Scuola di Medicina, Dipartimento di Scienze della Salute, Università degli Studi del Piemonte Orientale, 28100 Novara, Italy.
IRCCS Fondazione don Carlo Gnocchi, 20148 Milan, Italy.
Int J Environ Res Public Health. 2023 Feb 4;20(4):2777. doi: 10.3390/ijerph20042777.
Temporomandibular disorders (TMD) is an umbrella term that encompasses many musculoskeletal problems that include the masticatory muscles, the temporomandibular joint, and other associated structures. TMD can be divided into two large groups: those that affect the musculature and those that affect the joint. The treatment of TMD requires the combined skills of physiotherapists and dentists, as well as sometimes psychologists and other medical specialists. This study aims to examine the effectiveness of the interdisciplinary approach using physiotherapy and dental techniques on pain in patients with temporomandibular disorders (TMDs). This is a Scoping Review of studies investigating the effects of combined therapy on patients with TMD. PRISMA guidelines were followed during this review's design, search, and reporting stages. The search was carried out in the MEDLINE, CINHAL, and EMBASE databases. A total of 1031 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, six studies were ultimately selected for this review. All the included studies showed a positive effect on pain decreasing after a combined intervention. The interdisciplinary approach characterized by the combination of manual therapy and splint or electrotherapy can positively influence the perceived symptoms; positively decrease pain; and reduce disability, occlusal impairments, and perception of change.
颞下颌关节紊乱病（TMD）是一个总称，包括许多肌肉骨骼问题，包括咀嚼肌、颞下颌关节和其他相关结构。TMD 可分为两大类：影响肌肉的和影响关节的。TMD 的治疗需要物理治疗师和牙医的综合技能，有时还需要心理学家和其他医学专家的参与。本研究旨在探讨使用物理治疗和牙科技术对颞下颌关节紊乱病（TMD）患者疼痛的综合治疗效果。这是一项对研究联合治疗对 TMD 患者影响的范围综述。在本综述的设计、搜索和报告阶段遵循了 PRISMA 指南。在 MEDLINE、CINHAL 和 EMBASE 数据库中进行了搜索。通过在详细数据库中执行建议的搜索，共检测到并分析了 1031 项研究。在去除重复项并分析剩余文章的标题和摘要后，最终选择了 6 项研究进行综述。所有纳入的研究均显示联合干预后疼痛减轻的积极效果。以手法治疗和夹板或电疗相结合为特征的跨学科方法可以积极影响感知症状；显著减轻疼痛；减少残疾、咬合障碍和对变化的感知。
