Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
Cranio. 2024 Nov;42(6):651-661. doi: 10.1080/08869634.2022.2036437. Epub 2022 Feb 12.
The aim was to review the role of adjuvant therapies that may potentially contribute toward the management of temporomandibular disorders (TMD).
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).
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.
The most effective adjunct treatment for managing TMD remains unknown, primarily due to a lack of sufficient scientific evidence.
本文旨在综述可能有助于治疗颞下颌关节紊乱病（TMD）的辅助疗法。
本文提出的具体问题是：“是否存在有助于 TMD 治疗的辅助疗法？”。对截至 2021 年 6 月的索引数据库进行了检索。纳入标准如下：（a）原始临床研究；（b）随机对照临床试验（RCT）。
辅助疗法包括针灸、手法治疗、颌运动练习、饮食调整、肉毒毒素治疗和光生物调节。这些 RCT 的短期随访结果显示，TMD 患者的疼痛减轻和颌运动改善均有获益。但在这方面没有长期随访结果。
最有效的 TMD 管理辅助治疗方法仍不清楚，主要是因为缺乏足够的科学证据。
