PDF(Pubmed)
Abstract：
Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.
摘要：
颞下颌关节紊乱病包括影响咀嚼系统的各种病症，影响它的结构，函数,或生理学。临床医生在治疗这类疾病时面临着一系列复杂的治疗选择，强调评估当前证据以指导患者护理决策的重要性。本文的主要目的是对治疗颞下颌关节紊乱病（TMDs）的可用治疗方法进行范围审查。在Scopus上进行了广泛的文献搜索，Pubmed,Embase,和WebofScience。考虑了过去5年发表的系统评价。在确定的2183种出版物中，109项研究纳入本综述。其中,39篇文章聚焦于非侵入性方法，当120人深入研究微创方法时，15探索了手术方法。非侵入性或保守的方法，如认知行为疗法，物理治疗,和针灸提供有效的疼痛管理和TMD的功能改善。新兴的治疗方法为治疗这些疾病提供了有希望的替代方案。手术应保留用于严重病例，保守疗法与侵入性手术结合使用，以获得最佳患者预后。
