Sequential Approach to Differential Diagnosis of TMJ Disorder from Other Oro Facial Muscles Pain – A Systematic Review
Rajwinder Singh Brar
Department of Orthodontics, Rayat Bahara Dental College, SAS Nagar, Punjab, India.
Anshu Singh
Awadh Dental College and Hospital, Jamshedpur, India.
Nivedita Gautam
Claremont Graduate University, USA.
Natasha Bathla
Department of Prosthodontics, Himachal Dental College, Sundernagar, India.
Jenny Lalmalsawmi Sailo
Department of Prosthodontics, Himachal Dental College, Sundernagar, India.
Surbhi Abrol
Boston University, USA.
Farhat Jabeen *
Institute of Dental Sciences, Seorah, Jammu, India.
*Author to whom correspondence should be addressed.
Abstract
This systematic review (SR) synthesises recent evidence and assesses the methodological quality of published SRs in the Differential diagnosis of temporomandibular disorders (TMD). A systematic literature search was conducted in the PubMed, Cochrane Library, and Bandolier databases for 1987 to September 2019. Three investigators evaluated the methodological quality of each identified SR using two measurement tools: The assessment of multiple systematic reviews (AMSTAR) and level of research design scoring. Thirty-one SRs met inclusion criteria and 28 were analysed: 20 qualitative SRs and eight meta-analysis. The main aim of this article is to Differential diagnose the pain which is not related to any dental disease. Most of dental clinician have problem to diagnose TMD (Temporomandibular Disorders) and Orofacial Muscle pain. The approach of this article is to simplify the differential diagnosis for better and fast treatment of the respective disease by classifying various TMJ related and muscle related problems.
Keywords: Temporomandibular disorder, orofacial pain, differential diagnosis, intra articular, extra articular disorder, headache, parafunctional habits, patient history