Evidence based treatment of TMJ disorders
Treatment | Outcome | Type of evidence |
---|---|---|
NSAIDs, non-steroidal anti-inflammatory drugs, RCT, randomised controlled trial | ||
Pharmacological | ||
Opioids | Unknown | No evidence |
NSAIDs | Not effective | 1 RCT |
Minor tranquillisers | Effective | 1 RCT |
Not effective | 1 RCT | |
Antidepressants | Effective | 1 Crossover |
Effective | 3 RCTs | |
Physical | ||
Exercises | No controlled study | |
Heat | No controlled study | |
Ultrasound | No controlled study | |
Bite appliances | Not effective | 1 RCT |
Occlusal rehabilitation | No controlled study | |
Injection therapies | ||
Ringers solution | Ineffective | 1 RCT |
Effective | 1 uncontrolled | |
Steroids | Effective | 1 uncontrolled |
Anti-inflammatory (superoxide dismutase) | Effective | 1 uncontrolled |
Psychology | ||
Reassurance | Effective | Anecdotal |
Cognitive behaviour therapy | Effective, increases control | 2 RCTs, 1 uncontrolled |