Potential adjunct therapies for the management of temporomandibular disorders: An evidence-based review.
Study Goal
The researchers aimed to review adjuvant therapies, including acupuncture, manual therapy, jaw exercises, dietary modifications, botulinum toxin therapy, and photobiomodulation, for managing temporomandibular disorders (TMD).
Results Summary
The study found short-term beneficial effects of various adjuvant therapies (excluding essential oils) in pain reduction and improved jaw movement among TMD patients, but no long-term follow-up data was available.
Population
Patients with temporomandibular disorders (TMD).
Effective Dosage
Not mentioned
Duration
Short-term follow-up (specific duration not provided)
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
acupuncture | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #1 |
acupuncture | increase | jaw movement | patients with TMD | - | showed beneficial effects | #2 |
manual therapy | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #3 |
manual therapy | increase | jaw movement | patients with TMD | - | showed beneficial effects | #4 |
jaw exercises | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #5 |
jaw exercises | increase | jaw movement | patients with TMD | - | showed beneficial effects | #6 |
dietary modifications | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #7 |
dietary modifications | increase | jaw movement | patients with TMD | - | showed beneficial effects | #8 |
botulinum toxin therapy | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #9 |
botulinum toxin therapy | increase | jaw movement | patients with TMD | - | showed beneficial effects | #10 |
photobiomodulation | decrease | pain reduction | patients with TMD | - | showed beneficial effects | #11 |
photobiomodulation | increase | jaw movement | patients with TMD | - | showed beneficial effects | #12 |
OBJECTIVE: The aim was to review the role of adjuvant therapies that may potentially contribute toward the management of temporomandibular disorders (TMD). METHODS: The addressed focused question was, "Are there any adjuvant therapies that may contribute toward the management of TMD?". Indexed databases were searched up to June 2021. The eligibility criteria were the following: (a) original clinical studies and (b) randomized controlled clinical trials (RCTs). RESULTS: Adjuvant therapies were comprised of acupuncture, manual therapy, jaw exercises, dietary modifications, botulinum toxin therapy, and photobiomodulation. Short-term follow-up results from each of these RCTs showed beneficial effects in terms of pain reduction and improvements in jaw movement among patients with TMD. There are no long-term follow-up results in this regard. CONCLUSION: The most effective adjunct treatment for managing TMD remains unknown, primarily due to a lack of sufficient scientific evidence.