ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Topical Administration of Diclofenac is as Effective as Systemic Administration in Alleviating Ailments of Temporomandibular Joint Disorder |
| Clinical Question |
In a patient suffering from Temporomandibular Joint Disorder, is topical administration of treatment as effective when compared to systemic administration of treatment in alleviating ailments? |
| Clinical Bottom Line |
Topical administration of diclofenac is as effective as systemic administration in alleviating ailments of temporomandibular joint disorder. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 15871609 | Di Rienzo/2004 | 36 adult patients diagnosed with dysfunction of the TMJ | RCT | | Key results | Topical administration of diclofenac was as effective as systemic administration in treatment of temporomandibular joint disorder syndromes with no significant difference (p < 0.05) based on reported VAS scores. | |
| Evidence Search |
("Temporomandibular Joint Disorders"[Mesh]) AND "Diclofenac"[Mesh] |
Comments on
The Evidence |
Only 1 relevant article available and the article is a RCT which is near the top of the evidence pyramid. |
| Applicability |
From the available evidence, it appears beneficial for patients to receive topical treatments for relief of syndromes associated with temporomandibular joint disorder as an alternative to systemic treatment. |
| Specialty/Discipline |
(General Dentistry) |
| Keywords |
Temporomandibular joint, temporomandibular disorders, topical treatment, systemic treatment, diclofenac, drug therapy, TMD therapy
|
| ID# |
2225 |
| Date of submission: |
04/13/2012 |
| E-mail |
pickei@livemail.uthscsa.edu |
| Author |
Ross Pickei |
| Co-author(s) |
|
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Edward F. Wright, DDS, MS |
| Faculty mentor/Co-author e-mail |
WRIGHTE2@UTHSCSA.EDU |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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