ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title No Controlled Studies Comparing Neuromuscular Full-Mouth Rehabilitation To Conservative Therapy For TMD
Clinical Question In patients with chronic temporomandibular disorder pain (TMD), will full-mouth rehabilitation using “neuromuscular principles” be more effective than conservative therapy in reducing patients’ pain?
Clinical Bottom Line As of March 2011, there appear to be no controlled studies comparing full-mouth rehabilitation using neuromuscular principles to conservative therapy for TMD. (See Comments on the CAT below)
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)
Evidence Search Searched PubMed for: "Temporomandibular Joint Disorders"[Mesh] AND "Mouth Rehabilitation"[Mesh] Also, free text searched PubMed for: neuromuscular [All Fields] AND ("dentistry"[MeSH Terms] OR "dentistry"[All Fields]) AND TMD[All Fields]
Comments on
The Evidence
Patient testimonials have been published online that support full-mouth rehabilitation using neuromuscular principles; however, there is a lack of controlled studies comparing this treatment to conservative therapy.
Applicability This information applies to TMD patients and dentists who are considering full-mouth rehabilitation using neuromuscular principles to treat chronic temporomandibular disorder pain. Given the great costs of full-mouth rehabilitation, there is need to know if this treatment is more effective than conservative therapy involving exercise, medications and intraoral appliances. As stated in clinical bottom line section, there has been no research comparing the effectiveness of neuromuscular full-mouth rehabilitation to less expensive and non-invasive conservative therapy.
Specialty/Discipline (General Dentistry) (Prosthodontics)
Keywords Temporomandibular joint disorder, full-mouth rehabilitation, neuromuscular dentistry
ID# 801
Date of submission: 03/15/2011spacer
E-mail hanjy@livemail.uthscsa.edu
Author Ji Youn Han
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author John D. Rugh, PhD
Faculty mentor/Co-author e-mail rugh@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?)
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None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Aimee Villamayor and Benjamin Pass (San Antonio, TX) on 08/27/2013
We searched PubMed for a controlled study comparing neuromuscular full-mouth rehabilitation to conservative TMD therapy. A study published in the International Journal of Prosthodontics in 2005 found a significant different "perceived maloclussion" and "other-teeth related signs" of TMD following full mouth rehabilitation (PMID: 16353470). However, the clinical study lacked a control group for comparison. The existing CAT remains accurate in its conclusion.
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