The feasibility of a clinical trial of pain related to temporomandibular muscle and joint disorders: The results of a survey from the Collaboration on Networked Dental and Oral Research dental practice-based research networks

for the Group CONDOR

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17 Scopus citations

Abstract

Background The authors conducted a survey to characterize the strategies used by general dentists to manage pain related to temporomandibular muscle and joint disorders (TMJDs) and to assess the feasibility of conducting a randomized controlled trial (RCT) to determine the effectiveness of these strategies. Methods Dentists from three dental practice-based research networks (PBRNs) (The Dental Practice-Based Research Network, Practitioners Engaged in Applied Research and Learning Network and Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry) agreed to participate in this survey. Results Of 862 dentists surveyed, 654 were general dentists who treated TMJDs; among these, 80.3 percent stated they would participate in a future RCT. Dentists treated an average of three patients with TMJD-related pain per month. Splints or mouthguards (97.6 percent), self-care (85.9 percent) and over-the-counter or prescribed medications (84.6 percent) were the treatments most frequently used. The treatments dentists preferred to compare in an RCT were splint or mouthguard therapy (35.8 percent), self-care (27.4 percent) and medication (17.0 percent). Conclusions Most general dentists treat TMJD-related pain, and initial reversible care typically is provided. It is feasible to conduct an RCT in a dental PBRN to assess the effectiveness of splint or mouthguard therapy, self-care or medication for the initial management of painful TMJD. Clinical Implications There is an opportunity to do an RCT in a dental PBRN, which could lead to the development of evidence-based treatment guidelines for the initial treatment of TMJD-related pain by primary care dentists.

Original languageEnglish (US)
Pages (from-to)e01-e10
JournalJournal of the American Dental Association
Volume144
Issue number1
DOIs
StatePublished - Jan 2013

Bibliographical note

Funding Information:
This study was funded by grants U01-DE-16746, U01-DE-16747, U01-DE-16750, U01-DE-16752, U01-DE-16754, U01-DE-16755 and U19-DE-22516 from the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Md.

Publisher Copyright:
© 2013 American Dental Association

Keywords

  • Temporomandibular muscle and joint disorders
  • medications
  • practice-based research network
  • self-care
  • splint
  • survey
  • temporomandibular disorders

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