Abstract
Data sources
The Cochrane Library databases and Medline were searched along with the reference lists of identified articles and The Journal of the American Dental Association, Journal of Orofacial Pain and Journal of Oral Rehabilitation.
Study selection
Controlled clinical trials in which the intervention included the treatment in at least one group with counselling techniques were included. Studies in English, Portuguese or Spanish were considered.
Data extraction and synthesis
A standard data set was retrieved from the articles and a qualitative synthesis was undertaken.
Results
Seven randomised controlled trials involving a total of 489 patients were included. Follow-up periods ranged from four weeks to 12 months. The studies suggested that counselling was able to improve tenderness upon masticatory muscle palpation and maximum mouth opening with and without pain in patients with TMD, with similar results to those of interocclusal appliances approaches.
Conclusions
Although counselling- and self-management-based therapies could be a conservative low-cost and beneficial treatment alternative for treating TMD, with good results for the relief and control of TMD signs and symptoms by improving psychological domains and potentially reducing harmful behaviours, the evidence remains unclear due to the small number of controlled and randomised well-designed clinical trials. Thus, further studies with higher level of evidence and more representative samples should be conducted to validate the performance of this treatment modality.
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References
Alencar F Jr, Becker A . Evaluation of different occlusal splints and counselling in the management of myofascial pain dysfunction. J Oral Rehabil 2009; 36: 79–85.
Truelove E, Huggins KH, Mancl L, Dworkin SF . The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: a randomized controlled trial. J Am Dent Assoc 2006; 137: 1099–1107.
Manfredini D, Favero L, Del Giudice A, Masiero S, Stellini E, Guarda-Nardini L . Axis II psychosocial findings predict effectiveness of TMJ hyaluronic acid injections. Int J Oral Maxillofac Surg 2013; 42: 364–368.
Dworkin SF, Huggins KH, Wilson L, et al. A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program. J Orofac Pain 2002; 16: 48–63.
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Address for correspondence: Rodrigo Falcão Carvalho Porto de Freitas, IFPB – Instituto Federal de Educação, Ciência e Tecnologia da ParaÃba – Campus Campina Grande, Av. Tranquilino C. Lemos, 671 – Dinamérica, CEP 58432-300 – Campina Grande, PB – Brasil. E-mail: rodrigo_fcpf@hotmail.com
de Freitas RF, Ferreira MA, Barbosa GA, Calderon PS. Counselling and self-management therapies for temporomandibular disorders: a systematic review. J Oral Rehabil 2013; 40: 864–874. Sep 18. doi: 10.1111/joor.12098. [Epub ahead of print] PubMed PMID: 24102692.
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Manfredini, D. A better definition of counselling strategies is needed to define effectiveness in temporomandibular disorders management. Evid Based Dent 14, 118–119 (2013). https://doi.org/10.1038/sj.ebd.6400972
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DOI: https://doi.org/10.1038/sj.ebd.6400972
