MULTIDISCIPLINARY TREATMENT OF TEMPOROMANDIBULAR DYSFUNCTIONS:

A SYSTEMATIC REVIEW OF THE LITERATURE

Abstract

Introduction: Temporomandibular Disorders (TMDs) are characterized as neuromuscular and musculoskeletal alterations that involve the temporomandibular joints (TMJs), the masticatory muscles and their adjacent tissues. Their etiology is multifactorial and includes systemic diseases, deleterious habits, postural changes, and anxiety. Treatment performed by a multidisciplinary team is essential for a correct diagnosis and effective intervention. Objective: To investigate whether multidisciplinary TDM treatments are more effective than when performed in isolation. Methodology: A systematic literature review was carried out, where the descriptors were selected using the DeCs tool and from this, bibliographic searches were carried out in the Pubmed, Scielo and Lilacs databases. For the electronic search strategies, the following Mesh Terms were used: “Temporomandibular Disorders”, “TMD Treatments'', “TMD Symptomes”. For the selected studies, the following information was extracted: year of publication, author, country, sample characteristics, treatments performed for TMD and conclusions. Results: The treatments most observed in isolation and in association were: myofunctional therapy, photobiostimulation, laser therapy and physiotherapeutic and dental treatments, presenting better prognoses when performed in a multidisciplinary way. Conclusion: It is concluded that the treatments performed in a multidisciplinary way were more effective than when compared to isolated treatments, resulting in a decrease in orofacial pain, an increase in mandibular mobility, as well as in the improvement of the entire stomatognathic system.