Evaluation of the Effectiveness of Biobehavioral Therapy in the Treatment of Temporomandibular Disorders: A Literature Review

  title={Evaluation of the Effectiveness of Biobehavioral Therapy in the Treatment of Temporomandibular Disorders: A Literature Review},
  author={Bruno Orlando and Daniele Manfredini and Giovanni Salvetti and Mario Bosco},
  journal={Behavioral Medicine},
  pages={101 - 118}
Temporomandibular disorders (TMDs) involve a heterogeneous group of clinical conditions affecting the stomatognathic system and its related structures. Because the etiology of these disorders is still unclear, a wide range of therapeutic solutions has been proposed in the literature, including occlusal appliances, physical therapies, drugs, and biobehavioral modalities. Biobehavioral therapy could have a beneficial effect in the treatment of TMDs because of the reportedly high prevalence of… 

The management of temporomandibular disorder using occlusal splint therapy and bio-behavioral therapy

A multidisciplinary model that includes patient awareness and self-care, cognitive behavioral intervention, occlusal splint therapy (OST) is endorsed for the management of most patients.

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

The treatment is structured in a multi-modal approach based on a biobehavioral approach that includes medical, physiotherapeutic, psychological, and dental treatments and a new biobeHavioral model regarding pain perception and motor behavior for the diagnosis and treatment of patients with painful TMD is proposed.

Management and Treatment of Temporomandibular Disorders: A Clinical Perspective

  • E. WrightS. North
  • Medicine, Psychology
    The Journal of manual & manipulative therapy
  • 2009
A listing of situations when practitioners should consider referring TMD patients to a physical therapist can be provided to the practitioners in each physical therapist's region.

Managing temporomandibular disorders (TMD) by integrating exercise therapy into therapeutic patient educational programs: why, when, how?

Easy to set up, this exercise therapy helps patients suffering from temporomandibular disorders to become partners in the conduct of their treatment plan of reducing pain and restoring functional comfort.

Effectiveness of Counseling on Chronic Pain Management in Patients with Temporomandibular Disorders.

Couning seems to significantly improve pain and OHRQoL in patients, and the Oral Health Impact Profile was used to assess the impact of pain on OHRZoL.

Temporomandibular disorders: improving outcomes using a multidisciplinary approach

This review exposes the treatments available from a clinical-scientific perspective and also emphasizes the importance of working in specialized units with those professionals who have competencies on the different conditions that may occur.

Temporomandibular disorders. Part 2: conservative management

Clinicians should utilize examination findings to design rehabilitation programs that focus on addressing patient-specific impairments, and management options should address both symptom reduction and oral function.

Breathing and temporomandibular joint disease.

  • J. Bartley
  • Medicine, Psychology
    Journal of bodywork and movement therapies
  • 2011


. Temporomandibular disorders (TMD) are biological conditions that involve signs and symptoms, such as chronic pain in the temporomandibular joint and mastication muscles. This study aimed to

Management of Temporomandibular Joint Dysfunction Syndrome: An Overview

Although a few patients are seeking treatment, but the prevalence of TMD is high in developed societies, the causes are numerous and include trauma, systemic, iatrogenic, occlusal and mental health disorder.



Long-Term Efficacy of Biobehavioral Treatment of Temporomandibular Disorders

The combined biofeedback and CBST treatment produced the most comprehensive improvements across all outcome measures, demonstrating the heuristic value of adopting a biopsychosocial perspective to the assessment and treatment of chronic medical/dental disorders such as TMD.

The role of psychosocial factors in temporomandibular disorders

This article reviews recent studies on epidemiology, sex differences, pediatric TMD, classification systems, comparisons to other chronic pain disorders, psychological assessment, depression, central modulation and hypervigilance, sleep disturbances, stress, and the management of TMD by conservative physical interventions and cognitive behavioral therapy.

Nonpharmacologic approaches to the management of myofascial temporomandibular disorders

Data is presented from recent clinical trials showing that treatment-matching approaches tailoring psychological and educational treatments to psychosocial profiles, delivered concurrent with usual dental care, results in greater and more sustained improvement than usual dentist care alone.

A critical review on the importance of psychological factors in temporomandibular disorders.

The need for controlled trials which, regardless of the causality of TMD-psychic disorders associations, definitively evaluate the efficacy of the various psychotherapy modalities proposed is underlined.

Medical hypnosis for temporomandibular disorders: treatment efficacy and medical utilization outcome.

  • E. P. SimónD. M. Lewis
  • Medicine, Psychology
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
  • 2000
Statistical analysis of this open trial suggests that medical hypnosis is a potentially valuable treatment modality for TMD, in terms of reducing both symptoms and medical use.

The Relative Efficacy of Three Cognitive-Behavioral Treatment Approaches to Temporomandibular Disorders

Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not.

Temporomandibular joint disfunction syndrome and myofascial pain dysfunction syndrome: a critical review.

A discussion of the symptoms which comprise each of these syndromes and the proposed physiological mechanisms associated with each symptom is presented and methodological considerations involving classification, assessment and treatment issues are presented.

A cognitive-behavioral approach to temporomandibular dysfunction treatment failures: a controlled comparison.

Treatment had its greatest impact on improving mood, especially anxiety; however, there were some effects on the patients' experiences of pain.