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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
Dentist Practice Patterns and Therapeutic Confidence in the Treatment of Pain Related to Temporomandibular Disorders in a Dental Practice-Based Research Network
1Division of Clinical Epidemiology, Kyushu Dental University, Kityayushu, Fukuoka, Japan
2Visiting Professor, University of Florida College of Dentistry, Gainesville, Florida, USA
3Graduate School of Media and Governance, Keio University, Fujisawa City, Kanagawa, Japan
4Mikami Dental & Orthodontics Clinic, Tomakomai, Hokkaido, Japan
5Matsumoto Dental Clinic, Okazaki, Aichi, Japan
6Department of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, Florida, USA
7Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, USA
8Faculty of Dentistry, McGill UniversityMontreal, Quebec, Canada
9Dental Department, Jewish General Hospital, Montreal, Quebec, Canada
10Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, USA
*Corresponding Author(s): Naoki Kakudate E-mail: r13kakudate@fa.kyu-dent.ac.jp
Aims: To quantify the practice patterns of Japanese dentists in the management of pain related to temporomandibular disorders (TMD) and to identify specific characteristics that are significantly associated with the decision to perform occlusal adjustment for TMD-related pain. Methods: A cross-sectional study was conducted consisting of a questionnaire survey of dentists affiliated with the Dental Practice-Based Research Network Japan (JDPBRN) (n = 148). Participants were asked how they diagnosed and treated TMD-related pain. Associations between dentist characteristics and the decision to perform occlusal adjustment were analyzed via multiple logistic regression. Results: A total of 113 clinicians responded to the questionnaire (76% response rate), and 81% of them (n = 89) had treated TMD during the previous year. Dentists treated an average of 1.9 ± 1.8 (mean ± SD) patients with TMD-related pain per month. Most JDPBRN dentists used similar diagnostic protocols, including questions and examinations. The most frequent treatments were splints or mouthguards (96.5%), medications (84.7%), and self-care (69.4%). Occlusal adjustment for TMD-related pain was performed by 58% of the participants. Multiple logistic regression analysis identified two factors significantly associated with the decision to perform occlusal adjustment: dentist lack of confidence in curing TMD-related acute pain (odds ratio [OR] 5.60; 95% confidence interval [CI] 1.260 to 24.861) and proportion of patients with severe TMD-related pain (OR 0.95; 95% CI 0.909 to 0.999). Conclusion: The most common treatments for TMD-related pain were reversible treatments; however, over half of the dentists performed occlusal adjustment for TMD-related pain. The results of this study suggest that an evidence-practice gap exists for occlusal adjustment for TMD-related pain.
evidence-practice gap; practice pattern; practice-based research; temporomandibular disorders
Naoki Kakudate, Yoko Yokoyama, Futoshi Sumida, Yuki Matsumoto, Valeria V. Gordan, Gregg H. Gilbert, Ana M. Velly, Eric L. Schiffman. Dentist Practice Patterns and Therapeutic Confidence in the Treatment of Pain Related to Temporomandibular Disorders in a Dental Practice-Based Research Network. Journal of Oral & Facial Pain and Headache. 2017. 31(2);152-158.
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