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Guest Editor

1. Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain
2. Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain
3. Instituto de Dolor Craneofacial y Neuromusculoesquelético (INDCRAN), Madrid, Spain
Interests: orofacial pain; temporomandibular disorders; headache; chronic pain; pain management; physiotherapy; clinical trials; systematic reviews
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear colleagues,

Orofacial pain, headaches and temporomandibular disorders are complex to manage, and it is a crucial multidisciplinary approach. Regarding the multidisciplinary approach, we should attend to the various dimensions, such as the sensory–motor, cognitive, affective-motivational, and emotional dimensions. Therefore, the management of those dimensions needs to span and include various health professionals (ideally in communication) to be able to provide patients with the best therapeutic interventions in terms of rehabilitation/physiotherapy, pharmacological treatment, psychotherapy, surgery, and others.

In this Special Issue, different but related topics surrounding orofacial pain, headaches and temporomandibular disorders are welcome. Special interest will be given to research regarding assessment, diagnosis, physiopathology and psychological factors of temporomandibular joint pain, myofascial orofacial pain, cranial nerves neuralgia or neuropathic pain (trigeminal, glossopharyngeal and occipital), migraines, tension-type headaches, other headaches and orofacial pain located at the oral structures.

Furthermore, the focus will be on conservative management, non-invasive interventions such as medication, rehabilitation/physiotherapy, manual therapy, exercise, therapeutic education, psychological interventions and other conservative treatments.

Finally, this Special Issue intends to provide the most relevant information on the current state of research approaches that provide the best results for diagnosis and therapeutic interventions for patients with orofacial pain, headaches and TMD, presenting papers either describing original research or reviewing the scientific literature (preferably systematic reviews and original articles).

Prof. Dr. Alba Paris-Alemany
Guest Editor

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Keywords

orofacial pain
temporomandibular disorders
trigeminal neuralgia
myofascial orofacial pain
headache
migraine
TMD
rehabilitation
psychological factors
therapeutic education
conservative intervention

Published Papers (2 papers)

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Research

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Open AccessArticle

Stress Experience, Depression and Neck Disability in Patients with Temporomandibular Disorder—Myofascial Pain with Referral

Krzysztof Dariusz Szarejko

Maria Gołębiewska

Monika Lukomska-Szymanska

and

Joanna Kuć

J. Clin. Med. 2023, 12(5), 1988; https://doi.org/10.3390/jcm12051988 - 02 Mar 2023

Viewed by 534

Abstract

The etiology of temporomandibular disorders (TMDs) is firmly anchored in the biopsychosocial model in which a special role is attributed to the stress, depression, somatic symptoms, and anxiety. The aim of the study was to assess the level of stress, depression and neck disability in patients with temporomandibular disorder—myofascial pain with referral. The study group enrolled 50 people (37 women and 13 men) with complete natural dentition. All the patients underwent a clinical examination according to the Diagnostic Criteria for Temporomandibular Disorders and were diagnosed as individuals with myofascial pain with referral. The questionnaires were associated with stress, depression, and neck disability; Perceived Stress Scale (PSS−10), Beck Depression Inventory(BDI), and Neck Disability Index (NDI) were evaluated. Of the individuals evaluated, 78% showed elevated levels of stress, and the average value of the PSS−10 in the study group was 18 points (Me = 17). Furthermore, 30% of the subjects presented depressive symptoms, with the average value of BDI was 8.94 points (Me = 8), and 82% of the subjects showed neck disability. The multiple linear regression model revealed that BDI and NDI allowed explanations for the 53% differentiation of PSS−10. In conclusion, stress, depression, and neck disability coexist with temporomandibular disorder—myofascial pain with referral. Full article

(This article belongs to the Special Issue New Frontiers in Orofacial Pain, Headaches, Temporomandibular Disorders and Their Conservative Management)

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Review

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Open AccessReview

Effects of Physiotherapy on Pain and Mouth Opening in Temporomandibular Disorders: An Umbrella and Mapping Systematic Review with Meta-Meta-Analysis

Manuel Arribas-Pascual

Sofia Hernández-Hernández

Christian Jiménez-Arranz

Mónica Grande-Alonso

Santiago Angulo-Díaz-Parreño

Roy La Touche

and

Alba Paris-Alemany

J. Clin. Med. 2023, 12(3), 788; https://doi.org/10.3390/jcm12030788 - 18 Jan 2023

Viewed by 868

Abstract

The aim of this meta-meta-analysis was to assess the current evidence regarding the effect of physical therapy (PT) interventions on pain and functional variables in temporomandibular disorders (TMD). We conducted an umbrella systematic review (SR) and four meta-meta-analyses (MMA) and created an evidence map to determine the effectiveness of PT on pain intensity and maximum mouth opening in patients with TMD. The quality of the included SR was assessed with the AMSTAR 2, and the risk of bias with ROBIS. Of the 31 SR included in the umbrella SR, only 10 were included in the MMA. The MMA showed moderate effects for manual therapy and therapeutic exercise, and large effects for low-level laser therapy on improving pain intensity and maximum mouth opening in patients with TMD, with a limited to moderate quality of evidence. The overlapping analyses showed only a slight overlap for all the MMA according to the corrected covered area (range from 0.07 to 0.2), 23.1% to 41.6%. This umbrella SR showed that manual therapy and exercise interventions, as well as low-level laser therapy interventions, are effective in the reduction in pain intensity and improvement of maximum mouth opening in TMD. This article presents a synthesis of the available evidence related to the various physical therapy interventions used in patients presenting with temporomandibular disorders. These results could help clinicians to select the optimal intervention for their patients and to reject those that are less useful. Full article

(This article belongs to the Special Issue New Frontiers in Orofacial Pain, Headaches, Temporomandibular Disorders and Their Conservative Management)

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