Research Article
BibTex RIS Cite

Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study

Year 2024, Volume: 8 Issue: 3, 710 - 718, 30.09.2024
https://doi.org/10.30621/jbachs.1533578

Abstract

Purpose: The impact of posterior edentulism on the management of temporomandibular disorder remains unclear, with a paucity of studies examining the influence of posterior edentulism on symptoms. The objective of this study is to investigate the relationship between posterior edentulism and bruxism, tinnitus, and depression in temporomandibular disorder patients and to compare treatment outcomes in two groups with and without posterior edentulism.
Material and Methods: In a quasi-experimental controlled trial, 26 patients with temporomandibular disorder participated in a six-week intervention, including manual therapy, massage, postural exercises and kinesiotaping. The patients were divided into 13 in the posterior edentulous group and 13 in the full dentate group. The participants attended 12 physiotherapy sessions, twice a week, over six weeks. Outcome measures, including bruxism, tinnitus, joint clicking, Beck Depression Inventory, and cervical range of motion, were evaluated at baseline and the end of the six weeks.
Results: The six-week physiotherapy program significantly improved bruxism, tinnitus, cervical range of motion, and depression (p<0.05). The posterior edentulous group showed significantly greater improvement in cervical range of motion compared to the full dentate group (p<0.05).
Conclusion: Physiotherapy effectively reduces temporomandibular disorder symptoms and highlights the importance of considering posterior edentulism in comprehensive temporomandibular disorder management.

References

  • Minervini G, D’Amico C, Cicciù M, Fiorillo L. Temporomandibular joint disk displacement: etiology, diagnosis, imaging, and therapeutic approaches. Journal of Craniofacial Surgery 2023;34(3):1115–1121.
  • Srivastava V, Dutt P, Chand P, Singh BP. Factors related to tooth loss among population: a cross-sectional study. Int J App Dent Sci 2018;4:31–33.
  • Chiang M, Li T, Yeh H, Su C, Chiu KC. Evaluation of missing-tooth effect on articular eminence inclination of temporomandibular joint. Journal Of Dental 2015;10(4):383–387.
  • Dimitroulis G. Management of temporomandibular joint disorders: a surgeon’s perspective. Aust Dent J 2018;63:S79–90.
  • Fallahi HR, Alikazemi M, Javidi P, Kazemi P, Behbudi A, Zanganeh T. Evaluation of the relationship between partial edentulism and TMJ disorders. Biosci Biotechnol Res Asia 2016;13(3):1725–1729. Amin M, Khan A, Khan MA. Frequency of common signs of temporomandibular disorders in patients with reduced occlusal support due to partial edentulism. Pakistan Oral & Dental Journal 2019;39(2):206–211.
  • Jiménez-Silva A, Peña-Durán C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: a systematic review from 2003 to 2014. Acta Odontol Scand 2017;75(1):36–58.
  • Dubner R, Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 2016;95(10):1084–1092.
  • Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(6):e26-e50.
  • Rocha CACB, Sanchez TG. Myofascial trigger points: another way of modulating tinnitus. Annals of Otology, Rhinology & Laryngology 2007;166:209–214.
  • Buergers R, Kleinjung T, Behr M, Vielsmeier V. Is there a link between tinnitus and temporomandibular disorders? J Prosthet Dent 2014;111(3):222–227.
  • Quartana PJ, Buenaver LF, Edwards RR, Klick B, Haythornthwaite JA, Smith MT. Pain catastrophizing and salivary cortisol responses to laboratory pain testing in temporomandibular disorder and healthy participants. J Pain 2010;11(2):186–194.
  • Visscher CM, Ohrbach R, Van Wijk AJ, Wilkosz M, Naeije M. The Tampa Scale for kinesiophobia for temporomandibular disorders (TSK-TMD). Pain 2010;150(3):492–500.
  • Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988;8(1):77–100.
  • Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi 1988;6:118–122.
  • Keogh JWL, Cox A, Anderson S, Liew B, Olsen A, Schram B, et al. Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review. PLoS One. 2019;14(5):e0215806.
  • Rodriguez-Sanz J, Carrasco-Uribarren A, Cabanillas-Barea S, Hidalgo-Garcia C, Fanlo-Mazas P, Lucha-Lopez MO, et al. Validity and reliability of two Smartphone applications to measure the lower and upper cervical spine range of motion in subjects with chronic cervical pain. J Back Musculoskelet Rehabil 2019;32(4):619–627.
  • Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendín F. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil 2019;46(2):109–119.
  • Gökçe B, Destan UI, Özpinar B, Sonugelen M. Comparison of mouth opening angle between dentate and edentulous subjects. Cranio 2014;27(3):174–179.
  • Kato T, Velly AM, Nakane T, Masuda Y, Maki S. Age is associated with self-reported sleep bruxism, independently of tooth loss. Sleep and Breathing 2012;16(4):1159–1165.
  • Quintero Y, Restrepo CC, Tamayo V, Tamayo M, Vélez AL, Gallego G, et al. Effect of awareness through movement on the head posture of bruxist children. J Oral Rehabil 2009;36(1):18–25.
  • Mottaghi A, Menéndez-Díaz I, Cobo JL, González-Serrano J, Cobo T. Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta-analysis. J Oral Rehabil 2019;46(1):76–86.
  • Omidvar S, Jafari Z. Association between tinnitus and temporomandibular disorders: a systematic review and meta-analysis. Annals of Otology, Rhinology & Laryngology 2019;128(7):662–675.
  • Skog C, Fjellner J, Ekberg EC, Häggman-Henrikson B. Tinnitus as a comorbidity to temporomandibular disorders—a systematic review. J Oral Rehabil 2019;46(1):87–99.
  • Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. J Oral Sci 2011;53(3):349–354.
  • Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua-Grossi D. Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. J Oral Rehabil 2019;46(12):1177–1184.
  • Greenbaum T, Dvir Z, Emodi-Perelmam A, Reiter S, Rubin P, Winocur E. Relationship between specific temporomandibular disorders and impaired upper neck performance. Eur J Oral Sci 2020;128(4):292–298.
  • Grondin F, Hall T, Laurentjoye M, Ella B. Upper cervical range of motion is impaired in patients with temporomandibular disorders. Cranio 2015;33(2):91–99.
  • von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Man Ther 2013;18(4):345–350.
  • de Almeida Hoff E, Grossi RK, Bozzetti Pigozzi L, Bueno CH, Pattussi MP, Rossi T, et al. Depression and the risk of developing temporomandibular disorders in different diagnostic groups: a systematic review with meta-analysis. Cranio 2024;1-13.
  • de Resende CMBM, Alves AC de M, Coelho LT, Alchieri JC, Roncalli G, Barbosa GAS. Quality of life and general health in patients with temporomandibular disorders. Braz Oral Res 2013;27(2):116–121.
  • Reis PHF, Laxe LAC, Lacerda-Santos R, Münchow EA. Distribution of anxiety and depression among different subtypes of temporomandibular disorder: a systematic review and meta-analysis. J Oral Rehabil 2022;49(7):754–767.
  • Delgado De La Serna P, Plaza-Manzano G, Cleland J, Fernández-De-Las-Peñas C, Martín-Casas P, Díaz-Arribas MJ. Effects of cervico-mandibular manual therapy in patients with temporomandibular pain disorders and associated somatic tinnitus: a randomized clinical trial. Pain Medicine 2020;21(3):613–624.
Year 2024, Volume: 8 Issue: 3, 710 - 718, 30.09.2024
https://doi.org/10.30621/jbachs.1533578

Abstract

References

  • Minervini G, D’Amico C, Cicciù M, Fiorillo L. Temporomandibular joint disk displacement: etiology, diagnosis, imaging, and therapeutic approaches. Journal of Craniofacial Surgery 2023;34(3):1115–1121.
  • Srivastava V, Dutt P, Chand P, Singh BP. Factors related to tooth loss among population: a cross-sectional study. Int J App Dent Sci 2018;4:31–33.
  • Chiang M, Li T, Yeh H, Su C, Chiu KC. Evaluation of missing-tooth effect on articular eminence inclination of temporomandibular joint. Journal Of Dental 2015;10(4):383–387.
  • Dimitroulis G. Management of temporomandibular joint disorders: a surgeon’s perspective. Aust Dent J 2018;63:S79–90.
  • Fallahi HR, Alikazemi M, Javidi P, Kazemi P, Behbudi A, Zanganeh T. Evaluation of the relationship between partial edentulism and TMJ disorders. Biosci Biotechnol Res Asia 2016;13(3):1725–1729. Amin M, Khan A, Khan MA. Frequency of common signs of temporomandibular disorders in patients with reduced occlusal support due to partial edentulism. Pakistan Oral & Dental Journal 2019;39(2):206–211.
  • Jiménez-Silva A, Peña-Durán C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: a systematic review from 2003 to 2014. Acta Odontol Scand 2017;75(1):36–58.
  • Dubner R, Slade GD, Ohrbach R, Greenspan JD, Fillingim RB, Bair E, et al. Painful temporomandibular disorder: decade of discovery from OPPERA studies. J Dent Res 2016;95(10):1084–1092.
  • Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(6):e26-e50.
  • Rocha CACB, Sanchez TG. Myofascial trigger points: another way of modulating tinnitus. Annals of Otology, Rhinology & Laryngology 2007;166:209–214.
  • Buergers R, Kleinjung T, Behr M, Vielsmeier V. Is there a link between tinnitus and temporomandibular disorders? J Prosthet Dent 2014;111(3):222–227.
  • Quartana PJ, Buenaver LF, Edwards RR, Klick B, Haythornthwaite JA, Smith MT. Pain catastrophizing and salivary cortisol responses to laboratory pain testing in temporomandibular disorder and healthy participants. J Pain 2010;11(2):186–194.
  • Visscher CM, Ohrbach R, Van Wijk AJ, Wilkosz M, Naeije M. The Tampa Scale for kinesiophobia for temporomandibular disorders (TSK-TMD). Pain 2010;150(3):492–500.
  • Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988;8(1):77–100.
  • Hisli N. Beck Depresyon Envanterinin gecerliligi uzerine bit calisma (A study on the validity of Beck Depression Inventory.). Psikoloji Dergisi 1988;6:118–122.
  • Keogh JWL, Cox A, Anderson S, Liew B, Olsen A, Schram B, et al. Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review. PLoS One. 2019;14(5):e0215806.
  • Rodriguez-Sanz J, Carrasco-Uribarren A, Cabanillas-Barea S, Hidalgo-Garcia C, Fanlo-Mazas P, Lucha-Lopez MO, et al. Validity and reliability of two Smartphone applications to measure the lower and upper cervical spine range of motion in subjects with chronic cervical pain. J Back Musculoskelet Rehabil 2019;32(4):619–627.
  • Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendín F. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil 2019;46(2):109–119.
  • Gökçe B, Destan UI, Özpinar B, Sonugelen M. Comparison of mouth opening angle between dentate and edentulous subjects. Cranio 2014;27(3):174–179.
  • Kato T, Velly AM, Nakane T, Masuda Y, Maki S. Age is associated with self-reported sleep bruxism, independently of tooth loss. Sleep and Breathing 2012;16(4):1159–1165.
  • Quintero Y, Restrepo CC, Tamayo V, Tamayo M, Vélez AL, Gallego G, et al. Effect of awareness through movement on the head posture of bruxist children. J Oral Rehabil 2009;36(1):18–25.
  • Mottaghi A, Menéndez-Díaz I, Cobo JL, González-Serrano J, Cobo T. Is there a higher prevalence of tinnitus in patients with temporomandibular disorders? A systematic review and meta-analysis. J Oral Rehabil 2019;46(1):76–86.
  • Omidvar S, Jafari Z. Association between tinnitus and temporomandibular disorders: a systematic review and meta-analysis. Annals of Otology, Rhinology & Laryngology 2019;128(7):662–675.
  • Skog C, Fjellner J, Ekberg EC, Häggman-Henrikson B. Tinnitus as a comorbidity to temporomandibular disorders—a systematic review. J Oral Rehabil 2019;46(1):87–99.
  • Madani AS, Mirmortazavi A. Comparison of three treatment options for painful temporomandibular joint clicking. J Oral Sci 2011;53(3):349–354.
  • Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua-Grossi D. Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. J Oral Rehabil 2019;46(12):1177–1184.
  • Greenbaum T, Dvir Z, Emodi-Perelmam A, Reiter S, Rubin P, Winocur E. Relationship between specific temporomandibular disorders and impaired upper neck performance. Eur J Oral Sci 2020;128(4):292–298.
  • Grondin F, Hall T, Laurentjoye M, Ella B. Upper cervical range of motion is impaired in patients with temporomandibular disorders. Cranio 2015;33(2):91–99.
  • von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: a randomized controlled trial. Man Ther 2013;18(4):345–350.
  • de Almeida Hoff E, Grossi RK, Bozzetti Pigozzi L, Bueno CH, Pattussi MP, Rossi T, et al. Depression and the risk of developing temporomandibular disorders in different diagnostic groups: a systematic review with meta-analysis. Cranio 2024;1-13.
  • de Resende CMBM, Alves AC de M, Coelho LT, Alchieri JC, Roncalli G, Barbosa GAS. Quality of life and general health in patients with temporomandibular disorders. Braz Oral Res 2013;27(2):116–121.
  • Reis PHF, Laxe LAC, Lacerda-Santos R, Münchow EA. Distribution of anxiety and depression among different subtypes of temporomandibular disorder: a systematic review and meta-analysis. J Oral Rehabil 2022;49(7):754–767.
  • Delgado De La Serna P, Plaza-Manzano G, Cleland J, Fernández-De-Las-Peñas C, Martín-Casas P, Díaz-Arribas MJ. Effects of cervico-mandibular manual therapy in patients with temporomandibular pain disorders and associated somatic tinnitus: a randomized clinical trial. Pain Medicine 2020;21(3):613–624.
There are 32 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Selnur Narin Aral 0000-0001-8781-7918

Rübeysa Türedi 0000-0002-4099-5220

Gulcan Coskun Akar 0000-0002-9343-9228

Publication Date September 30, 2024
Submission Date August 15, 2024
Acceptance Date September 5, 2024
Published in Issue Year 2024 Volume: 8 Issue: 3

Cite

APA Narin Aral, S., Türedi, R., & Coskun Akar, G. (2024). Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study. Journal of Basic and Clinical Health Sciences, 8(3), 710-718. https://doi.org/10.30621/jbachs.1533578
AMA Narin Aral S, Türedi R, Coskun Akar G. Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study. JBACHS. September 2024;8(3):710-718. doi:10.30621/jbachs.1533578
Chicago Narin Aral, Selnur, Rübeysa Türedi, and Gulcan Coskun Akar. “Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study”. Journal of Basic and Clinical Health Sciences 8, no. 3 (September 2024): 710-18. https://doi.org/10.30621/jbachs.1533578.
EndNote Narin Aral S, Türedi R, Coskun Akar G (September 1, 2024) Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study. Journal of Basic and Clinical Health Sciences 8 3 710–718.
IEEE S. Narin Aral, R. Türedi, and G. Coskun Akar, “Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study”, JBACHS, vol. 8, no. 3, pp. 710–718, 2024, doi: 10.30621/jbachs.1533578.
ISNAD Narin Aral, Selnur et al. “Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study”. Journal of Basic and Clinical Health Sciences 8/3 (September 2024), 710-718. https://doi.org/10.30621/jbachs.1533578.
JAMA Narin Aral S, Türedi R, Coskun Akar G. Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study. JBACHS. 2024;8:710–718.
MLA Narin Aral, Selnur et al. “Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study”. Journal of Basic and Clinical Health Sciences, vol. 8, no. 3, 2024, pp. 710-8, doi:10.30621/jbachs.1533578.
Vancouver Narin Aral S, Türedi R, Coskun Akar G. Comparison of the Effects of a Six-Week Physiotherapy Program on Temporomandibular Disorder Patients With and Without Posterior Edentulism: A Quasi-Experimental Study. JBACHS. 2024;8(3):710-8.