Crummey Sarah, Rae Alexander, Jacob Oliver, Rogers Simon N, Fan Kathleen
Oral and Maxillofacial Surgery Department, King's College Hospital NHS Trust, London SE5 9RS, United Kingdom.
Oral and Maxillofacial Surgery Department, King's College Hospital NHS Trust, London SE5 9RS, United Kingdom.
Br J Oral Maxillofac Surg. 2025 Feb;63(2):76-82. doi: 10.1016/j.bjoms.2024.11.001. Epub 2024 Nov 14.
Temporomandibular disorders (TMD) are a group of common conditions that can have significant detrimental impact on patients functional, emotional and social wellbeing. The aim of this systematic review is to collate and summarise the literature reporting patients' experience of TMD. This helps put the condition into the context of the patient themselves and their interaction with healthcare professionals. The study was completed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. A systematic literature search was performed on 1 December 2023 using following databases: MEDLINE, Embase, Web of Science, PsychInfo (American Psychological Associated) and the Cochrane Library. Of these 439 articles, 13 met the inclusion criteria for the review. It was a heterogenous sample with relatively poor methodological quality. The cohorts ranged from nine to 44; totalling 280 participants. Two key themes and six subthemes illustrate the experience of patients with TMD: Impact (Physical, Psychological) and Coping (Understanding the disease, Experience of healthcare professionals, Seeking treatment, Adapting behaviours). Clinical care needs to reflect the experience of patients with better explanation of the condition, access to services and support. Further research should explore how to address patients' concerns more effectively. One method might be through the development of a PCI-TMD.
颞下颌关节紊乱病（TMD）是一组常见病症，会对患者的功能、情绪和社会福祉产生重大不利影响。本系统评价的目的是整理和总结报告TMD患者经历的文献。这有助于将该病症置于患者自身及其与医疗保健专业人员互动的背景中。该研究是根据系统评价和Meta分析方案的首选报告项目（PRISMA）指南完成的。2023年12月1日，使用以下数据库进行了系统的文献检索：MEDLINE、Embase、科学网、PsychInfo（美国心理学会）和Cochrane图书馆。在这439篇文章中，有13篇符合该评价的纳入标准。这是一个异质性样本，方法学质量相对较差。队列人数从9人到44人不等；共有280名参与者。两个关键主题和六个子主题阐述了TMD患者的经历：影响（身体、心理）和应对（了解疾病、医疗保健专业人员的经历、寻求治疗、调整行为）。临床护理需要更好地解释病情、提供服务和支持，以反映患者的经历。进一步的研究应探索如何更有效地解决患者的担忧。一种方法可能是通过开发PCI-TMD。
