This review assessing the level of psychosocial impairment in patients with temporomandibular disorders (TMD) included 14 observational studies . The studies suggest that psychological disorders and psychosocial impairment are common in patients with TMD but the evidence is of low quality.
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This review of the effectiveness of intra-articular platelet-rich plasma (PRP) injections in temporomandibular disorders included only 6 low quality RCTs providing very weak evidence for a potential benefit from PRP injection.
[read the full story...]2017 Dental Elf end of year round up May to August 2017.
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Sixteen studies were included in this review of oral appliances for sleep bruxism. The included studies were small and mainly short term and only 7 studies were RCTs . Although the availabel evidence suggests a short term benefit further high-quality studies of longer duration are needed.
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This review of pharmacological management of orofacial pain included 41 studies. Evidence suggests that for TMD joint pain NSAIDs, corticosteroids and hyaluronate injections are beneficial and that clonazepam and capsaicin are effective for burning mouth syndrome.
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This review of the association between temporomandibular disorders and dental occlusion included 25 observational studies. No consistent association was found.
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Only 5 small low quality studies were included in this review of botulinum toxin (BoNT-A ) injections for sleep bruxism. 3 of the included studies were RCTs and while a potential benefit from use of BoNT-A treatment was suggested the findings should be treated very cautiously.
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This review of TMJ lavage for temporomandibular disorders only included 5 small RCTs a majority of which were at high risk of bias. While the findings suggest a benefit from lavage this should be interpreted cautiously because of the limited quality of the available evidence.
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This review of otologic signs & symptoms in patients with temporomandibular disorders included just 8 studies and highlights a high frequency but the findings should be interpreted with caution because of the limited quality of available studies.
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This review of intra-articular injections of hyaluronic acid (HA) for temporomandibular disorder only identified 8 small studies of limited quality providing no consensus that HA injections were better than other agents.
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