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Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review

Temporomandibular disorders (TMD) is a term used to describe a set of clinical conditions that may compromise the temporomandibular joint (TMJ) and masticatory muscles and/or associated structures, considered the most frequent cause of orofacial pain of non-dental origin. In recent years, many forms...

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Autores principales: BATISTA, Jessica Fernanda de Oliveira Lima, VILA-NOVA, Taciana Emília Leite, MORAES, Sandra Lúcia Dantas, PELLIZZER, Eduardo Piza, VASCONCELOS, Belmiro Cavalcanti do Egito, GOMES, Jéssica Marcela de Luna, LEMOS, Cleidiel Aparecido Araújo, HEIMER, Mônica Vilela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade De Odontologia De Bauru - USP 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9882960/
http://dx.doi.org/10.1590/1678-7757-2022-0298
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author BATISTA, Jessica Fernanda de Oliveira Lima
VILA-NOVA, Taciana Emília Leite
MORAES, Sandra Lúcia Dantas
PELLIZZER, Eduardo Piza
VASCONCELOS, Belmiro Cavalcanti do Egito
GOMES, Jéssica Marcela de Luna
LEMOS, Cleidiel Aparecido Araújo
HEIMER, Mônica Vilela
author_facet BATISTA, Jessica Fernanda de Oliveira Lima
VILA-NOVA, Taciana Emília Leite
MORAES, Sandra Lúcia Dantas
PELLIZZER, Eduardo Piza
VASCONCELOS, Belmiro Cavalcanti do Egito
GOMES, Jéssica Marcela de Luna
LEMOS, Cleidiel Aparecido Araújo
HEIMER, Mônica Vilela
author_sort BATISTA, Jessica Fernanda de Oliveira Lima
collection PubMed
description Temporomandibular disorders (TMD) is a term used to describe a set of clinical conditions that may compromise the temporomandibular joint (TMJ) and masticatory muscles and/or associated structures, considered the most frequent cause of orofacial pain of non-dental origin. In recent years, many forms of physical therapy have been used in the treatment of TMD to reduce pain and improve the range of mandibular movement present in this impairment. Among these resources are kinesiotherapy (exercise), electrothermal and manual therapy, acupuncture, training posture, mobilizations, and biofeedback. OBJECTIVES: To determine if exercises with or without occlusal splints are effective in reducing pain in patients with temporomandibular disorders (TMD) of myogenic origin. METHODOLOGY: This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD 42019134244). Controlled trials published in PubMed, Scopus, and Cochrane Library following PRISMA guidelines up to April 2022 were randomized and included. The population above 18 years, which evaluated the effectiveness of exercise with or without occlusal splints in reducing pain in patients with TMD of myogenic origin, diagnosed through the Research Diagnostic Criteria for Temporomandibular Disorders, was also included. There was no restriction on the period of publication. Cochrane risk of bias analysis was performed. RESULTS: Of the five included articles, all showed a reduction of pain, but without significant differences between the interventions performed. Additionally, studies that evaluated the quality of life and mandibular movements showed a reduction in pain, but no significant differences between therapies. CONCLUSION: The analyzed studies showed no difference in the improvement of pain, quality of life, and mandibular movements between the groups that performed only exercises or the associated treatments.
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spelling pubmed-98829602023-01-29 Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review BATISTA, Jessica Fernanda de Oliveira Lima VILA-NOVA, Taciana Emília Leite MORAES, Sandra Lúcia Dantas PELLIZZER, Eduardo Piza VASCONCELOS, Belmiro Cavalcanti do Egito GOMES, Jéssica Marcela de Luna LEMOS, Cleidiel Aparecido Araújo HEIMER, Mônica Vilela J Appl Oral Sci Systematic Review Temporomandibular disorders (TMD) is a term used to describe a set of clinical conditions that may compromise the temporomandibular joint (TMJ) and masticatory muscles and/or associated structures, considered the most frequent cause of orofacial pain of non-dental origin. In recent years, many forms of physical therapy have been used in the treatment of TMD to reduce pain and improve the range of mandibular movement present in this impairment. Among these resources are kinesiotherapy (exercise), electrothermal and manual therapy, acupuncture, training posture, mobilizations, and biofeedback. OBJECTIVES: To determine if exercises with or without occlusal splints are effective in reducing pain in patients with temporomandibular disorders (TMD) of myogenic origin. METHODOLOGY: This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD 42019134244). Controlled trials published in PubMed, Scopus, and Cochrane Library following PRISMA guidelines up to April 2022 were randomized and included. The population above 18 years, which evaluated the effectiveness of exercise with or without occlusal splints in reducing pain in patients with TMD of myogenic origin, diagnosed through the Research Diagnostic Criteria for Temporomandibular Disorders, was also included. There was no restriction on the period of publication. Cochrane risk of bias analysis was performed. RESULTS: Of the five included articles, all showed a reduction of pain, but without significant differences between the interventions performed. Additionally, studies that evaluated the quality of life and mandibular movements showed a reduction in pain, but no significant differences between therapies. CONCLUSION: The analyzed studies showed no difference in the improvement of pain, quality of life, and mandibular movements between the groups that performed only exercises or the associated treatments. Faculdade De Odontologia De Bauru - USP 2023-01-23 /pmc/articles/PMC9882960/ http://dx.doi.org/10.1590/1678-7757-2022-0298 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Systematic Review
BATISTA, Jessica Fernanda de Oliveira Lima
VILA-NOVA, Taciana Emília Leite
MORAES, Sandra Lúcia Dantas
PELLIZZER, Eduardo Piza
VASCONCELOS, Belmiro Cavalcanti do Egito
GOMES, Jéssica Marcela de Luna
LEMOS, Cleidiel Aparecido Araújo
HEIMER, Mônica Vilela
Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title_full Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title_fullStr Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title_full_unstemmed Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title_short Are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? A systematic review
title_sort are exercises with or without occlusal splints more effective in the reduction of pain in patients with temporomandibular disorders of myogenic origin? a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9882960/
http://dx.doi.org/10.1590/1678-7757-2022-0298
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