University School of Physiotherapy, Orléans University, Orléans, France.
Department of Medicine and Bucco-Dental Surgery, Faculty of Odontology, Tours Hospital, Tours University, Tours, France.
BMC Oral Health. 2024 Aug 22;24(1):979. doi: 10.1186/s12903-024-04768-8.
Temporomandibular disorders (TMD) affect 10% of the population in France, significantly impacting patient's health and quality of life. The multifactorial etiology of TMD complicates its treatment. Consequently, adopting a multidisciplinary approach that encourages collaboration among healthcare professionals is recommended. Nevertheless, this approach does not seem to occur on a regular basis. The aim of this study was to assess the dentist's treatment support of TMD in the context of the inter-professional collaboration between dental practitioners and physiotherapists.
A cross-sectional observational study was conducted based on an online questionnaire from January 15th to April 30th, 2023. The data are collected through Professional Broad, Regional Unions of Health Professional and Healthcare Professional Communities and Territories.
Of the 420 responses analyzed, the main first-line treatment provided by the dentist was the correction of dental occlusion (84%). The rate of referral to a physiotherapist was 57% and was 75% for second-placed treatment. The main reason for the lack of referral was a lack of awareness of physiotherapy role in the management of TDM. We observed that 70% of dental health practitioners were interested about inter-professional collaboration and the development of postgraduate training.
Given the difficulty of managing TDM, efforts should be made to improve inter professional management.
The implementation of appropriate teaching in initial training seems to be essential to allow dentists to open the range of treatment for TMD with increased knowledge of physiotherapy techniques for an adapted prescription to the patient.
颞下颌关节紊乱（TMD）影响法国 10%的人口，显著影响患者的健康和生活质量。TMD 的多因素病因使其治疗复杂化。因此，建议采用鼓励医疗保健专业人员之间合作的多学科方法。然而，这种方法似乎并没有定期实施。本研究旨在评估牙医在牙科医生和物理治疗师之间的专业合作背景下对 TMD 的治疗支持。
这是一项基于 2023 年 1 月 15 日至 4 月 30 日在线问卷的横断面观察性研究。数据通过专业联合会、区域卫生专业人员联合会和医疗保健专业人员社区和地区收集。
在分析的 420 个回复中，牙医提供的主要一线治疗是矫正咬合（84%）。向物理治疗师转诊的比例为 57%，第二位治疗的转诊比例为 75%。转诊不足的主要原因是对物理治疗在 TDM 管理中的作用缺乏认识。我们观察到，70%的牙科保健从业者对专业间合作和研究生培训的发展感兴趣。
鉴于 TDM 管理的难度，应努力改善专业间管理。
在初始培训中实施适当的教学似乎至关重要，这将使牙医能够通过增加对物理治疗技术的了解，为 TMD 提供更多的治疗方案，并根据患者情况进行适当的处方。
