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Review Article|Articles in Press

Temporomandibular disorders—review of evidence-based management and a proposed multidisciplinary care pathway

Published:February 12, 2023DOI:https://doi.org/10.1016/j.oooo.2023.02.001
      Temporomandibular disorders (TMDs) are a prevalent but complex group of conditions that cause orofacial pain. Temporomandibular disorders are recognized as one of the most common chronic pain conditions, alongside back pain and headache disorders.
      Given the competing theories surrounding what causes TMDs and limited high-equality evidence on optimally treating TMDs, clinicians often encounter challenges in developing an effective management plan for patients.
      Furthermore, patients will often seek advice from multiple health care providers from varying specialties, seeking curative management, often resulting in inappropriate treatments and no improvement in pain symptoms.
      Throughout this review, we explore the existing evidence base surrounding the pathophysiology, diagnosis, and management of TMDs. An existing United Kingdom–based multidisciplinary care pathway for the management of TMDs is described herein, highlighting the benefits of a multidisciplinary approach to patient care for TMDs.
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      REFERENCES

        • Dworkin SF.
        The OPPERA study: act one.
        J Pain. 2011; 12: T1-T3
        • National Academies of Sciences, Engineering, and Medicine
        Temporomandibular disorders: priorities for research and care.
        The National Academies Press, Washington, DC2020
        • International Classification of Orofacial Pain
        1st ed (ICOP).
        Cephalalgia. 2020; 40: 129-221
        • Ohrbach R
        • Turner JA
        • Sherman JJ
        • et al.
        The Research Diagnostic Criteria for temporomandibular disorders. IV: evaluation of psychometric properties of the Axis II measures.
        J Orofac Pain. 2010; 24: 48-62
        • Bag AK
        • Gaddikeri S
        • Singhal A
        • et al.
        Imaging of the temporomandibular joint: an update.
        World J Radiol. 2014; 6: 567-582
        • Slade GD
        • Bair E
        • Greenspan JD
        • et al.
        Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study.
        J Pain. 2013; 14 (T20-T32.e1-e3)
        • Slade GD
        • Ohrbach R
        • Greenspan JD
        • et al.
        Painful temporomandibular disorder: decade of discovery from OPPERA studies.
        J Dent Res. 2016; 95: 1084-1092
        • Suvinen TI
        • Reade PC
        • Kemppainen P
        • Könönen M
        • Dworkin SF.
        Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors.
        Eur J Pain. 2005; 9: 613-633
        • Fillingim RB
        • Ohrbach R
        • Greenspan JD
        • et al.
        Psychological factors associated with development of TMD: the OPPERA prospective cohort study.
        J Pain. 2013; 14: T75-T90
        • Schiffman E
        • Ohrbach R
        • Truelove E
        • et al.
        • International RDC/TMD Consortium Network, International Association for Dental Research
        • Orofacial Pain Special Interest Group
        International Association for the Study of Pain. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†.
        J Oral Facial Pain Headache. 2014; 28: 6-27
        • Benoliel R
        • Svensson P
        • Heir GM
        • et al.
        Persistent orofacial muscle pain.
        Oral Dis. 2011; 17: 23-41
        • Diatchenko L
        • Slade GD
        • Nackley AG
        • et al.
        Genetic basis for individual variations in pain perception and the development of a chronic pain condition.
        Hum Mol Genet. 2005; 14: 135-143
        • Mutlu N
        • Erdal ME
        • Herken H
        • Oz G
        • Bayazit YA.
        T102C polymorphism of the 5-HT2A receptor gene may be associated with temporomandibular dysfunction.
        Oral Dis. 2004; 10: 349-352
        • Smith SB
        • Maixner DW
        • Greenspan JD
        • et al.
        Potential genetic risk factors for chronic TMD: genetic associations from the OPPERA case control study.
        J Pain. 2011; 12: T92-T101
        • Meloto CB
        • Serrano PO
        • Ribeiro-DaSilva MC
        • Rizzatti-Barbosa CM
        Genomics and the new perspectives for temporomandibular disorders.
        Arch Oral Biol. 2011; 56: 1181-1191
        • Ribeiro-Dasilva MC
        • Peres Line SR
        • Leme Godoy dos Santos MC
        • et al.
        Estrogen receptor-alpha polymorphisms and predisposition to TMJ disorder.
        J Pain. 2009; 10: 527-533
        • Slade GD
        • Diatchenko L
        • Bhalang K
        • et al.
        Influence of psychological factors on risk of temporomandibular disorders.
        J Dent Res. 2007; 86: 1120-1125
        • Fillingim RB
        • Ohrbach R
        • Greenspan JD
        • et al.
        Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study.
        J Pain. 2011; 12: T46-T60
        • Woolf CJ.
        Central sensitization: implications for the diagnosis and treatment of pain.
        Pain. 2011; 152: S2-S15
        • Nijs J
        • George SZ
        • Clauw DJ
        • et al.
        Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine.
        Lancet Rheumatol. 2021; 3: e383-e392
        • Fernández-de-Las-Peñas C
        • Svensson P.
        Myofascial temporomandibular disorder.
        Curr Rheumatol Rev. 2016; 12: 40-54
        • Huang GJ
        • LeResche L
        • Critchlow CW
        • Martin MD
        • Drangsholt MT.
        Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD).
        J Dent Res. 2002; 81: 284-288
        • Pullinger AG
        • Seligman DA.
        Trauma history in diagnostic groups of temporomandibular disorders.
        Oral Surg Oral Med Oral Pathol. 1991; 71: 529-534
        • Yun PY
        • Kim YK.
        The role of facial trauma as a possible etiologic factor in temporomandibular joint disorder.
        J Oral Maxillofac Surg. 2005; 63: 1576-1583
        • Kolbinson DA
        • Epstein JB
        • Senthilselvan A
        • Burgess JA.
        A comparison of TMD patients with or without prior motor vehicle accident involvement: treatment and outcomes.
        J Orofacial Pain. 1997; 11 (1): 337-345
        • Le Bell Y
        • Niemi PM
        • Jämsä T
        • Kylmälä M
        • Alanen P
        Subjective reactions to intervention with artificial interferences in subjects with and without a history of temporomandibular disorders.
        Acta Odontol Scand. 2006; 64: 59-63
        • Gesch D
        • Bernhardt O
        • Kirbschus A.
        Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: a systematic review of population-based studies.
        Quintessence Int. 2004; 35: 211-221
        • Sessle B.
        Oral parafunction, pain, and the dental occlusion.
        J Orofac Pain. 2012; 26: 161-162
        • Luther F
        • Layton S
        • McDonald F.
        Orthodontics for treating temporomandibular joint (TMJ) disorders.
        Cochrane Database Syst Rev. 2010; CD006541
        • McNamara JA
        • Jr Türp JC
        Orthodontic treatment and temporomandibular disorders: is there a relationship? Part 1: clinical studies.
        J Orofac Orthop. 1997; 58 ([in English and German]): 74-89
        • Hoffmann RG
        • Kotchen JM
        • Kotchen TA
        • Cowley T
        • Dasgupta M
        • Cowley Jr, AW
        Temporomandibular disorders and associated clinical comorbidities.
        Clin J Pain. 2011; 27: 268-274
        • Durham J.
        Summary of Royal College of Surgeons' (England) clinical guidelines on management of temporomandibular disorders in primary care.
        Br Dent J. 2015; 218: 355-356
        • Durham J
        • Newton-John TR
        • Zakrzewska JM.
        Temporomandibular disorders.
        BMJ. 2015; 350: h1154
        • Beddis HP
        • Davies SJ
        • Budenberg A
        • Horner K
        • Pemberton MN.
        Temporomandibular disorders, trismus and malignancy: development of a checklist to improve patient safety.
        Br Dent J. 2014; 217: 351-355
        • Imhoff B
        • Ahlers MO
        • Hugger A
        • et al.
        Occlusal dysesthesia-a clinical guideline.
        J Oral Rehabil. 2020; 47: 651-658
        • Whyte A
        • Boeddinghaus R
        • Bartley A
        • Vijeyaendra R.
        Imaging of the temporomandibular joint.
        Clin Radiol. 2021; 76: 76.e21-76.e35
        • Epstein JB
        • Caldwell J
        • Black G.
        The utility of panoramic imaging of the temporomandibular joint in patients with temporomandibular disorders.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 92: 236-239
        • Palconet G
        • Ludlow JB
        • Tyndall DA
        • Lim PF.
        Correlating cone beam CT results with temporomandibular joint pain of osteoarthritic origin.
        Dentomaxillofac Radiol. 2012; 41: 126-130
        • Yilmaz D
        • Kamburoglu K.
        Comparison of the effectiveness of high resolution ultrasound with MRI in patients with temporomandibular joint disorders.
        Dentomaxillofac Radiol. 2019; 4820180349
        • Siva Kalyan U
        • Moturi K
        • Padma Rayalu K
        The role of ultrasound in diagnosis of temporomandibular joint disc displacement: a case-control study.
        J Maxillofac Oral Surg. 2018; 17: 383-388
        • Tomas X
        • Pomes J
        • Berenguer J
        • Quinto L
        • Nicolau C
        • Mercader JM
        • Castro V.
        MR imaging of temporomandibular joint dysfunction: a pictorial review.
        Radiographics. 2006; 26: 765-781
        • Michelotti A
        • Iodice G
        • Vollaro S
        • Steeks MH
        • Farella M.
        Evaluation of the short-term effectiveness of education versus an occlusal splint for the treatment of myofascial pain of the jaw muscles.
        J Am Dent Assoc. 2012; 143: 47-53
        • De Iongh A.
        Patients need support to self manage their long term conditions.
        BMJ. 2014; 348: G2973
        • Dworkin RH
        • Turk DC
        • Farrar JT
        • et al.
        • IMMPACT
        Core outcome measures for chronic pain clinical trials: IMMPACT recommendations.
        Pain. 2005; 113: 9-19
      1. British Pain Society. (2019) Outcome Measures. Available at:Https://www.britishpainsociety.org/static/uploads/resources/files/Outcome_Measures_January_2019.pdf. Accessed April 19, 2022.

      2. NHS England. 2016. Demand Management Good Practice Guide. Available at: https://www.england.nhs.uk/publication/demand-management-good-practice-guide/. Accessed April 19, 2022.

        • Michelotti A
        • de Wijer A
        • Steenks M
        • Farella M.
        Home-exercise regimes for the management of non-specific temporomandibular disorders.
        J Oral Rehabil. 2005; 32: 779-785
        • Riley 3rd, JL
        • Myers CD
        • Currie TP
        • et al.
        Self-care behaviors associated with myofascial temporomandibular disorder pain.
        J Orofac Pain. 2007; 21: 194-202
        • Feine JS
        • Lund JP.
        An assessment of the efficacy of physical therapy and physical modalities for the control of chronic musculoskeletal pain.
        Pain. 1997; 71: 5-23
        • Geneen LJ
        • Moore RA
        • Clarke C
        • Martin D
        • Colvin LA
        • Smith BH.
        Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews.
        Cochrane Database Syst Rev. 2017; 4CD011279
        • Paço M
        • Peleteiro B
        • Duarte J
        • Pinho T.
        The effectiveness of physiotherapy in the management of temporomandibular disorders: a systematic review and meta-analysis.
        J Oral Facial Pain Headache. 2016; 30: 210-220
        • Armijo-Olivo S
        • Pitance L
        • Singh V
        • Neto F
        • Thie N
        • Michelotti A.
        Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis.
        Phys Ther. 2016; 96: 9-25
        • Nelson SJ
        • Ash Jr, MM
        An evaluation of a moist heating pad for the treatment of TMJ/muscle pain dysfunction.
        Cranio. 1988; 6: 355-359
        • Wu X
        • Zhu J
        • Zheng B
        • Liu J
        • Wu Z.
        Effectiveness of low-level gallium aluminium arsenide laser therapy for temporomandibular disorder with myofascial pain: a systemic review and meta-analysis.
        Medicine (Baltimore). 2021; 100: e28015
        • Penlington C
        • Bowes C
        • Taylor G
        • et al.
        Psychological therapies for temporomandibular disorders (TMDs).
        Cochrane Database Syst Rev. 2022; 8CD013515
        • Aggarwal VR
        • Fu Y
        • Main CJ
        • Wu J.
        The effectiveness of self-management interventions in adults with chronic orofacial pain: a systematic review, meta-analysis, and meta-regression.
        Eur J Pain. 2019; 23: 849-865
        • Aggarwal VR
        • Tickle M
        • Javidi H
        • Peters S.
        Reviewing the evidence: can cognitive behavioural therapy improve outcomes for patients with chronic orofacial pain?.
        J Orofac Pain. 2010; 24: 163-171
        • Dworkin SF
        • Turner JA
        • Wilson L
        • et al.
        Brief group cognitive-behavioral intervention for temporomandibular disorders.
        Pain. 1994; 59: 175-187
        • Ainsley C
        • Bradshaw A
        • Murray C
        • Goss N
        • Harrison S
        • Chawla R.
        Experiences and outcomes of attending a facial pain management program: a qualitative study.
        J Oral Facial Pain Headache. 2021; 35: 208-217
        • Kabat-Zinn J.
        An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results.
        Gen Hosp Psychiatry. 1982; 4: 33-47
        • Dworkin SF
        • Huggins KH
        • Wilson L
        • et al.
        A randomized clinical trial using research diagnostic criteria for temporomandibular disorders-axis II to target clinic cases for a tailored self-care TMD treatment program.
        J Orofac Pain. 2002; 16: 48-63
        • Dworkin SF
        • Turner JA
        • Mancl L
        • et al.
        A randomized clinical trial of a tailored comprehensive care treatment program for temporomandibular disorders.
        J Orofac Pain. 2002; 16: 259-276
        • Zhang Y
        • Montoya L
        • Ebrahim S
        • et al.
        Hypnosis/relaxation therapy for temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials.
        J Oral Facial Pain Headache. 2015; 29: 115-125
        • Mujakperuo HR
        • Watson M
        • Morrison R
        • Macfarlane TG.
        Pharmacological interventions for pain in patients with temporomandibular disorders.
        Cochrane Database Syst Rev. 2010; CD004715
        • Ta LE
        • Dionne RA.
        Treatment of painful temporomandibular joints with a cyclooxygenase-2 inhibitor: a randomized placebo-controlled comparison of celecoxib to naproxen.
        Pain. 2004; 111: 13-21
        • Shaheed CA
        • Maher CG
        • McLachlan AJ.
        Efficacy and safety of low-dose codeine-containing combination analgesics for pain: systematic review and meta-analysis.
        Clin J Pain. 2019; 35: 836-843
        • Ouanounou A
        • Goldberg M
        • Haas DA.
        Pharmacotherapy in temporomandibular disorders: a review.
        J Canad Dent Assoc. 2017; 83: h7
        • Diener HC
        • Dodick D
        • Evers S
        • et al.
        Pathophysiology, prevention, and treatment of medication overuse headache.
        Lancet Neurol. 2019; 18: 891-902
        • Castellsague J
        • Riera-Guardia N
        • Calingaert B
        • et al.
        Safety of Non-Steroidal Anti-Inflammatory Drugs (SOS) Project. Individual NSAIDs and upper gastrointestinal complications: a systematic review and meta-analysis of observational studies (the SOS project).
        Drug Saf. 2012; 35: 1127-1146
        • Schjerning AM
        • McGettigan P
        • Gislason G.
        Cardiovascular effects and safety of (non-aspirin) NSAIDs.
        Nat Rev Cardiol. 2020; 17: 574-584
        • Harkins S
        • Linford J
        • Cohen J
        • Kramer T
        • Cuever L.
        Administration of clonazepam in the treatment of TMD and associated myofascial pain: a double-blind pilot study.
        Craniomandib Disord. 1991; 5: 179-186
        • Hersh EV
        • Balasubramaniam R
        • Pinto A.
        Pharmacologic management of temporomandibular disorders.
        Oral Maxillofac Surg Clin North Am. 2008; 20 (vi): 197-210
        • Rizzatti-Barbosa CM
        • Nogueira MT
        • de Andrade ED
        • Ambrosano GM
        • de Barbosa JR.
        Clinical evaluation of amitriptyline for the control of chronic pain caused by temporomandibular joint disorders.
        Cranio. 2003; 21: 221-225
        • Kimos P
        • Biggs C
        • Mah J
        • et al.
        Analgesic action of gabapentin on chronic pain in the masticatory muscles: a randomized controlled trial.
        Pain. 2007; 127: 151-160
        • Haviv Y
        • Rettman A
        • Aframian D
        • Sharav Y
        • Benoliel R.
        Myofascial pain: an open study on the pharmacotherapeutic response to stepped treatment with tricyclic antidepressants and gabapentin.
        J Oral Facial Pain Headache. 2015; 29: 144-151
        • Alencar FG
        • Jr Viana PG
        • Zamperini C
        • Becker A
        Patient education and self-care for the management of jaw pain upon awakening: a randomized controlled clinical trial comparing the effectiveness of adding pharmacologic treatment with cyclobenzaprine or tizanidine.
        J Oral Facial Pain Headache. 2014; 28: 119-127
        • Herman CR
        • Schiffman EL
        • Look JO
        • Rindal DB.
        The effectiveness of adding pharmacologic treatment with clonazepam or cyclobenzaprine to patient education and self-care for the treatment of jaw pain upon awakening: a randomized clinical trial.
        J Orofac Pain. 2002; 16: 64-70
        • Wu JY
        • Zhang C
        • Xu YP
        • et al.
        Acupuncture therapy in the management of the clinical outcomes for temporomandibular disorders: a PRISMA-compliant meta-analysis.
        Medicine (Baltimore). 2017; 96: e6064
        • Farag AM
        • Malacarne A
        • Pagni SE
        • Maloney GE.
        The effectiveness of acupuncture in the management of persistent regional myofascial head and neck pain: a systematic review and meta-analysis.
        Complement Ther Med. 2020; 49102297
        • Koh H
        • Robinson PG.
        Occlusal adjustment for treating and preventing temporomandibular joint disorders.
        Cochrane Database Syst Rev. 2003; CD003812
        • Manfredini D.
        Occlusal equilibration for the management of temporomandibular disorders.
        Oral Maxillofac Surg Clin N Am. 2018; 30: 257-264
        • Luther F
        • Layton S
        • McDonald F.
        Orthodontics for treating temporomandibular joint (TMJ) disorders.
        Cochrane Database Syst Rev. 2010; CD006541
        • Manfredini D
        • Castroflorio T
        • Perinetti G
        • Guarda-Nardini L.
        Dental occlusion, body posture and temporomandibular disorders: where we are now and where we are heading for.
        J Oral Rehabil. 2012; 39: 463-471
        • van der Zaag J
        • Lobbezoo F
        • Wicks DJ
        • Visscher CM
        • Hamburger HL
        • Naeije M.
        Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism.
        J Orofac Pain. 2005; 19: 151-158
        • Jokstad A
        • Mo A
        • Krogstad BS.
        Clinical comparison between two different splint designs for temporomandibular disorder therapy.
        Acta Odontol Scand. 2005; 63: 218-226
        • Soares A
        • Andriolo RB
        • Atallah AN
        • da Silva EM.
        Botulinum toxin for myofascial pain syndromes in adults.
        Cochrane Database Syst Rev. 2014; 7CD007533
        • Machado D
        • Martimbianco ALC
        • Bussadori SK
        • Pacheco RL
        • Riera R
        • Santos EM.
        Botulinum toxin type A for painful temporomandibular disorders: systematic review and meta-analysis.
        J Pain. 2020; 21: 281-293
        • Awan KH
        • Patil S
        • Alamir AWH
        • et al.
        Botulinum toxin in the management of myofascial pain associated with temporomandibular dysfunction.
        J Oral Pathol Med. 2019; 48: 192-200
        • Brown DT
        • Gaudet Jr, EL
        Temporomandibular disorder treatment outcomes: second report of a large-scale prospective clinical study.
        Cranio. 2002; 20: 244-253
        • Al-Moraissi EA
        • Wolford LM
        • Ellis 3rd, E
        • Neff A
        The hierarchy of different treatments for arthrogenous temporomandibular disorders: a network meta-analysis of randomized clinical trials.
        J Craniomaxillofac Surg. 2020; 48: 9-23
        • Israel HA
        • Behrman DA
        • Friedman JM
        • Silberstein J.
        Rationale for early versus late intervention with arthroscopy for treatment of inflammatory/degenerative temporomandibular joint disorders.
        J Oral Maxillofac Surg. 2010; 68: 2661-2667
        • Yoda T
        • Ogi N
        • Yoshitake H
        • et al.
        Clinical guidelines for total temporomandibular joint replacement.
        Jpn Dent Sci Rev. 2020; 56: 77-83
        • Machoň V
        • Levorová J
        • Hirjak D
        • Beňo M
        • Drahoš M
        • Foltán R
        Does arthroscopic lysis and lavage in subjects with Wilkes III internal derangement reduce pain?.
        Oral Maxillofac Surg. 2021; 25: 463-470
      3. Lockyer JW, Lim CG. Arthroscopic outcomes in TMJ internal derangement and surgical progression in a single centre in New Zealand [e-pub ahead of print]. Adv Oral Maxillofac Surg. doi:10.1016/j.adoms.2021.100039, accessed April 19, 2022.

        • Manfredini D
        • Piccotti F
        • Ferronato G
        • Guarda-Nardini L.
        Age peaks of different RDC/TMD diagnoses in a patient population.
        J Dent. 2010; 38: 392-399
      4. National Institute for Health and Care Excellence (NICE) (2014) Total prosthetic replacement of the temporomandibular joint. IPG500. Available at: https://www.nice.org.uk/guidance/ipg500. Accessed April 19, 2022.

        • Haigler MC
        • Abdulrehman E
        • Siddappa S
        • Kishore R
        • Padilla M
        • Enciso R.
        Use of platelet-rich plasma, platelet-rich growth factor with arthrocentesis or arthroscopy to treat temporomandibular joint osteoarthritis: systematic review with meta-analyses.
        J Am Dent Assoc. 2018; 149 (940-952.e2)
        • Bousnaki M
        • Bakopoulou A
        • Koidis P.
        Platelet-rich plasma for the therapeutic management of temporomandibular joint disorders: a systematic review.
        Int J Oral Maxillofac Surg. 2018; 47: 188-198
        • Liapaki A
        • Thamm JR
        • Ha S
        • et al.
        Is there a difference in treatment effect of different intra-articular drugs for temporomandibular joint osteoarthritis? A systematic review of randomized controlled trials.
        Int J Oral Maxillofac Surg. 2021; 50: 1233-1243
        • Zhou H
        • Hu K
        • Ding Y.
        Modified dextrose prolotherapy for recurrent temporomandibular joint dislocation.
        Br J Oral Maxillofac Surg. 2014; 52: 63-66
        • Cezairli B
        • Sivrikaya EC
        • Omezli MM
        • Ayranci F
        • Seyhan Cezairli N
        Results of combined, single-session arthrocentesis and dextrose prolotherapy for symptomatic temporomandibular joint syndrome: a case series.
        J Altern Complement Med. 2017; 23: 771-777
        • Refai H.
        Long-term therapeutic effects of dextrose prolotherapy in patients with hyper-mobility of the temporomandibular joint: a single-arm study with 1-4 years’ follow up.
        Br J Oral Maxillofac Surg. 2017; 55: 465-470
        • Stoustrup P
        • Kristensen KD
        • Verna C
        • Küseler A
        • Pedersen TK
        • Herlin T.
        Intra-articular steroid injection for temporomandibular joint arthritis in juvenile idiopathic arthritis: a systematic review on efficacy and safety.
        Semin Arthritis Rheum. 2013; 43: 63-70
        • Stoustrup P
        • Twilt M.
        Therapy: intra-articular steroids for TMJ arthritis–caution needed.
        Nat Rev Rheumatol. 2015; 11: 566-567
        • O'Connor RC
        • Fawthrop F
        • Salha R
        • Sidebottom AJ.
        Management of the temporomandibular joint in inflammatory arthritis: involvement of surgical procedures.
        Eur J Rheumatol. 2017; 4: 151-156
        • Toller PA.
        Use and misuse of intra-articular corticosteroids in treatment of temporomandibular joint pain.
        Proc R Soc Med. 1977; 70: 461-463
        • Dimitroulis G
        • Dolwick M
        • Martinez A.
        Temporomandibular joint arthrocentesis and lavage for the treatment of closed lock: a follow-up study.
        Br J Oral Maxillofac Surg. 1995; 33: 23-27
        • Nitzan DW
        • Price A.
        The use of arthrocentesis for the treatment of osteoarthritic temporomandibular joints.
        J Oral Maxillofac Surg. 2001; 59: 1154-1159
        • Nitzan DW
        • Svidovsky J
        • Zini A
        • Zadik Y.
        Effect of arthrocentesis on symptomatic osteoarthritis of the temporomandibular joint and analysis of the effect of preoperative clinical and radiologic features.
        J Oral Maxillofac Surg. 2017; 75: 260-267
        • Bjørnland T
        • Gjaerum A
        • Møystad A.
        Osteoarthritis of the temporomandibular joint: an evaluation of the effects and complications of corticosteroid injection compared with injection with sodium hyaluronate.
        J Oral Rehabil. 2007; 34: 583-589
        • Ohnishi M.
        Arthroscopy of the temporomandibular joint.
        J Stomatol Soc. 1975; 42: 207-213
        • McCain JP
        • Hossameldin RH.
        Advanced arthroscopy of the temporomandibular joint.
        Atlas Oral Maxillofac Surg Clin North Am. 2011; 19: 145-167
        • Reston JT
        • Turkelson CM.
        Meta-analysis of surgical treatments for temporomandibular articular disorders.
        J Oral Maxillofac Surg. 2003; 61: 3e10
        • Al-Moraissi EA
        Arthroscopy versus arthrocentesis in the management of internal derangement of the temporomandibular joint: a systematic review and meta-analysis.
        Int J Oral Maxillofac Surg. 2015; 44: 104-112
        • Zeitler D
        • Porter B.
        A retrospective study comparing arthroscopic surgery with arthrotomy and disc repositioning.
        in: Clark GT Sanders B Bertolami CN Advances in Diagnostic and Surgical Arthroscopy of the Temporomandibular Joint. Saunders, Philadelphia, PA1993: 47
        • Undt G
        • Murakami K
        • Rasse M
        • Ewers R.
        Open versus arthroscopic surgery for internal derangement of the temporomandibular joint: a retrospective study comparing two centres’ results using the Jaw Pain and Function Questionnaire.
        J Craniomaxillofac Surg. 2006; 34: 234-241
        • Israel HA.
        Intra-articular operative temporomandibular joint arthroscopy.
        Front Oral Maxillofac Med. 2021; 3: 3
        • Rajapakse S
        • Ahmed N
        • Sidebottom AJ.
        Current thinking about the management of dysfunction of the temporomandibular joint: a review.
        Br J Oral Maxillofac Surg. 2017; 55: 351-356
        • Mercuri LG.
        Subjective and objective outcomes in patientsreconstructed with a custom-fitted alloplastic temporomandibular joint prosthesis.
        J Oral Maxillofac Surg. 1999; 57: 1427-1430
        • Gruber EA
        • McCullough J
        • Sidebottom AJ.
        Medium-term outcomes and complications after total replacement of the temporomandibular joint. Prospective outcome analysis after 3 and 5 years.
        Br J Oral Maxillofac Surg. 2015; 53: 412-415
        • Sidebottom AJ
        UK TMJ replacement surgeons; British Association of Oral and Maxillofacial Surgeons. Guidelines for the replacement of temporomandibular joints in the United Kingdom.
        Br J Oral Maxillofac Surg. 2008; 46: 146-147
      5. NHS England. (2016) Introductory Guide for Commissioning Dental Specialties. Available at: https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/09/intro-guide-comms-dent-specl.pdf. Accessed December 4, 2022.

        • Cleeland CS
        • Ryan KM.
        Pain assessment: global use of the Brief Pain Inventory.
        Ann Acad Med Singap. 1994; 23: 129-138
        • Zigmond AS
        • Snaith RP.
        The hospital anxiety and depression scale.
        Acta Psychiatr Scand. 1983; 67: 361-370
        • Sullivan MJL
        • Bishop SR
        • Pivik J.
        The Pain Catastrophizing Scale: development and validation.
        Psychol Assess. 1995; 7: 524-532
        • Grime J
        • Blenkinsopp A
        • Raynor DK
        • Pollock K
        • Knapp P.
        The role and value of written information for patients about individual medicines: a systematic review.
        Health Expect. 2007; 10: 286-298
        • Poole J
        • Stovell R
        • McLaren E
        • et al.
        Evaluation of about face: a Psychology and Physiotherapy Pain Management Program for adults with persistent facial pain.
        J Oral Facial Pain Headache. 2022; 36: 21-25