Non-invasive therapies for management of temporomandibular disorders: a systematic review
Clin. biomed. res
;
39(3): 230-243, 2019.
Article
in English
| LILACS
| ID: biblio-1053114
ABSTRACT
Introduction:
As a multifactorial disease, temporomandibular disorders (TMD) require a complex therapeutic approach, being noninvasive therapies the first option for most patients. The aim of this study was to perform a systematic review to analyze the most common non-invasive therapies used for TMD management.Methods:
The review was done by searching electronic databases to identify controlled clinical trials related to pharmacologic and non-invasive treatments. Of all potential articles found, 35 were included in this review.Results:
Low-level laser therapy (LLLT), occlusal splints (OS) and oral exercises/ behavior education (OE/BE) were the most common therapies used. LLLT showed significant results in pain and movement improvement in most studies. OS was usually combined to other therapies and resulted in improvement of pain. OE/BE showed significant results when combined with ultrasound, LLLT, and manual therapy.Conclusions:
Non-invasive treatments can provide pain relief and should be prescribed before surgical procedures. LLLT was the therapy with the higher number of studies showing positive results. Based in heterogeneity of treatment protocols, diagnostic and outcomes criteria used, new well-designed randomized controlled trials (RCT) are necessary. (AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Temporomandibular Joint Disorders
Type of study:
Controlled clinical trial
/
Practice guideline
/
Systematic reviews
Limits:
Humans
Language:
English
Journal:
Clin. biomed. res
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal do Rio Grande do Sul (UFRGS)/BR
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