Assessmentof AttitudeandPracticeofGeneral Dental Practitioners Dealing With Temporomandibular Disorders and Referral to Physiotherapists
Introduction: This study was conducted to assess the attitude and practice of general dental practitioners when dealing with Temporomandibular Disorders (TMDs) and referral to physiotherapy.
Materials and Methods: This comparative cross-sectional study was conducted with a study population of General Dental Practitioners (GPDs) of Mirpur Khas Sindh. The total study population estimated was about 55 GPDs in this district. A convenient sampling technique was used to recruit the samples. The study questionnaire was adopted from the different articles and modified as per our socio-cultural needs. The reliability and validity of the questionnaire were calculated via chrome back alpha test by doing a pilot study on 25 participants and found its validity as 80% and reliability as 75%. The questionnaire consisted of three sections of general questions regarding referral to physiotherapy, attitude, and practice of general dental practitioners in managing temporomandibular joint dysfunctions (TMD).
Results: The results showed that 57.1% of GPDs believe that 53.1% of patients had neck pain and poor posture. Also, 81.6% of patients were referred to other healthcare providers, and only 22.4% of patients were referred to a physiotherapist. About 28.6% of patients were referred to physiotherapists just because of neck pain, only 22.4% of patients with postural alterations were referred to a physiotherapist. Also, 53.1% of GPDs had little confidence in assessing, therapeutic decision, and treatment outcomes of TMDs. About 69.4% of GPDs provided medical management to the patients suffering from TMD, while 44.9% of GPDs provided pharmacological management.
Conclusion: This study concluded that there is a need for TMD experts to deal with patients suffering from TMDs. General dental practitioners of Mirpur Khas, Sindh know little about the physiotherapeutic benefits for TMD. The majority of GPDs have very little confidence in making a diagnosis and treating patients suffering from temporomandibular dysfunctions.
2. Ataullah Kh, Ashar A, Mumtaz F, Anees R, Fatima Z. Diagnosis of temporomandibular disorders based on research diagnostic criteria. Pakistan Oral & Dental Journal. 2009; 29(2):249-54. http://podj.com.pk/archive/Dec_2009/Article-14.pdf
3. Lai YC, Yap AU, Türp JC. Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review. Journal of Oral Rehabilitation. 2020; 47(2):270-80. [DOI:10.1111/joor.12899] [PMID]
4. Hamad R, Se Clark A, Pretty IA. Referral patterns for temporomandibular joint disorders (TMD) in Greater Manchester. Community Dental Health. 2020 April. [PMID]
5. Bogduk N. Chapter 52 Chronic low back pain. Handbook of Clinical Neurology. 2006; 81:779-90. [DOI:10.1016/S0072-9752(06)80056-4]
6. Hoppenfeld S. Physical exam of the spine & extremities. 1 edition. New Jersey: Prentice Hall; 1976.
7. Myers RS, editor. Saunders manual of physical therapy practice. Philadelphia: Saunders; 1995. https://books.google.com/books?id=UVMQAQAAMAAJ&dq
8. Rocabado M, Johnston Jr BE, Blakney MG. Physical therapy and dentistry: An overview: A perspective. Journal of Craniomandibular Practice. 1982; 1(1):46-9. [DOI:10.1080/07345410.1982.11677818] [PMID]
9. Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J, Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. The Journal of the American Dental Association. 1990; 120(3):273-81. [DOI:10.14219/jada.archive.1990.0043] [PMID]
10. Al-Khotani A, Björnsson O, Naimi-Akbar A, Christidis N, Alstergren P. Study on self-assessment regarding knowledge of temporomandibular disorders in children/adolescents by Swedish and Saudi Arabian dentists. Acta Odontologica Scandinavica. 2015; 73(7):522-9. [DOI:10.3109/00016357.2014.997794] [PMID]
11. Baharvand M, Sedaghat Monfared M, Hamian M, Jalali Moghaddam E, Hosseini FS, Alavi Alavi K. Temporomandibular disorders: Knowledge, attitude and practice among dentists in Tehran, Iran. Journal of Dental Research, Dental Clinics, Dental Prospects. 2010; 4(3):90-4. [PMID] [PMCID]
12. Lindfors E, Tegelberg Å, Magnusson T, Ernberg M. Treatment of temporomandibular disorders-knowledge, attitudes and clinical experience among general practising dentists in Sweden. Acta Odontologica Scandinavica. 2016; 74(6):460-5. [DOI:10.1080/00016357.2016.1196295] [PMID]
13. Lee WY, Choi JW, Lee JW. A study of dentists’ knowledge and beliefs regarding temporomandibular disorders in Korea. Cranio. 2000; 18(2):142-6. [DOI:10.1080/08869634.2000.11746126] [PMID]
14. Greene CS. Managing the care of patients with temporomandibular disorders. The Journal of the American Dental Association. 2010; 141(9):1086-8. [DOI:10.14219/jada.archive.2010.0337] [PMID]
15. Murphy E, Canavan D. Managing orofacial pain in practice. Berlin: Quintessence; 2008. https://books.google.com/books?id=3taRMAAACAAJ&dq
16. Wright EF, Klasser GD. Manual of temporomandibular disorders. Hoboken: John Wiley & Sons; 2019. https://books.google.com/books?id=scGkDwAAQBAJ&dq
17. Cooper BC, Kleinberg I. Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. Cranio. 2007; 25(2):114-26. [DOI:10.1179/crn.2007.018] [PMID]
18. Wright EF, North SL. Management and treatment of temporomandibular disorders: A clinical perspective. Journal of Manual & Manipulative Therapy. 2009; 17(4):247-54. [DOI:10.1179/106698109791352184] [PMID] [PMCID]
19. Aldrigue RHS, Sánchez‐Ayala A, Urban VM, Pavarina AC, Jorge JH, Campanha NH. A survey of the management of patients with temporomandibular disorders by general dental practitioners in southern Brazil. Journal of Prosthodontics. 2016; 25(1):33-8. [DOI:10.1111/jopr.12255] [PMID]
20. Truelove E, Huggins KH, Mancl L, Dworkin SF. The efficacy of traditional, low-cost and nonsplint therapies for temporomandibular disorder: A randomized controlled trial. The Journal of the American Dental Association. 2006; 137(8):1099-107. [DOI:10.14219/jada.archive.2006.0348] [PMID]
21. Grossi DB, Chaves TC. Physiotherapeutic treatment for temporomandibular disorders (TMD). Brazilian Journal of Oral Sciences. 2004; 3(10):492-7. https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641759
|Issue||Vol 14 No 2 (2020)|
|Temporomandibular disorders (TMDs) General dental practitioners Physiotherapy for TMD Oral rehabilitation|
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