Dentist practice patterns and therapeutic confidence in the treatment of pain related to temporomandibular disorders in a dental practice-based research network
| Autor: | Yoko Yokoyama, Yuji Matsumoto, Naoki Kakudate, Gregg H. Gilbert, Futoshi Sumida, Ana M. Velly, Eric L. Schiffman, Valeria V. Gordan |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Dental Research Occlusal Adjustment Dentistry Pain Logistic regression Article 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans Pain Management Dentistry (miscellaneous) Young adult Child Aged Practice Patterns Dentists' Response rate (survey) Aged 80 and over business.industry Infant 030206 dentistry Odds ratio Middle Aged Temporomandibular Joint Disorders Confidence interval stomatognathic diseases Splints Anesthesiology and Pain Medicine Cross-Sectional Studies 030220 oncology & carcinogenesis Child Preschool Health Care Surveys Physical therapy Female Neurology (clinical) business human activities |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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