcha MR, Olepu SR. Ultrasound: A Revenant Therapeutic Modality in Dentistry. J Clin Diagn Res 2016; 10:ZE08-12. [PMID: 27630969 PMCID: PMC5020309 DOI: 10.7860/jcdr/2016/18584.8190] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2015] [Accepted: 04/04/2016] [Indexed: 11/24/2022]
Abstract
An ultrasound (US) gives a visible image of the organs that are present inside the body. In medicine it serves for diagnosing and also its therapeutic benefits are well established for bone healing, osteointegration and soft tissue healing. In dentistry it is widely used for diagnostic purposes. When it was discovered it was introduced for therapeutic purposes, but due to lack of clinical studies its use as therapy was remittent in dentistry. The aim of the present paper was to establish the efficiency of therapeutic US in maxillofacial region for alleviating the pain and to see the other applications. Our search included the English terms like ultrasonography, applications, dentistry in Google search engine, PubMed and Medline from 1980 to 2015. We found very few articles showing the effects of therapeutic Ultrasound (US) in treatment of pain and healing in dentistry. We concluded that clinical benefits of in vivo studies were very little and demands further rigorous research to strive for the therapeutic success of US.
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Affiliation(s)
| | - Trisha Rastogi
- Senior Lecturer, Department of Oral Medicine and Radiology, D.J. College of Dental Sciences and Research, Modinagar, U.P, India
| | - Kartheeki Beeraka
- Senior Lecturer, Department of Oral Medicine and Radiology, Saraswathi Dhanwantari Dental College, Parbhani, Maharashtra, India
| | - Mohan Raju Penumatcha
- Post Graduate Student, Department of Oral Medicine and Radiology, Narsinbhai Patel Dental College and Hospital, Visnagar, Gujarat, India
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Rai S, Ranjan V, Misra D, Panjwani S. Management of myofascial pain by therapeutic ultrasound and transcutaneous electrical nerve stimulation: A comparative study. Eur J Dent 2016; 10:46-53. [PMID: 27011739 PMCID: PMC4784153 DOI: 10.4103/1305-7456.175680] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE The present comparative study was aimed to determine the effectiveness of Th US and TENS in the management of myofascial pain in TMD patients. MATERIALS AND METHODS The present randomized comparative study was on 90 patients who were further assigned in three different groups each having 30 patients; Group I was healthy control patients, Group II was receiving Th US therapy, and Group III was receiving TENS therapy. All the 90 patients were further evaluated for maximum inter incisor subjective evaluation regarding muscle pain, impediment to daily life, massage impression on visual analog scale (VAS) scale, and intensity and duration used in Th US massage. RESULTS The masseter muscle thickness in control group was 12.00 (standard deviation [SD] ±1.1) mm when compared with TMD patient of 13.00 (SD ± 1.1) mm before treatment. Statistical significant findings on VAS score of muscle pain, impediment to daily life, and massage impression were observed in Th US. After treatment, the anechoic areas disappeared or were reduced in Th US group by 95.6% and in TENS by 74.4%. CONCLUSION Th US appeared to be subjectively better which was related to VAS score of massage impression, muscle pain, and impediment to daily life after treatment as well as sonographically related to existence of anechoic areas.
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Affiliation(s)
- Shalu Rai
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India
| | - Vikash Ranjan
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India
| | - Deepankar Misra
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India
| | - Sapna Panjwani
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India
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9
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Rai S, Kaur M, Goel S, Panjwani S, Singh S. Prospective utility of therapeutic ultrasound in dentistry-Review with recent comprehensive update. Adv Biomed Res 2012; 1:47. [PMID: 23326778 PMCID: PMC3544127 DOI: 10.4103/2277-9175.100153] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Accepted: 05/28/2012] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The utility of ultrasound (US) for therapeutic purposes is still in its infancy. Therapeutic US (TUS) has been used widely in medical field for urological application, surgical intervention, bone healing, and osteointegration in cancer and healing of full thickness excised skin lesions, and within dentistry as a prediagnostic, diagnostic and therapeutic purpose. The purpose of the paper is to review and determine the efficacy of US as one of the treatment modalities for its role in maxillofacial region to reduce pain and promote soft tissue healing. MATERIALS AND METHODS A Medline search included of the international literature published between 1976 and 2011 and was restricted to English language articles, published work of past researchers including in vitro and in vivo studies, recent additions of textbooks on surgical and therapeutic applications of US and, current articles in conference papers and reports accessed from the internet using Google search engine on therapeutic ultrasound. RESULTS Very few article regarding effect of therapeutic of US for its use of insonation for treatment of patient with pain and soft tissue injury are available. This review article mainly emphasizes the therapeutic utility of US in dentistry for its effectiveness to decrease joint stiffness, reduce pain and muscle spasms and improve muscle mobility. In vivo studies have shown very little clinical effects. CONCLUSIONS Further research is warranted in this clinically important area to make the development of noninvasive, multifunctional ultrasound devices for repair, regeneration and other therapeutic utility a success.
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Affiliation(s)
- Shalu Rai
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, (U.P.), India
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10
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Abstract
The pain-relieving effect of indomethacin phonophoresis on temporomandibular (TMJ) joint pain was evaluated in a double-blind, placebo-controlled clinical trial. Twenty subjects, who have TMJ pain, were included for this study and randomly assigned to either the experimental group (n = 10) or the control group (n = 10). Each treatment consisted of the application of ultrasound massage (1.0 MHz, 0.8 to 1.5 W/cm2 continuous output) for 15 minutes to the painful temporomandibular joint. As a conducting medium, 1% indomethacin cream was used for the experimental group and placebo cream for the control group respectively. Pre- and post-treatment pain levels and pain sensitivity were assessed with visual analogue scales (VAS) and pressure pain threshold (PPT). Mean data indicated that post-treatment VAS was significantly decreased and post-treatment PPT was significantly increased in the experimental group, not in the control group. The results of this study suggest that indomethacin phonophoresis provides significant pain relieving effect over the TMJ pain.
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Affiliation(s)
- S M Shin
- Department of Oral Medicine, School of Dentistry, Kyungpook National University, Taegu, Korea
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11
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Gray RJM, Quayle AA, Hall CA, Schofield MA. Temporomandibular Pain Dysfunction: Can Electrotherapy Help? Physiotherapy 1995. [DOI: 10.1016/s0031-9406(05)67036-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Schnurr RF, Rollman GB, Brooke RI. Are there psychologic predictors of treatment outcome in temporomandibular joint pain and dysfunction? ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1991; 72:550-8. [PMID: 1745513 DOI: 10.1016/0030-4220(91)90492-u] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This study explores the relationship between diverse psychologic factors and treatment outcome in temporomandibular joint pain and dysfunction (TMJPD). During assessment, 178 patients with TMJPD were given a pressure pain threshold and tolerance task and completed the Basic Personality Inventory, the Illness Behavior Questionnaire, the Multidimensional Health Locus of Control, the Perceived Stress Scale, and the Ways of Coping Checklist. Subjects also answered questions pertaining to TMJPD symptomatology, including chronicity and severity. After conservative treatment with simple jaw exercises and ultrasound, patients were contacted again at 5 months to complete a follow-up questionnaire package similar to the initial questionnaire battery. Percent reduction in average pain intensity and perceived TMJPD severity were used as outcome criteria. The data were analyzed with discriminant function analyses. One hundred patients responded to the follow-up questionnaire. Patients who reported more than a 50% reduction in average pain intensity tended to be less inclined to accept responsibility for their problems and were slightly better able to distance themselves from their problems than the less improved groups. Those who reported more than a 50% reduction in TMJPD severity indicated that the condition was not associated with an identifiable onset event and that the condition had become moderately worse between onset and first seeking help.
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Affiliation(s)
- R F Schnurr
- Department of Oral Medicine, Faculty of Dentistry, University of Western Ontario, London, Canada
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14
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Clark GT, Adachi NY, Dornan MR. Physical medicine procedures affect temporomandibular disorders: a review. J Am Dent Assoc 1990; 121:151-62. [PMID: 2196298 DOI: 10.14219/jada.archive.1990.0140] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
This article reviews the literature on the effectiveness of physical medicine procedures for treatment of temporomandibular disorders (TMD). Brief descriptions of some commonly used dental appliances, and pharmacological and surgical treatment methods are provided.
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Affiliation(s)
- G T Clark
- Dental Research Institute, UCLA School of Dentistry 90024
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15
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Abstract
An easy and inexpensive method for fabrication of an occlusal splint has been described. It has a high degree of patient acceptance and is effective in treating TMJ dysfunction symptoms. If a hard acrylic occlusal splint is preferred, the aforementioned method can be used as an interim appliance until necessary appointments can be scheduled.
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Affiliation(s)
- E F Wright
- USAF Hospital/SGD, Reese AFB, TX 79489-5300
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16
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Braun BL. The effect of physical therapy intervention on incisal opening after temporomandibular joint surgery. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1987; 64:544-8. [PMID: 3478638 DOI: 10.1016/0030-4220(87)90030-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A retrospective study of 58 postoperative patients who underwent temporomandibular joint surgery was done to determine the effect of a physical therapy treatment program of ultrasound, superficial heat, and exercise on incisal opening 6 to 12 months after surgery. Twenty-nine of the subjects had surgery and physical therapy intervention, while 29 had surgery only. Patients referred for physical therapy had more complaints of pain and significantly less incisal opening after surgery than those not referred for physical therapy. Both groups, however, had achieved a comparable amount of incisal opening 6 to 12 months after surgery. Chi square analysis indicated that patients with an incisal opening of less than 30 mm postoperatively were more likely to have an incisal opening of 40 mm 6 to 12 months after surgery if they received physical therapy treatments. Patients having more than 30 mm of incisal opening a month after surgery showed a greater tendency to achieve more than 40 mm of opening if physical therapy was included in the postoperative management.
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Affiliation(s)
- B L Braun
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Minnesota
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17
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Abstract
In recent years ultrasound has been used extensively in physical medicine with considerable success. Its use has not been advocated extensively, however, for MPDS. This article summarized the basic concepts of ultrasound and evaluated its effectiveness in the treatment of 28 patients with MPDS. In conclusion, it appears that therapeutic ultrasound can be used effectively to alleviate discomfort of MPDS that does not respond to occlusal splint therapy. Ultrasound is most successful in alleviating muscle symptoms and least effective in reducing symptoms associated with the disk. Age was not a significant factor in the efficacy of ultrasound.
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Kreutziger KL, Mahan PE. Temporomandibular degenerative joint disease. Part II. Diagnostic procedure and comprehensive management. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1975; 40:297-319. [PMID: 52135 DOI: 10.1016/0030-4220(75)90412-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The diagnostic procedure is given in the detail necessary to arrive at an accurate diagnosis of temporomandibular degenerative joint disease (TDJD). The differentiating clinical findings of degenerative joint disease (DJD) and rheumatoid arthritis of the temporomandibular joint (TMJ) are described. Principles and modalities of comprehensive management of TDJD are presented in the manner and sequence needed to allow practical clinical application. Methods of treatment are applied to the management of patients with acute and chronic TDJD. The surgical procedure for TDJD, intracapsular high condylectomy with a preauricular incision, is described in the detail required for individual application. Case reports are presented to illustrate the comprehensive management of TDJD.
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