This network meta-analysis assessing the effectiveness of various types of occlusal splint in the management of temporomandibular disorders (TMDs) included 48 RCTs suggesting that a hard stabilisation splint achieves superior results in patients with myogenous TMDs. However, many of the included studies are small so teh quality of the evidence is low.
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54 patients with temporomandibular joint (TMJ) arthralgia were randomised to recieve either methylprednisolone or saline to reduce pain. Findings suggest no difference in TMJ pain
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This review the prevalence of degenerative joint disease (DJD) of the temporomandibular joints included 32 studies only 6 being considered at low risk of bias. While a high prevalence of DJD was seen in patients with juvenile idiopathic arthritis and rheumatoid arthritis the findings should be viewed cautiously.
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This review of the prevalence of tinnitus in patients with temporomandibular disorders (TMDs) included 25 studies finding a higher prevalence of tinnitus in patients with TMDs . Patients with TMD had a median prevalence of 42% compared with 12% in control groups.
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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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