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Observational Study
. 2024 Aug 22;24(1):979.
doi: 10.1186/s12903-024-04768-8.

Dentists and physiotherapists level of collaboration in the treatment of temporomandibular disorders in France

Loanne Sauvageon  1 , Guillaume Savard  2   3   4 , Carol Moussa  2   3   4 , Gael Y Rochefort  2   3   5 , Frédéric Denis  2   4 , Cécile Fossat  1   6 , Matthieu Renaud  7   8   9
Affiliations
Observational Study

Dentists and physiotherapists level of collaboration in the treatment of temporomandibular disorders in France

Loanne Sauvageon et al. BMC Oral Health. .

Abstract

Objectives: Temporomandibular disorders (TMD) affect 10% of the population in France, significantly impacting patient's health and quality of life. The multifactorial etiology of TMD complicates its treatment. Consequently, adopting a multidisciplinary approach that encourages collaboration among healthcare professionals is recommended. Nevertheless, this approach does not seem to occur on a regular basis. The aim of this study was to assess the dentist's treatment support of TMD in the context of the inter-professional collaboration between dental practitioners and physiotherapists.

Materiel and methods: A cross-sectional observational study was conducted based on an online questionnaire from January 15th to April 30th, 2023. The data are collected through Professional Broad, Regional Unions of Health Professional and Healthcare Professional Communities and Territories.

Results: Of the 420 responses analyzed, the main first-line treatment provided by the dentist was the correction of dental occlusion (84%). The rate of referral to a physiotherapist was 57% and was 75% for second-placed treatment. The main reason for the lack of referral was a lack of awareness of physiotherapy role in the management of TDM. We observed that 70% of dental health practitioners were interested about inter-professional collaboration and the development of postgraduate training.

Conclusion: Given the difficulty of managing TDM, efforts should be made to improve inter professional management.

Clinical relevance: The implementation of appropriate teaching in initial training seems to be essential to allow dentists to open the range of treatment for TMD with increased knowledge of physiotherapy techniques for an adapted prescription to the patient.

Keywords: Dentistry; Inter-professional collaboration; Physiotherapy; Temporomandibular disorders (TMD).

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Patients’ TMD symptoms
Fig. 2
Fig. 2
Respondents first-line TMD treatment
Fig. 3
Fig. 3
a Healthcare professional patients are referred to. b Purpose of the redirection towards physiotherapists in France
Fig. 4
Fig. 4
Purpose of the non- redirection towards physiotherapists in France
See this image and copyright information in PMC

References

    1. Ehrmann E, Azan C, Savoldelli C, Laplanche O. Dysfonctionnements temporomandibulaires: éléments de diagnostic. EMC - Médecine Buccale. 2019;14(4):1–14.
    1. Salinas Fredricson A, Krüger Weiner C, Adami J, Rosén A, Lund B, Hedenberg-Magnusson B, et al. Sick leave and disability pension in a cohort of TMD-patients – the Swedish National Registry studies for surgically treated TMD (SWEREG-TMD). BMC Public Health. 2022;22(1):916. 10.1186/s12889-022-13329-z - DOI - PMC - PubMed
    1. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. 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(1):6–27. 10.11607/jop.1151 - DOI - PMC - PubMed
    1. Gil-Martinez A, Paris-Alemany A, López-de-Uralde-Villanueva I, La Touche R. Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J Pain Res. 2018;11:571–87. 10.2147/JPR.S127950 - DOI - PMC - PubMed
    1. Hebting JM, Ferrand G, Hebting K. Kinésithérapie De La face, Du crâne et du cou. Issy-les-Moulineaux: Elsevier-Masson; 2015.

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