This review of the effectiveness and safety of acupuncture in treating temporomandibular joint disorders (TMD) included 32 RCTs. The findings suggest potential benefits for acupuncture compared with both active and inactive controls. However none of the studies were at low risk of bias and the certainty of the evidence was rated as very low to low. Consequently the findings should be interpreted cautiously.
[read the full story...]Temporomandibular disorders and oral health-related quality of life
This review of assess the impact of temporomandibular disorders (TMD) on oral health related quality of life (OHRQoL) included 8 cross-sectional studies. While the findings suggest poorer OHRQoL in patients with TMD the limited number of studies and theer cross-sectional nature needs to be taken into consideration.
[read the full story...]Extraction vs non-extraction of premolars for orthodontic treatment
This scoping review of the literature comparing orthodontic treatment undertaken with and without the extraction of premolar teeth included 399 articles. Most study reports were of low methodological quality, and further reviews are unlikely to provide new information. Researchers should focus on high quality prospective primary studies that include outcomes of imortance to patients.
[read the full story...]Arthrocentesis or conservative management for painful temporomandibular disorders
This review of temporomandibular joint arthrocentesis versus conservative management for painful temporomandibular disorders (TMD) includes 7 RCTs. The findings suggest improvements in both pain and maximum mouth opening with arthrocentesis but these may not be clinically important.
[read the full story...]Effects of occlusal splint guidance on treatment for bruxism and temporomandibular disorders
This review assessing the effect of disocclusion guidance on occlusal splints for sleep bruxism (SB) and temporomandibular disorders (TMD) included 15 studies. The included studies provided very low certainty evidence for most of the evaluated outcomes.
[read the full story...]Temporomandibular disorders – management with psychological therapies
This Cochrane review of the effects of psychological therapies in people (aged 12 years and over) with painful temporomandibular disorders (TMD)lasting 3 months or longer included 22 RCTs. Cognitive behaviour therapy (CBT) was the most frequently studied but overall there was insufficient evidence on which to base a reliable judgement about the efficacy of psychological therapies for painful TMD
[read the full story...]Cranio-mandibular manual therapy for temporomandibular disorders
This review of cranio-mandibular manual therapy (CMMT) on pain and maximum mouth opening in people with temporomandibular disorders included 6 RCTs. While the available evidence supports the use of CMMT it is of very low quality so should be interpreted cautiously.
[read the full story...]Ten Years of the Dental Elf
It is now 10 years since the very first Dental Elf Blog. Since then we have published 1626 blogs covering a wide range of topics so we present a brief overview of the categories covered.
[read the full story...]Temporomandibular disorders: Prevalence in musicians
This review of the the prevalence of temporomandibular disorders (TMD) in musicians included 13 cross-sectional studies. The finding estimate a pooled prevalence = 53.9% (95%CI; 36.6% to 70.7%) however the certainty of the evidence is graded as very low.
[read the full story...]Occlusal stabilisation appliances for temporomandibular disorders
This review the efficacy of stabilisation appliances in the management of painful temporomandibular disorders (TMDs) included 24 RCTs. The findings suggest they have an efficacy beyond the placebo effect however the evidence of low to very low certainty.
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