TY - JOUR
T1 - Management of painful temporomandibular disorders
T2 - Methods and overview of The National Dental Practice-Based Research Network prospective cohort study
AU - National Dental Practice-Based Research Network Collaborative Group
AU - Velly, Ana Miriam
AU - Anderson, Gary C.
AU - Look, John O.
AU - Riley, Joseph L.
AU - Rindal, D. Bradley
AU - Johnson, Kimberly
AU - Wang, Qi
AU - Fricton, James
AU - Huff, Kevin
AU - Ohrbach, Richard
AU - Gilbert, Gregg H.
AU - Schiffman, Eric
N1 - Publisher Copyright:
© 2022 American Dental Association
PY - 2022/2
Y1 - 2022/2
N2 - Background: Patients often seek consultation with dentists for temporomandibular disorders (TMDs). The objectives of this article were to describe the methods of a large prospective cohort study of painful TMD management, practitioners’ and patients’ characteristics, and practitioners’ initial treatment recommendations conducted by The National Dental Practice-Based Research Network (the “network”). Methods: Participating dentists recruited into this study treated patients seeking treatment for painful TMDs. The authors developed self-report instruments based on well-accepted instruments. The authors collected demographics, biopsychosocial characteristics, TMD symptoms, diagnoses, treatments, treatment adherence, and painful TMDs and jaw function outcomes through 6 months. Results: Participating dentists were predominately White (76.8%) and male (62.2%), had a mean age of 52 years, and were general practitioners (73.5%) with 23.8% having completed an orofacial pain residency. Of the 1,901 patients with painful TMDs recruited, the predominant demographics were White (84.3%) and female (83.3%). Patients’ mean age was 44 years, 88.8% self-reported good to excellent health, and 85.9% had education beyond high school. Eighty-two percent had pain or stiffness of the jaw on awakening, and 40.3% had low-intensity pain. The most frequent diagnoses were myalgia (72.4%) and headache attributed to TMDs (51.0%). Self-care instruction (89.4%), intraoral appliances (75.4%), and medications (57.6%) were recommended frequently. Conclusions: The characteristics of this TMD cohort include those typical of US patients with painful TMDs. Network practitioners typically managed TMDs using conservative treatments. Practical Implications: This study provides credible data regarding painful TMDs and TMD management provided by network practitioners across the United States. Knowledge acquired of treatment recommendations and patient reports may support future research and improve dental school curricula.
AB - Background: Patients often seek consultation with dentists for temporomandibular disorders (TMDs). The objectives of this article were to describe the methods of a large prospective cohort study of painful TMD management, practitioners’ and patients’ characteristics, and practitioners’ initial treatment recommendations conducted by The National Dental Practice-Based Research Network (the “network”). Methods: Participating dentists recruited into this study treated patients seeking treatment for painful TMDs. The authors developed self-report instruments based on well-accepted instruments. The authors collected demographics, biopsychosocial characteristics, TMD symptoms, diagnoses, treatments, treatment adherence, and painful TMDs and jaw function outcomes through 6 months. Results: Participating dentists were predominately White (76.8%) and male (62.2%), had a mean age of 52 years, and were general practitioners (73.5%) with 23.8% having completed an orofacial pain residency. Of the 1,901 patients with painful TMDs recruited, the predominant demographics were White (84.3%) and female (83.3%). Patients’ mean age was 44 years, 88.8% self-reported good to excellent health, and 85.9% had education beyond high school. Eighty-two percent had pain or stiffness of the jaw on awakening, and 40.3% had low-intensity pain. The most frequent diagnoses were myalgia (72.4%) and headache attributed to TMDs (51.0%). Self-care instruction (89.4%), intraoral appliances (75.4%), and medications (57.6%) were recommended frequently. Conclusions: The characteristics of this TMD cohort include those typical of US patients with painful TMDs. Network practitioners typically managed TMDs using conservative treatments. Practical Implications: This study provides credible data regarding painful TMDs and TMD management provided by network practitioners across the United States. Knowledge acquired of treatment recommendations and patient reports may support future research and improve dental school curricula.
KW - National Dental Practice-Based Research Network
KW - Prospective
KW - dental practitioners
KW - temporomandibular disorders
UR - http://www.scopus.com/inward/record.url?scp=85121987965&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85121987965&partnerID=8YFLogxK
U2 - 10.1016/j.adaj.2021.07.027
DO - 10.1016/j.adaj.2021.07.027
M3 - Article
C2 - 34973705
AN - SCOPUS:85121987965
SN - 0002-8177
VL - 153
SP - 144
EP - 157
JO - Journal of the American Dental Association
JF - Journal of the American Dental Association
IS - 2
ER -