{"id":301,"date":"2020-09-14T12:00:46","date_gmt":"2020-09-14T11:00:46","guid":{"rendered":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/?page_id=301"},"modified":"2020-11-27T18:27:39","modified_gmt":"2020-11-27T18:27:39","slug":"tmd-management-in-general-practice","status":"publish","type":"page","link":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/news\/tmd-management-in-general-practice\/","title":{"rendered":"TMD management in General Practice"},"content":{"rendered":"\n

If you work in general dental practice can you spare a few minutes to complete this survey <\/a>about treating patients with TMD? <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

TMD is a common, painful condition that is very common in\nthe population1<\/sup>.\nWhile the prognosis is usually good, a significant minority of patients\ncontinue to experience long-term pain which can be debilitating. Severe TMD\naffects the ability to engage in everyday activities including eating, talking\nand kissing2<\/sup>\nthat are important for maintaining social relationships. There continues to be\nuncertainty over how to best treat TMD3<\/sup> and this can lead to delays in\ndiagnosis and management. <\/p>\n\n\n\n

For patients, these delays can be a real problem. A lack of\ncertainty about the cause of their pain, alongside delays in treatment itself\ncan lead to increased fear, distress and frustration, all of which can serve as\nstrong maintaining factors for pain. For those with severe pain a sense of not\nbeing taken seriously or that their pain has not been fully understood often\nalso add to their distress. <\/p>\n\n\n\n

Patients with jaw pain often don\u2019t know who they should\nspeak to about it2<\/sup>\nand many don\u2019t understand that dentists have expertise to manage problems such\nas TMD which do not directly involve the teeth. Dentists may wish to seek\nspecialist opinions due to concern over giving a wrong diagnosis4<\/sup>. Both of\nthese factors can lead to increased uncertainty and longer delays for patients\nbefore receiving definitive diagnosis and treatment. This is a problem because\nearlier, appropriate treatment is likely to be an important factor influencing\nthe longer term course and outcomes of TMD5<\/sup>. <\/p>\n\n\n\n

There is a need for increased clarity about how the early\nand ongoing symptoms of TMD should be managed. We are interested to find out\nhow dentists currently manage TMD in primary care as well as their thoughts\nabout currently available patient pathways and gaps. Our hope is that we can\nuse this information to support a funding bid for a clinical trial looking at\ntreatment options for first onset TMD. For those interested, there will be an\nopportunity to express an interest in participating in a clinical trial in the\nfuture as a recruiting site.<\/p>\n\n\n\n

1.            Greene\nCS. Managing the care of patients with temporomandibular disorders. The\nJournal of the American Dental Association<\/em>. 2010;141(9):1086-1088.<\/p>\n\n\n\n

2.            Durham\nJ, Steele JG, Wassell RW, Exley C. Living with uncertainty: temporomandibular\ndisorders. Journal of dental research<\/em>. 2010;89(8):827-830.<\/p>\n\n\n\n

3.            Durham\nJ, Exley C, Wassell R, Steele JG. \u2019Management is a black art\u2019\u2013professional\nideologies with respect to temporomandibular disorders. British dental\njournal<\/em>. 2007;202(11):E29.<\/p>\n\n\n\n

4.            Aggarwal\nVR, Joughin A, Zakrzewska JM, Appelbe P, Tickle M. Dentists\u2019 preferences for\ndiagnosis, management and referral of chronic oro-facial pain: Results from a\nnational survey. Health Education Journal<\/em>. 2012;71(6):662-669.\n\n5.            Gatchel RJ, Stowell AW, Wildenstein\nL, Riggs R, Ellis III E. Efficacy of an early intervention for patients with\nacute temporomandibular disorder\u2013related pain: a one-year outcome study. The\nJournal of the American Dental Association<\/em>. 2006;137(3):339-347.\n\n\n\n<\/p>\n","protected":false},"excerpt":{"rendered":"

If you work in general dental practice can you spare a few minutes to complete this survey about treating patients with TMD? TMD is a common, painful condition that is very common in the population1. While the prognosis is usually … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":5914,"featured_media":302,"parent":32,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-301","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/pages\/301","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/users\/5914"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/comments?post=301"}],"version-history":[{"count":2,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/pages\/301\/revisions"}],"predecessor-version":[{"id":313,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/pages\/301\/revisions\/313"}],"up":[{"embeddable":true,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/pages\/32"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/media\/302"}],"wp:attachment":[{"href":"https:\/\/blogs.ncl.ac.uk\/northerndentres\/wp-json\/wp\/v2\/media?parent=301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}