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.
CITATION STYLE
Gil-Martínez, A., Paris-Alemany, A., López-de-Uralde-Villanueva, I., & La Touche, R. (2018, March 16). Management of pain in patients with temporomandibular disorder (TMD): Challenges and solutions. Journal of Pain Research. Dove Medical Press Ltd. https://doi.org/10.2147/JPR.S127950
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