RESEARCH PAPER
Osteopathy treatment of temporomandibular joint dysfunction in young teens
1
Department of Rehabilitation and Biological Regeneration, Institute of Health Sciences, Pomeranian University, Słupsk, Poland
Corresponding author
Jakub Pawłowski
Department of Rehabilitation and Biological Regeneration, Institute of Health Sciences, Pomeranian University, Arciszewskiego 22A, 76-200 Słupsk, Poland
Department of Rehabilitation and Biological Regeneration, Institute of Health Sciences, Pomeranian University, Arciszewskiego 22A, 76-200 Słupsk, Poland
J Pre Clin Clin Res. 2024;18(4):299-302
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Pain symptoms of the temporomandibular joint constitute a challenge for clinicians as well as patients having to cope with this issue. Presently, there are no clear cut factors that could cause TMD in children and youths. The differentiation of the diagnostic significance of symptoms of TMD constitutes an ever greater challenge in dental and orthodontic treatment. The manual procedure used in the treatment of diseases of the musculoskeletal systems, as well as in temporomandibular diseases (TMD), seems to be promising, although at present there is no high-quality proof that would indicate the efficacy of this therapy
Material and methods:
30 young teens transferred to osteopathic specialists due to pain diseases of the TMJ, and subjected to treatment using osteopathic therapy. Assessment of symptoms related to the TMJ was by the TMJ Symptom intensity scale (SIS) and the TMJ Symptom Frequncy Scale (SFS), constituting modifications of the Steigerwald/ Maher questionnaire
Results:
Statistically significant improvement was found in the most severe cases (p=0.0032) and usual (p=0.0007) jaw pain. Improvements were also found for painful jaw clicking (most severe p=0.0076 and usual p=0.0220). The intensity of the jaw-locking symptom on a daily basis was the same, but the greatest intensity of locking decreased (p=0.0077). A beneficial effect was found for osteopathic intervention on jaw pain (p=0.0207), painful jaw clicking (p=0.0011) and headaches (p=0.0122).
Conclusions:
1) Osteopathic therapy positively influences the reduction of pain in the TMJ in children aged 12–14 years. 2) Osteopathic techniques positively influence the reduction of occurring pain symptoms of the head in TMD.
Pain symptoms of the temporomandibular joint constitute a challenge for clinicians as well as patients having to cope with this issue. Presently, there are no clear cut factors that could cause TMD in children and youths. The differentiation of the diagnostic significance of symptoms of TMD constitutes an ever greater challenge in dental and orthodontic treatment. The manual procedure used in the treatment of diseases of the musculoskeletal systems, as well as in temporomandibular diseases (TMD), seems to be promising, although at present there is no high-quality proof that would indicate the efficacy of this therapy
Material and methods:
30 young teens transferred to osteopathic specialists due to pain diseases of the TMJ, and subjected to treatment using osteopathic therapy. Assessment of symptoms related to the TMJ was by the TMJ Symptom intensity scale (SIS) and the TMJ Symptom Frequncy Scale (SFS), constituting modifications of the Steigerwald/ Maher questionnaire
Results:
Statistically significant improvement was found in the most severe cases (p=0.0032) and usual (p=0.0007) jaw pain. Improvements were also found for painful jaw clicking (most severe p=0.0076 and usual p=0.0220). The intensity of the jaw-locking symptom on a daily basis was the same, but the greatest intensity of locking decreased (p=0.0077). A beneficial effect was found for osteopathic intervention on jaw pain (p=0.0207), painful jaw clicking (p=0.0011) and headaches (p=0.0122).
Conclusions:
1) Osteopathic therapy positively influences the reduction of pain in the TMJ in children aged 12–14 years. 2) Osteopathic techniques positively influence the reduction of occurring pain symptoms of the head in TMD.
REFERENCES (23)
1.
Chang CL, Wang DH, Yang MC, Hsu WE, Hsu ML. Functional disorders of the temporomandibular joints: Internal derangement of the temporomandibular joint. Kaohsiung J Med Sci. 2018;34:223–30.
2.
De La Torre Canales G, Câmara-Souza MB, Muñoz Lora VRM, Guarda- Nardini L, Conti PCR, Rodrigues Garcia RM, et al. Prevalence of psychosocial impairment in temporomandibular disorder patients: A systematic review. J Oral Rehabil. 2018;45:881–9.
3.
Emshoff R, Bertram F, Schnabl D, Emshoff I. Association Between Chronic Tension-Type Headache Coexistent with Chronic Temporomandibular Disorder Pain and Limitations in Physical and Emotional Functioning: A Case-Control Study. J Oral Facial Pain Headache. 2017;31:55–60.
4.
Mejersjö C, Wänman A, Wenneberg B, Bergström E. Can temporomandibular disorder symptoms and headaches be prevented in 13- to 15-year-old girls by information provided in a school setting? J Oral Rehabil. 2024;51:1730–6.
5.
Ebadian B, Abbasi M, Nazarifar AM. Frequency distribution of temporomandibular disorders according to occlusal factors: A cross-sectional study. Dent Res J (Isfahan). 2020;17:186–92.
6.
Christidis N, Lindström Ndanshau E, Sandberg A, Tsilingaridis G. Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents—A systematic review. J Oral Rehabil. 2019;46:291–301.
7.
Szczepańska J. Disturbances of masticatory system at children and adoloscents – on the basis of literature. Nowa Stomatologia. 2011;2:45–9.
8.
Torsten Liem. Praktyka Osteopatii Czaszkowo-Krzyżowej Tom II Staw skroniowo-żuchwowy. Pierwsze wydanie. Wrocław: MedPharm; 2022.
9.
Steigerwald DP MJH. The Steigerwald/Maher TMD Disability Questionnaire. Today’s Chiro. 1997;26:86–91.
10.
Cuccia AM, Caradonna C, Caradonna D. Manual therapy of the mandibular accessory ligaments for the management of temporomandibular joint disorders. J Am Osteopath Assoc. 2011;111:102–12.
11.
Kui A, Buduru S, Labunet A, Balhuc S, Negucioiu M. Vitamin D and Temporomandibular Disorders: What Do We Know So Far? Nutrients. 2021;13:1286.
12.
Minervini G, Franco R, Crimi S, Di Blasio M, D’Amico C, Ronsivalle V, et al. Pharmacological therapy in the management of temporomandibular disorders and orofacial pain: a systematic review and meta-analysis. BMC Oral Health. 2024;24:78.
13.
Cuccia AM, Caradonna C, Annunziata V, Caradonna D. Osteopathic manual therapy versus conventional conservative therapy in the treatment of temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther [Internet]. 2010;14:179–84. Available from: http://dx.doi.org/10.1016/j.jb....
14.
Parnell Prevost C, Gleberzon B, Carleo B, Anderson K, Cark M, Pohlman KA. Manual therapy for the pediatric population: a systematic review. BMC Complement Altern Med. 2019;19:60.
15.
Hruby RJ. Management of Temporomandibular Disorders: New Opportunities for Osteopathic Medicine? Journal of Osteopathic Medicine. 2019;119:340–1.
16.
Rakesh N, Devi BKY, Patil DJ, Nagi R. Assessment of cervical spine postural disorders in patients with temporomandibular dysfunction: A radiographic evaluation. Oral Radiol. 2014;30:38–44.
17.
Prodoehl J, Kraus S, Buros Stein A. Predicting the number of physical therapy visits and patient satisfaction in individuals with temporomandibular disorder: A cohort study. J Oral Rehabil. 2022;49:22–36.
18.
Fariña R, Canto L, Gunckel R, Alister JP, Uribe F. Temporomandibular Joint Ankylosis: Algorithm of Treatment. Journal of Craniofacial Surgery. 2018;29:427–31.
19.
BROCHADO FT, JESUS LH de, CARRARD VC, FREDDO AL, CHAVES KD, MARTINS MD. Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial. Braz Oral Res. 2018;32.
20.
Lietz-Kijak D, Kopacz Ł, Ardan R, Grzegocka M, Kijak E. Assessment of the Short-Term Effectiveness of Kinesiotaping and Trigger Points Release Used in Functional Disorders of the Masticatory Muscles. Pain Res Manag. 2018;2018:1–7.
21.
Asquini G, Pitance L, Michelotti A, Falla D. Effectiveness of manual therapy applied to craniomandibular structures in temporomandibular disorders: A systematic review. J Oral Rehabil. 2022;49:442–55.
22.
Stelcer B, Sójka-Makowska A, Trzeszczyńska N, Samborska J, Teusz G, Pryliński M, et al. Relationship between attention deficit hyperactivity disorder and temporomandibular disorders in adults: a questionnaire- based report. Eur Rev Med Pharmacol Sci. 2022;26:3858–71.
23.
Aktaş A, Ilgaz F, Serel Arslan S. Dietary intakes of individuals with temporomandibular disorders: A comparative study. J Oral Rehabil. 2023;50:655–63.
| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
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