This review of botulinum toxin (BTX) for treating temporomandibular disorders identified 5 RCTs involving a total of 117 patients. There was marked heterogeneity between the studies and the therapeutic benefits are unclear. Well reported high quality RCTs are needed.
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This diagnostic test review included 11 studies the majority from 2 research groups. The findings suggest that ultrasonography could be useful for diagnosing anterior disk displacement in patients with temporomandibular disorders.
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This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.
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This new review of low-level laser therapy (LLLT) includes more trials ( 14) that two earlier reviews of this topic. While no improvements in pain were seen with LLT functional improvements were seen. Although 14 studies were included they only 454 patients have been included in studies to date.
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Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.
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Low level laser therapy have been used of musculoskeletal problems and this review looked it is use in temporomandibular disorders. 6 small studies were included and this suggested a small statistical benefit for pain reduction.
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The review compares the effectiveness of arthroscopy and arthrocentesis for temporomandibular joint disorders that do not respond non-surgical approaches. Analysis suggests that arthrocentesis is slightly better but only a small number of small studies are available.
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Juvenile idiopathic arthritis (JIA), also known as juvenile chronic arthritis and juvenile rheumatoid arthritis affects a range of joints. The temporomandibular joint (TMJ) can be the first and only affected joint. In the UK about 1 and 2 in every 10,000 children develop JIA each year. The prevalence of TMJ involvement in JIA patients ranges [read the full story…]
Over the last few days we have been looking at various outcomes from a multicenter trial that compared the outcomes for two different treatment options for the shortened dental arch. The aim of this analysis was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain. As outlined previously [read the full story…]
Temporomandibular joint (TMJ) disc displacement without reduction (DDwoR) is thought to occur in 2-8% of patients with temporomandibular disorders. It can cause TMJ pain and restricted opening and is sometimes referred to as ‘closed lock’. A range of treatment have been tried and the aim of this review, was to investigate the effects of different [read the full story…]
