Study of the Clinical Efficiency of an Interdisciplinary Approach to the Treatment of Orofacial Pain and Temporomandibular Joint Disorders in Patients with Complete or Partial Edentulism

Overview

Journal Eur J Dent

Publisher Thieme

Specialty Dentistry

Date 2020 Aug 11

PMID 32777836

Citations 1

Authors

Fatima Dzalaeva

Sergey Chikunov

Marina Bykova

Mikhail Deev

Mariami Okromelidze

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of this study is to improve the safety and efficiency of prosthodontic treatment of patients with dental defects. It is necessary to perform a comprehensive assessment of the dentofacial system disorders, including the analysis of the features of pain manifestations. This study also supports to improve the efficiency of prosthodontic rehabilitation of patients with complete dental reconstruction on the basis of an assessment of the severity of orofacial pain manifestations.

Materials And Methods: The study was a single-site prospective open nonrandomized study with the examination and treatment of 452 patients (age = 44.3 ± 15.2 years, including 282 men and 170 women) with partial or total edentulism. The patients were divided into two groups: group 1 (control) of 218 patients treated with a standard prosthodontic approach and group 2 (study) of 234 patients treated which the proposed interdisciplinary approach to prosthodontic rehabilitation.

Results: The study establishes higher safety and clinical efficiency of the proposed interdisciplinary approach. The patients undergoing full-mouth reconstruction with the use of the interdisciplinary approach demonstrated statistically significant decrease in the rate of pain in muscles of the maxillofacial area on palpation, pain, and spasms in the neck area, statistically significantly less frequent pains in the temporomandibular joint (TMJ) during chewing, pain during opening and closing the mouth.

Conclusion: The application of the developed comprehensive approach to prosthodontic rehabilitation planning makes it possible to improve essentially the results of treatment at the expense of reduction of pain manifestations in the area of maxillofacial muscles and pain sensations associated with functioning of the TMJ.

Citing Articles

Updating The General Practitioner on The Association Between Teeth Loss and Temporomandibular Disorders: A Systematic Review.

Cunha Feio Leal M, Castro M, Sosthenes M Eur J Dent. 2022; 17(2):296-309.

PMID: 36574784 PMC: 10424267. DOI: 10.1055/s-0042-1757209.

References

Bakke M, Petersson A, Wiesel M, Svanholt P, Sonnesen L . Bony deviations revealed by cone beam computed tomography of the temporomandibular joint in subjects without ongoing pain. J Oral Facial Pain Headache. 2014; 28(4):331-7. DOI: 10.11607/ofph.1255. View

Hu J, Dong Y . [Research progress in occlusal splint therapy for temporomandibular joint disorders]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2019; 54(4):273-277. DOI: 10.3760/cma.j.issn.1002-0098.2019.04.013. View

Milosevic A . Abrasion: A Common Dental Problem Revisited. Prim Dent J. 2017; 6(1):32-36. DOI: 10.1177/205016841700600104. View

Paco M, Chaves P, Pinho F, Lemos C, Costa R, Duarte J . Common symptoms of temporomandibular disorders do not mean same treatment plans: A case series. Int Orthod. 2018; 16(1):174-214. DOI: 10.1016/j.ortho.2018.01.029. View

Saeidi Pour R, Engler M, Edelhoff D, Prandtner O, Frei S, Liebermann A . A patient-calibrated individual wax-up as an essential tool for planning and creating a patient-oriented treatment concept for pathological tooth wear. Int J Esthet Dent. 2018; 13(4):476-492. View

Dolce M, Aghazadeh-Sanai N, Mohammed S, Fulmer T . Integrating oral health into the interdisciplinary health sciences curriculum. Dent Clin North Am. 2014; 58(4):829-43. DOI: 10.1016/j.cden.2014.07.002. View

Tecco S, Marzo G, Crincoli V, Di Bisceglie B, Tete S, Festa F . The prognosis of myofascial pain syndrome (MPS) during a fixed orthodontic treatment. Cranio. 2012; 30(1):52-71. DOI: 10.1179/crn.2012.007. View

Vadivelu N, Mitra S, Schermer E, Kodumudi V, Kaye A, Urman R . Preventive analgesia for postoperative pain control: a broader concept. Local Reg Anesth. 2014; 7:17-22. PMC: 4012350. DOI: 10.2147/LRA.S62160. View

He H, Liu Z . [Risk of temporomandibular joint and its management in orthodontic treatment]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2019; 54(12):808-814. DOI: 10.3760/cma.j.issn.1002-0098.2019.12.004. View

10.

Pascoal A, de Freitas R, da Silva L, Oliveira A, Calderon P . Effectiveness of Counseling on Chronic Pain Management in Patients with Temporomandibular Disorders. J Oral Facial Pain Headache. 2019; 34(1):77–82. DOI: 10.11607/ofph.2163. View

11.

Yau H, Yang T, Chen Y . Tooth model reconstruction based upon data fusion for orthodontic treatment simulation. Comput Biol Med. 2014; 48:8-16. DOI: 10.1016/j.compbiomed.2014.02.001. View

12.

Ghurye S, McMillan R . Orofacial pain - an update on diagnosis and management. Br Dent J. 2017; 223(9):639-647. DOI: 10.1038/sj.bdj.2017.879. View

13.

Giacobbo L, Guimaraes L, Fornazari I, Meda E, Tanaka O . Achieving Better Function through Combining Orthodontics and Restorative Dentistry in the Case of Dental Abrasions. Case Rep Dent. 2019; 2019:8137585. PMC: 6425302. DOI: 10.1155/2019/8137585. View

14.

Kretschmer W, Baciut G, Baciut M, Sader R . Effect of bimaxillary orthognathic surgery on dysfunction of the temporomandibular joint: a retrospective study of 500 consecutive cases. Br J Oral Maxillofac Surg. 2019; 57(8):734-739. DOI: 10.1016/j.bjoms.2019.06.010. View

15.

Balaji S . Bilateral pediatric mandibular distraction for micrognathia with temporomandibular joint ankylosis and sleep apnea. Indian J Dent Res. 2017; 28(5):588-591. DOI: 10.4103/ijdr.IJDR_412_17. View

16.

McSwiney T, Collins J, Bassi G, Khan S . The interdisciplinary management of hypodontia patients in the UK: a national service evaluation. Br Dent J. 2017; 222(1):31-35. DOI: 10.1038/sj.bdj.2017.33. View

17.

Yu C, Abbott P . Responses of the pulp, periradicular and soft tissues following trauma to the permanent teeth. Aust Dent J. 2016; 61 Suppl 1:39-58. DOI: 10.1111/adj.12397. View

18.

Ohrbach R, Dworkin S . The Evolution of TMD Diagnosis: Past, Present, Future. J Dent Res. 2016; 95(10):1093-101. PMC: 5004241. DOI: 10.1177/0022034516653922. View

19.

Fishbain D, Pulikal A, Lewis J, Gao J . Chronic Pain Types Differ in Their Reported Prevalence of Post -Traumatic Stress Disorder (PTSD) and There Is Consistent Evidence That Chronic Pain Is Associated with PTSD: An Evidence-Based Structured Systematic Review. Pain Med. 2016; 18(4):711-735. DOI: 10.1093/pm/pnw065. View

20.

Chung F, Subramanyam R, Liao P, Sasaki E, Shapiro C, Sun Y . High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth. 2012; 108(5):768-75. PMC: 3325050. DOI: 10.1093/bja/aes022. View