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Cited by 361Temporomandibular Joint DisordersMusculoskeletal pain and rehabilitationOccupational health in dentistry

The DOI matches its Crossref record; 91 of the 92 references it cites were found in a registry or an index.

Reported concepts for the treatment modalities and pain management of temporomandibular disorders

Open access
Wieckiewicz, Mieszko, Boening, Klaus, Wiland, Piotr, Shiau, Yuh-Yuan, Paradowska-Stolarz, Anna·2015·The Journal of Headache and Pain
DOI 10.1186/s10194-015-0586-5PMC PMC4671990
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Abstract

BACKGROUND: Pain related to temporomandibular disorders (TMD) is a common problem in modern societies. The aim of the article is to present the concepts of TMD pain clinical management. METHODS: A survey was performed using the PubMed, SCOPUS and CINAHL databases for documents published between 1994 and 2014. The following search keywords were selected using MeSH terms of the National Library of Medicine in combination: TMD pain, TMD, TMJ, TMJ disorders, occlusal splint, TMD physiotherapy, TMJ rheumatoid disorders and TMJ surgery. Original articles and review papers which presented the clinical relevance and practical validity regarding the possibility of application in TMD management have been included. Authors have excluded articles without outstanding practical aspect and evidence-based background. A first selection was carried out by reviewing titles and abstracts of all articles found according to the criteria. After that the full texts of potentially suitable articles were assessed. In line with these criteria, among 11467 results the writers have included 66 papers. RESULTS: The most commonly reported conservative treatments are massage therapy and individually fabricated occlusal splints. In addition to massage, other popular methods include manual therapy and taping, warming/cooling of aching joints, and light and laser therapy. Drugs are also commonly used. In the most severe cases of the temporomandibular joint degeneration, surgical restoration of the joint is sometimes applied. CONCLUSIONS: The authors concluded that conservative treatment including counselling, exercises, occlusal splint therapy, massage, manual therapy and others should be considered as a first choice therapy for TMD pain because of their low risk of side effects. In the case of severe acute pain or chronic pain resulting from serious disorders, inflammation and/or degeneration pharmacotherapy, minimally invasive and invasive procedures should be considered.

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Crossref · 10.1186/s10194-015-0586-5

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Fig. 1 Treatment algorithm for the management of TMD-related pain (*The Diagnostic Criteria for Temporomandibular Disorders by Schiffman et al. [1])
Fig. 1 Treatment algorithm for the management of TMD-related pain (*The Diagnostic Criteria for Temporomandibular Disorders by Schiffman et al. [1])CC BY · PubMed Central

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Cites

Show all 92 references

Research works printed but not linked: 5

  1. Sokalska J, Wieckiewicz W, Zenczak-Wieckiewicz D (2006) Influence of habit of chewing gum on condition of stomatognathic system. Dent Med Probl 43:567–570
  2. Bhat S (2010) Etiology of temporomandibular disorders: the journey so far. Int Dent SA 12:88–92
  3. Kogut G, Kwolek A (2006) Functional disturbances of the masticatory apparatus – diagnosis and treatment. Med Rehabil 10:44–56
  4. Wieckiewicz M, Paradowska A, Kawala B, Wieckiewicz W (2011) SAPHO syndrome as a possibile cause of masticatory system anomaly – a review of the literatue. Adv Clin Exp Med 20:521–525
  5. Gunson MJ, Arnett GW (2010) Condylar resorption, matrix metalloproteinases, and tetracyclines. RWISOJ 2:37–44

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Metadata

Authors
Wieckiewicz, M., Boening, K., Wiland, P., Shiau, Y.-Y., & Paradowska-Stolarz, A.
Affiliations
  • Wroclaw Medical University (PL)
  • Technische Universität Dresden (DE)
  • University of Wrocław (PL)
  • National Taiwan University (TW)
Corresponding author
Wieckiewicz, Mieszko
ORCID
Venue
The Journal of Headache and Pain
Publisher
Springer Science and Business Media LLC
Published
2015-12
Volume
16
Issue
1
Pages
106-106
ISSN
  • 1129-2369 (ISSN-L)
  • 1129-2377
DOI
10.1186/s10194-015-0586-5
PMC
PMC4671990
OpenAlex
W2194133106
Cited by
359
References
92
Citations by year
2026: 25 · 2025: 44 · 2024: 61 · 2023: 47 · 2022: 46 · 2021: 25 · 2020: 30 · 2019: 27 · 2018: 22 · 2017: 17 · 2016: 13 · 2015: 2
FWCI
5.26
Type
journal article
Language
en
Open access
Licence
Locations
  • The Journal of Headache and Pain (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Dentistry › General Dentistry › Occupational health in dentistry
Keywords
temporomandibular disorders, temporomandibular joint pain, pain management, occlusal splint, massage, manual therapy, taping, laser therapy, pharmacotherapy, conservative treatment, temporomandibular joint surgery, TMJ degeneration, physiotherapy
MeSH terms
Exercise Therapy, Facial Pain, Humans, Massage, Temporomandibular Joint Disorders, Treatment Outcome, Occlusal Splints, Chronic Pain, Pain Management

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