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Dentistry Journal
Special Issues
Management of Temporomandibular Disorders
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Management of Temporomandibular Disorders

A special issue of Dentistry Journal (ISSN 2304-6767).

Deadline for manuscript submissions: closed (30 April 2025) | Viewed by 4999

Special Issue Editors

Prof. Dr. Aneta Wieczorek

E-Mail Website
Guest Editor
Department of Prosthodontics and Orthodontics, Faculty of Medicine, Jagiellonian University Medical College, 31-007 Kraków, Poland
Interests: ketogenic diet; fatigue; headache; migraine; denture; edentulous patients; EMG; geriatrics; inflammation of oral mucosa; occlusion; Physiology; physiology of oral cavity; stomatognathic system; stomatitis prothetica; temporomandibular disorder
Prof. Dr. Camillo D'Arcangelo

E-Mail Website
Guest Editor
Cattedra di Odontoiatria Restaurativa, “G. d’Annunzio” University of Chieti–Pescara, 66100 Chieti, Italy
Interests: dental implant; tooth diseases; enamels; titanium tetrafluoride; lithia disilicate; steatite; ips emax press
Prof. Dr. Danuta Lietz-Kijak

E-Mail Website
Guest Editor
Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland
Interests: muscle function; rehabilitation; musculoskeletal disorders; physical rehabilitation; movement analysis; biomechanics; posture; postural balance; kinesiology; neurorehabilitation; temporomandibular disorders; facial pain; stomatognathic system; stomatognathic physiotherapy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In the 21st century, dentists often meet with patients suffering from ailments of the stomatognathic system and the surrounding tissues of the head and neck, which they can face challenges in diagnosing and treating. These problems often come from the myofascial and joint systems. They are usually the result of long-term stress, patients' mental problems, and untreated or inadequately treated malocclusion. Often, the treatment of a patient requires the cooperation of a dentist and a physiotherapist in such cases. The Special Issue aims to bring together multidisciplinary approaches to the dysfunction of temporomandibular disorders and myofascial disorders in a basic and clinical aspect. We hope that the current views in this issue will allow us to assess diagnostic and therapeutic perspectives and develop and familiarize ourselves with new research related to multidisciplinary viewpoints.

Medicine, dentistry, and physiotherapy are interdisciplinary sciences that seek solutions to facilitate diagnosis, accelerate treatment, and postoperative rehabilitation. The need to eliminate pain and conduct effective anti-inflammatory and regenerative treatment prompts doctors to use the achievements of new research fields, such as physical diagnostics, physiotherapy, and rehabilitation. Physical medicine is becoming more and more common in medical diagnosis and therapy. It is not an alternative to essential clinical or pharmacological treatment. However, we can use it to facilitate diagnosis, speed up treatment, and eliminate complications.

Potential topics include, but are not limited to, the following:

  • TMD;
  • Temporomandibular and myofascial disorders;
  • Diagnosis of temporomandibular disorders;
  • Innovative treatment of temporomandibular disorders;
  • Alternative methods of reducing myofascial pain;
  • Multispecialty therapies used in the treatment and rehabilitation of head and neck disorders;
  • Physical diagnostics with particular emphasis on X-ray diagnostics;
  • X-ray diagnostics;
  • Interdisciplinary physiotherapy;
  • Relationship between disorders of the masticatory system and dysfunctions within other systems and organs;
  • Association of masticatory system disorders with general diseases and/or taking medications for these diseases.

Prof. Dr. Aneta Wieczorek
Prof. Dr. Camillo D'Arcangelo
Prof. Dr. Danuta Lietz-Kijak
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Dentistry Journal is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • temporomandibular disorders (TMDs)
  • malocclusion
  • masticatory system
  • head and neck disorders
  • multispecialty therapies

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Published Papers (3 papers)

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15 pages, 1454 KiB  
Article
A Thermal Imaging Camera as a Diagnostic Tool to Study the Effects of Occlusal Splints on the Elimination of Masticatory Muscle Tension
by Danuta Lietz-Kijak, Adam Andrzej Garstka, Lidia Szczucka, Roman Ardan, Monika Brzózka-Garstka, Piotr Skomro and Camillo D’Arcangelo
Dent. J. 2025, 13(7), 313; https://doi.org/10.3390/dj13070313 - 11 Jul 2025
Viewed by 156
Abstract
Medical Infrared Thermography (MIT) is a safe, non-invasive technique for assessing temperature changes on the skin’s surface that may reflect pathological processes in the underlying tissues. In temporomandibular joint disorders (TMDs), which are often associated with reduced mobility and muscle overactivity, tissue metabolism [...] Read more.
Medical Infrared Thermography (MIT) is a safe, non-invasive technique for assessing temperature changes on the skin’s surface that may reflect pathological processes in the underlying tissues. In temporomandibular joint disorders (TMDs), which are often associated with reduced mobility and muscle overactivity, tissue metabolism and blood flow may be diminished, resulting in localized hypothermia. Aim: The purpose of this study was to evaluate muscle tone in the masseter, suprahyoid, and sternocleidomastoid muscles following the application of two types of occlusal splints, a Michigan splint and a double repositioning splint, based on temperature changes recorded using a Fluke Ti401 PRO thermal imaging camera. Materials and Methods: Sixty dental students diagnosed with TMDs were enrolled in this study. After applying the inclusion and exclusion criteria, participants were randomly assigned to one of two groups. Group M received a Michigan splint, while group D was treated with a double repositioning splint. Results: The type of occlusal splint influenced both temperature distribution and muscle tone. In the double repositioning splint group, temperature decreased by approximately 0.8 °C between T1 and T3, whereas in the Michigan splint group, temperature increased by approximately 0.7 °C over the same period. Conclusions: Occlusal splint design has a measurable impact on temperature distribution and muscle activity. The double repositioning splint appears to be more effective in promoting short-term muscle relaxation and may provide relief for patients experiencing muscular or myofascial TMD symptoms. Full article
(This article belongs to the Special Issue Management of Temporomandibular Disorders)
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12 pages, 537 KiB  
Article
Temporomandibular Disorders: Management of Diagnostics and Therapy in the Context of Orthodontic Treatment—A Survey Among German Orthodontists
by Tobias Klur, Sara Portegys, Isabelle Graf, Sven Scharf, Bert Braumann and Teresa Kruse
Dent. J. 2025, 13(4), 167; https://doi.org/10.3390/dj13040167 - 17 Apr 2025
Viewed by 533
Abstract
Background/Objectives: To evaluate the role of temporomandibular disorder (TMD)-related diagnostics in orthodontic treatment routines and investigate what consequences are drawn from symptoms concerning orthodontic treatment planning and therapy. Methods: All officially listed orthodontists in Germany were surveyed about their professional background, [...] Read more.
Background/Objectives: To evaluate the role of temporomandibular disorder (TMD)-related diagnostics in orthodontic treatment routines and investigate what consequences are drawn from symptoms concerning orthodontic treatment planning and therapy. Methods: All officially listed orthodontists in Germany were surveyed about their professional background, TMD-related specialization, and concrete clinical procedures. Anonymized responses were systematized, manually checked, and statistically analyzed. Differences in reported TMD-related procedures depending on orthodontists’ professional experience and specialization were determined using Fisher’s exact tests. Results: A total of 2359 questionnaires were sent out, of which 630 could be evaluated. The majority of the orthodontists surveyed stated that they perform either a brief TMD screening or a complete functional analysis. In total, 21.1% of the respondents base their examination on the patient’s medical history. A second complete functional analysis is performed by 33% of the responding orthodontists during the course of orthodontic therapy, and by 56.6% only in the case of an initial pathological finding. For 60.1% of the respondents, pre-therapeutically diagnosed, non-painful temporomandibular joint clicking has an influence on orthodontic treatment planning. Only 4.3% of respondents take no further action prior to orthodontic therapy in the case of TMD symptoms. There is an indication that professional experience has no influence on the procedure, whereas a specialization in the field of TMDs does. Conclusions: A discrepancy between the current state of research and standard procedures in German orthodontic practices may lead to an overly detailed examination. However, this has no health disadvantages for the patient. Full article
(This article belongs to the Special Issue Management of Temporomandibular Disorders)
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Other

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15 pages, 1361 KiB  
Systematic Review
Manual Therapy Techniques Versus Occlusal Splint Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis
by Víctor Villar-Aragón-Berzosa, Esteban Obrero-Gaitán, Miguel Ángel Lérida-Ortega, María del Carmen López-Ruiz, Daniel Rodríguez-Almagro, Alexander Achalandabaso-Ochoa, Francisco Javier Molina-Ortega and Alfonso Javier Ibáñez-Vera
Dent. J. 2024, 12(11), 355; https://doi.org/10.3390/dj12110355 - 1 Nov 2024
Cited by 3 | Viewed by 3599
Abstract
Background: Manual therapy (MT) and occlusal splint therapy (OST) are the most conservative therapies applied on patients with temporomandibular disorders (TMDs). The aim was to compare the efficacy of MT vs. OST in improving pain, maximal mouth opening (MMO), disability, and health related-quality [...] Read more.
Background: Manual therapy (MT) and occlusal splint therapy (OST) are the most conservative therapies applied on patients with temporomandibular disorders (TMDs). The aim was to compare the efficacy of MT vs. OST in improving pain, maximal mouth opening (MMO), disability, and health related-quality of life (hr-QoL) in these patients. Methods: According to PRISMA guidelines, a meta-analysis (CRD42022343915) was conducted including randomized controlled trials comparing the effectiveness of MT vs. OST in TMD patients, after searching in PubMed, PEDro, SCOPUS, and WOS up to March 2024. Methodological quality and risk of bias were assessed using the PEDro Scale. Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI) were the pooled effect measures calculated. Results: Nine studies, providing data from 426 patients, were included. Meta-analyses revealed that MT is more effective than OST in reducing disability (SMD = −0.81; 95% CI −1.1 to −0.54) and increasing MMO (SMD = 0.52; 95% CI 0.27 to 0.76) without differences for improving pain intensity and hr-QoL. Subgroup analyses revealed the major efficacy of OST in reducing pain in myogenic patients (SMD = 0.65; 95% CI 0.02 to 1.28). Conclusions: With caution, due to the low number of studies included, MT may be more effective than OST for improving disability and MMO in patients with TMDs. Full article
(This article belongs to the Special Issue Management of Temporomandibular Disorders)
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