TEMPOROMANDIBULAR DISORDERS AND PSYCHOLOGICAL FACTORS: A LITERATURE REVIEW

Marin, Ramon; Rolim, Gustavo Sattolo; Granner, Karen Mendes; Moraes, Antonio Bento Alves de

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ARTICLE • Psicol. estud. 27 • 2022 • https://doi.org/10.4025/psicolestud.v26i0.47363 copy

TEMPOROMANDIBULAR DISORDERS AND PSYCHOLOGICAL FACTORS: A LITERATURE REVIEW

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ABSTRACT.

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 identify which and how psychological concepts are described in articles on dental interventions related to TMD, in systematic review articles. For this, three databases were used in the search and selection: PubMed, Scopus and Web of Science. The same set of key words was applied to all these databases. Review articles published between 2000 and 2017, written in English, were selected. Of the 4,092 articles found, seven were selected describing psychological interventions related to TMD. All selected articles were analyzed based on their objectives and discussions, considering the presentation and understanding of psychological variables related to temporomandibular disorder and the interventions used. Qualitative and quantitative analyses were carried out. It can be concluded that the understanding and definition of psychological variables related to TMD are not evident, which makes it difficult to produce clear results on the effectiveness of diagnoses and interventions for TMD.

Keywords:
Temporomandibular disorder; psychological factors; psychology

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Authors, year, Number of articles	Objectiveofthe review	Design Numberofpatients	Interventions	Results
Orlando, et al. 2007n=19	Review of biobehavioral modalities for pain relief	Controlled clinical trial Number of patients: 1,590	CG: Usual Treatment I: Biobehavioral Modalities	CG ≠ I No direct comparisons.
Türp et al. 2007 n=11	Review of simple and multimodal management strategies in patients with TMD.	Randomized Clinical Trials Number of patients: 896	CG: Usual Treatment I: Multimodal therapy	CG = I, for pain, satisfaction, depression and distress.
Liu et al. 2012 n=5	Examine the effects of studies that used CBT for TMD.	Randomized Clinical Trials Number of patients: 485	CG: Usual Treatment I: Cognitive Behavioral Therapy	CG = I
Freitas, et al. 2013 n=7	Investigate the effectiveness of counseling and other self-management-based therapies in pain relief.	Controlled clinical trials; Number of patients: 489	CG: Intraocclusal Appliance I: Counseling	I >CG, for pain, sensitivity, and mouth opening.
Roldán-Barraza et al. 2014 n=12	Meta-analysis comparing the effects of occlusal splint therapy with psychosocial interventions.	Randomized Clinical Trials Number of patients:1,132	CG: Usual Treatment I: Psychosocial intervention.	CG = I, for pain. I >CG, for subjective variables. CG>I, for physical variables.
Kotiranta et al. 2014 n=7	Systematic review of the benefits of tailored treatments for TMD.	Tailored Treatment studies Number of patients: 1,207	CG: Usual Treatment I: Tailored Treatment.	I >CG, for psychosocial variables.
Randhawa et al. 2016 n=7	Determine the efficiency and cost-effectiveness of non-invasive interventions for TMD	Randomized Clinical Trials Number of patients: 1,475	CG: Usual Treatment I: Cognitive Behavioral Therapy	CG = I, for pain and disability. I >CG, for depression