4.4 Review

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

Journal

JOURNAL OF PAIN RESEARCH
Volume 11, Issue -, Pages 571-587

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/JPR.S127950

Keywords

biobehavioral; review; temporomandibular disorders; biobehavioral orofacial pain; multimodal approach; motor behavior; disability

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Thanks to advances in neuroscience, biopsychosocial models for diagnostics and treatment (including physical, psychological, and pharmacological therapies) currently have more clinical support and scientific growth. At present, a conservative treatment approach prevails over surgery, given it is less aggressive and usually results in satisfactory clinical outcomes in mild-moderate temporomandibular disorder (TMD). The aim of this review is to evaluate the recent evidence, identify challenges, and propose solutions from a clinical point of view for patients with craniofacial pain and TMD. The treatment we propose is structured in a multimodal approach based on a biobehavioral approach that includes medical, physiotherapeutic, psychological, and dental treatments. We also propose a new biobehavioral model regarding pain perception and motor behavior for the diagnosis and treatment of patients with painful TMD.

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