Non-invasive therapies for management of temporomandibular disorders: A systematic review

Autores

  • Fernanda Thomé Brochado Departamento de Patologia Oral, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brasil.
  • Luciano Henrique de Jesus Departamento de Patologia Oral, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brasil.
  • Karen Dantur Chaves Departamento de Odontologia Conservadora, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brasil.
  • Manoela Domingues Martins Departamento de Patologia Oral, Faculdade de Odontologia, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brasil. Departamento de Medicina Oral, Hospital das Clínicas de Porto Alegre (HCPA). Porto Alegre, RS, Brasil.

Palavras-chave:

Temporomandibular disorder, temporomandibular joint, myofascial pain, treatment, temporomandibular dysfunction, pharmacologic

Resumo

Introduction: As a multifactorial disease, temporomandibular disorders (TMD) require a complex therapeutic approach, being noninvasive therapies the first option for most patients. The aim of this study was to perform a systematic review to analyze the most common non-invasive therapies used for TMD management.

Methods: The review was done by searching electronic databases to identify controlled clinical trials related to pharmacologic and non-invasive treatments. Of all potential articles found, 35 were included in this review.

Results: Low-level laser therapy (LLLT), occlusal splints (OS) and oral exercises/behavior education (OE/BE) were the most common therapies used. LLLT showed significant results in pain and movement improvement in most studies. OS was usually combined to other therapies and resulted in improvement of pain. OE/BE showed significant results when combined with ultrasound, LLLT, and manual therapy.

Conclusions: Non-invasive treatments can provide pain relief and should be prescribed before surgical procedures. LLLT was the therapy with the higher number of studies showing positive results. Based in heterogeneity of treatment protocols, diagnostic and outcomes criteria used, new well-designed randomized controlled trials (RCT) are necessary.

Keywords: Temporomandibular disorder; temporomandibular joint; myofascial pain; treatment; temporomandibular dysfunction; pharmacologic

 

Downloads

Não há dados estatísticos.

Downloads

Publicado

2019-12-20

Como Citar

1.
Brochado FT, de Jesus LH, Chaves KD, Martins MD. Non-invasive therapies for management of temporomandibular disorders: A systematic review. Clin Biomed Res [Internet]. 20º de dezembro de 2019 [citado 28º de março de 2024];39(3). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/86882

Edição

Seção

Revisão Sistemática

Artigos mais lidos pelo mesmo(s) autor(es)