Can surgery be the last resort? A non surgical approach to temporo-mandibular joint disorders in children and adolescents: a review

Mylavarapu Krishna Sagar; Priyanka Tiwari; Priyanka Tiwari; Juhi Lohiya; Juhi Lohiya; Christopher Vinay Shinde; Christopher Vinay Shinde; Suyog Jain; Suyog Jain

doi:10.18203/2394-6040.ijcmph20213049

Authors

Mylavarapu Krishna Sagar Department of Pediatric and Preventive Dentistry, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Priyanka Tiwari Department of Periodontology, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Priyanka Tiwari Department of Periodontology, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Juhi Lohiya Department of Public Health Dentistry, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Juhi Lohiya Department of Public Health Dentistry, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Christopher Vinay Shinde Department of Oral Medicine and Radiology, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Christopher Vinay Shinde Department of Oral Medicine and Radiology, People’s Dental Academy, Bhopal, Madhya Pradesh, India
Suyog Jain Department of Pediatric and Preventive Dentistry, Maitri College of Dentistry and Research Centre, Bhilai, Chhattisgarh, India
Suyog Jain Department of Pediatric and Preventive Dentistry, Maitri College of Dentistry and Research Centre, Bhilai, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213049

Keywords:

Temporo mandibular joint, Temporo mandibular disorder, Non-surgical therapy

Abstract

Temporo-mandibular joint disorder, also known as temporo-mandibular disorder, or simply TMD is a major taxing condition for the children or the adolescent. It not only elicits physical pain and discomfort but also has a very deep psychological impact on the child. But is the surgical treatment any less frustrating and nerve wrecking? The answer is ruefully no. But yes, the entire treatment can be less traumatic to the patient. Here we put forward the various treatment options for TMDs besides surgery.

Metrics

Metrics Loading ...

References

Sagar M. Temporomandibular disorders in adolescents. Int J Dent Health Sci. 2020;7(1):125-32.

Scrivani SJ, Khawaja SN, Bavia PF. Nonsurgical management of pediatric temporomandibular joint dysfunction. Oral Maxillofac Surg Clin. 2018;30(1): 35-45.

Dworkin SF. Behavioral and educational modalities. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1997;83(1):128-33.

Wahlund K, Nilsson IM, Larsson B. Treating temporomandibular disorders in adolescents: a randomized, controlled, sequential comparison of relaxation training and occlusal appliance therapy. J Oral Facial Pain Headache. 2015;29(1):45-53.

Gardea MA, Gatchel RJ, Mishra KD. Long-term efficacy of biobehavioral treatment of temporomandibular disorders. J Behav Med. 2001; 24(4):341-59.

Tuncer AB, Ergun N, Tuncer AH, Karahan S. Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodywork Movement Ther. 2013;17(3):302-8.

Armijo-Olivo S, Pitance L, Singh V, Neto F, Thie N, Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Physical Ther. 2016;96(1):9-25.

Madani AS, Mirmortazavi A. Comparison of threetreatment options for painful temporomandibular joint clicking. J Oral Sci. 2011;53(3):349-54.

Mina R, Melson P, Powell S, et al. Effectiveness of dexamethasone iontophoresis for temporomandib- ular joint involvement in juvenile idiopathic arthritis. Arthritis Care Res (Hoboken). 2011; 63(11):1511-6.

Fikackova H, Dostalova T, Navratil L. Effectiveness of low-level laser therapy in temporo-mandibular joint disorders: a placebo-controlledstudy. Photomed Laser Surg. 2007;25(4):297-303.

Ucar M, Sarp U, Koca I. Effectiveness of a home exercise program in combination with ultra-sound therapy for temporomandibular joint disor-ders. J Phys Ther Sci. 2014;26(12):1847-9.

Klasser GD, Greene CS. Oral appliances in the management of temporo-mandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(2):212-23.

Fricton J, Look JO, Wright E, et al. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporo-mandibular disorders. J Orofac Pain. 2010; 24(3):237-54.

Truelove E, Huggins KH, Mancl L. The efficacy of traditional, low-cost and non splint therapies for temporomandibular disorder: a randomized controlled trial. J Am Dental Assoc. 2006;137(8):1099-107.

Dworkin SF, Turner JA, Mancl L. A randomized clinical trial of a tailored comprehensive care treat-ment program for temporomandibular disorders. J Orofac Pain. 2002;16(4):259-76.

Jokstad A, Mo A, Krogstad BS. Clinical comparison between two different splint designs for temporo-mandibular disorder therapy. Acta Odontol Scand. 2005;63(4):218-26.

American academy of pediatric dentistry. Acquired temporomandibular disorders in infants, children, and adolescents. In: The reference manual of pediatric dentistry. Chicago: American Academy of Pediatric Dentistry Press; 2020:410-7.

Hammer MR, Kanaan Y. Imaging of the pediatric TMJ. Oral Maxillofacial Surg Clin North Am. 2018; 30(1):25-34.