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Temporomandibular disorders – review of evidence-based management and a proposed multidisciplinary care pathway

Accepted version
Peer-reviewed

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Type

Article

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Authors

Patel, Krupali 
Watt-Smith, Stephen 
Cascarini, Luke 
Larkin, Maeve 

Abstract

Temporomandibular disorders (TMDs) are a prevalent, but complex group of conditions that cause orofacial pain. TMDs are recognized as one of the most common chronic pain conditions alongside back pain and headache disorders. Given the presence of competing theories surrounding what causes TMDs and limited high equality evidence on how to optimally treat TMDs, clinicians often encounter challenges in developing an effective management plan for patients. Furthermore, patients will often seek advice from multiple healthcare providers from varying specialties, seeking curative management, often resulting in inappropriate treatments and no improvement in pain symptoms.

Through this review we explore the existing evidence base surrounding the pathophysiology, diagnosis and management of TMDs. An existing United Kingdom based multidisciplinary care pathway for the management of TMD is described, highlighting the benefits of a multidisciplinary approach to patient care for TMDs.

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Keywords

Humans, Critical Pathways, Temporomandibular Joint Disorders, Facial Pain, United Kingdom

Journal Title

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics

Conference Name

Journal ISSN

2212-4403
2212-4411

Volume Title

Publisher

Elsevier