Dentist Practice Patterns and Therapeutic Confidence in the Treatment of Pain Related to Temporomandibular Disorders in a Dental Practice-Based Research Network

Overview

Journal J Oral Facial Pain Headache

Specialties Dentistry
Neurology
Psychiatry

Date 2017 Apr 25

PMID 28437512

Citations 12

Authors

Naoki Kakudate

Yoko Yokoyama

Futoshi Sumida

Yuki Matsumoto

Valeria V Gordan

Gregg H Gilbert

Ana M Velly

Eric L Schiffman

Affiliations

Soon will be listed here.

Abstract

Aims: To quantify the practice patterns of Japanese dentists in the management of pain related to temporomandibular disorders (TMD) and to identify specific characteristics that are significantly associated with the decision to perform occlusal adjustment for TMD-related pain.

Methods: A cross-sectional study was conducted consisting of a questionnaire survey of dentists affiliated with the Dental Practice-Based Research Network Japan (JDPBRN) (n = 148). Participants were asked how they diagnosed and treated TMD-related pain. Associations between dentist characteristics and the decision to perform occlusal adjustment were analyzed via multiple logistic regression.

Results: A total of 113 clinicians responded to the questionnaire (76% response rate), and 81% of them (n = 89) had treated TMD during the previous year. Dentists treated an average of 1.9 ± 1.8 (mean ± SD) patients with TMD-related pain per month. Most JDPBRN dentists used similar diagnostic protocols, including questions and examinations. The most frequent treatments were splints or mouthguards (96.5%), medications (84.7%), and self-care (69.4%). Occlusal adjustment for TMD-related pain was performed by 58% of the participants. Multiple logistic regression analysis identified two factors significantly associated with the decision to perform occlusal adjustment: dentist lack of confidence in curing TMD-related acute pain (odds ratio [OR] 5.60; 95% confidence interval [CI] 1.260 to 24.861) and proportion of patients with severe TMD-related pain (OR 0.95; 95% CI 0.909 to 0.999).

Conclusion: The most common treatments for TMD-related pain were reversible treatments; however, over half of the dentists performed occlusal adjustment for TMD-related pain. The results of this study suggest that an evidence-practice gap exists for occlusal adjustment for TMD-related pain.

Citing Articles

Comparison of factors associated with the evidence-practice gap as perceived by Japanese and Brazilian dentists.

Kakudate N, Yokoyama Y, Tagliaferro E, Sumida F, Matsumoto Y, Gordan V J Dent. 2024; 149:105255.

PMID: 39079315 PMC: 11381139. DOI: 10.1016/j.jdent.2024.105255.

Prevalence of Temporomandibular Disorders (TMD) in Dental Patients at a Specialized Regional Medical Center in Italy.

Reda B, Contardo L, Vidoni G, El-Outa A Cureus. 2024; 16(5):e60819.

PMID: 38910760 PMC: 11191390. DOI: 10.7759/cureus.60819.

The Evidence-practice Gap in Minimal Intervention Dentistry: An International Comparison Between Dentists in Japan and Brazil.

Kakudate N, Yokoyama Y, Tagliaferro E, Sumida F, Matsumoto Y, Gordan V Oper Dent. 2024; 49(2):127-135.

PMID: 38196080 PMC: 10984213. DOI: 10.2341/23-074-C.

Causes of the Evidence-practice Gap and Its Association with the Effects of Minimal Intervention Dentistry Education to Clinicians.

Yokoyama Y, Kakudate N, Sumida F, Matsumoto Y, Gordan V, Gilbert G Oper Dent. 2023; 48(2):137-145.

PMID: 36745521 PMC: 10792988. DOI: 10.2341/22-012-C.

Short-term Effects of a First-Line Treatment Including Counseling and Self-Management Strategies on Chronic TMD Muscle Pain and Awake Bruxism in Women.

Donnarumma V, Michelotti A, Cimino R, Vollaro S, Cioffi I J Oral Facial Pain Headache. 2022; 36(1):36-48.

PMID: 35298574 PMC: 10586570. DOI: 10.11607/ofph.3037.

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