Temporomandibular Disorders Management—What’s New? A Scoping Review

Author:

Mauro Giovanni1ORCID,Verdecchia Alessio2,Suárez-Fernández Carlota3ORCID,Nocini Riccardo4,Mauro Enrico5ORCID,Zerman Nicoletta46

Affiliation:

1. Department of Medicine and Surgery, Dental Clinic, University of Parma, 43125 Parma, Italy

2. Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy

3. Department of Surgery and Medical-Surgical Specialities, School of Medicine and Health Sciences, University of Oviedo, 33003 Oviedo, Spain

4. Department of Surgical Science, Dentistry, Pediatrics and Gynecology, University of Verona, 37134 Verona, Italy

5. Faculty of Medicine, University of Milano, 20122 Milano, Italy

6. Pediatric Dentistry and Oral Hygiene Unit, IRCCS Sacro Cuore-Don Calabria Hospital, 37024 Negrar di Valpolicella, Italy

Abstract

Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.

Publisher

MDPI AG

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