Intraoral Myofascial Therapy for Chronic Myogenous Temporomandibular Disorder: A Randomized Controlled Trial

Myofascial release, performed by physiotherapists, chiropractors and dental nurses, showed significant improvements in both pain and function.

“Myofascial release, performed by physiotherapists, chiropractors and dental nurse, showed significant improvements in both pain and function [22,34,35].”

Cuccia et al. and DeVocht et al. demonstrated significant improvements at six months, while Kalamir et al. reported sustained efficacy up to one year, particularly in chronic myogenous temporomandibular disorder.

“Cuccia et al. [24] and DeVocht et al. [29] demonstrated significant improvements at six months, while Kalamir et al. [34] reported sustained efficacy up to one year, particularly in chronic myogenous TMD.”

Chiropractic interventions and dental practice-based treatments, including those by dentists and dental nurses, also showed positive effects.

“Chiropractic interventions [29,34] and dental practice-based treatments, including those by dentists [36] and dental nurses [34], also showed positive effects.”

Several studies emphasized that manual therapy was performed by professionals with specialized training, reinforcing the notion that clinical expertise is critical to achieving effective results.

“Several studies [21,22,25,26,29,31,34] emphasized that manual therapy was performed by professionals with specialized training, reinforcing the notion that clinical expertise is critical to achieving effective results.”

Myofascial manipulations and trigger point releases were particularly effective in reducing subjective pain perception.

“Myofascial manipulations [28,30,33] and trigger point releases [34,35] were particularly effective in reducing subjective pain perception.”

Axis I subtypes, particularly myofascial temporomandibular disorder, responded well to manual therapy interventions.

“Axis I subtypes, particularly myofascial TMD, responded well to manual therapy interventions [28–30,33–35].”

Medical doctors and oral health professionals achieved positive outcomes using HVLA, myofascial release, and intraoral manipulation techniques.

“Medical doctors and oral health professionals achieved positive outcomes using HVLA, myofascial release, and intraoral manipulation techniques [21,34,36].”

Only 6 studies accomplished more than 60% of the items listed in eTable 2.

“Only 6 studies accomplished more than 60% of the items listed in eTable 2. 57,66,67, 76 -78”

Four studies looked at MT techniques for people with myogenous TMD.

“Four studies 64,65,77,81 looked at MT techniques, such as facial manipulation versus botulinum toxin 81 or intraoral myofascial therapy versus waiting list, and self-care education and exercises for people with myogenous TMD.64,65,77”

Eight of the trials reported no adverse events with the treatments.

“Eight of the trials 57,65,67,74,75,77,87,88 reported no adverse events with the treatments.”