December 2020

Volume 37, Issue 4

The current referral patterns for temporomandibular joint disorders (TMD) in Greater Manchester

Authors: Rema Hamad Ailish SE Clark Iain A Pretty
doi: 10.1922/CDH_00042Hamad05


Background: Temporomandibular joint disorders (TMD) affect up to 50% of the population. Chronic TMD may have a significant impact on patients’ quality of life and is associated with a significant cost burden to health services. Aims: The aim of this study was to investigate the incidence of TMD in Greater Manchester and to determine the most appropriate setting for its management. Methods: Data were retrospectively collected on the demographics, symptoms and management provided to patients referred for TMD. Results: There were 789 referrals analysed; 616 to a Tertiary Centre and 173 to a District General Hospital (DGH). The most common reason for referral was pain (82%), followed by limitation in opening (55%) and clicks or sounds (44%). 27% of referrals were managed with a splint and 12% were provided with advice or a patient information leaflet prior to referral. Discussion: The effect of chronic pain on patients’ quality of life and the cost burden of its management compels us to review current practices in referral and management of TMD. Barriers to provision of treatment in primary care may include a lack of training, remuneration or confidence. These may be overcome with the development of self-care plans for patients and a care pathway for practitioners. Conclusion: Based on existing evidence, timely and conservative management of TMD should be encouraged in primary care, enabling better outcomes to be achieved for patients and the maintenance of the experience and skill level of specialist services in secondary care. Keywords: Temporomandibular Disorders, Pain, Referral Pathway

£10 single article

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Editorial: The impact of COVID-19 on population oral health 236-238 Download
Editorial: The impact of the COVID-19 pandemic on dentistry 239-241 Download
The current referral patterns for temporomandibular joint disorders (TMD) in Greater Manchester 242-246 £10 single article
Oral Health Inequalities in 0-17-year-old Children Referred for Dental Extractions Under General Anaesthesia in Wolverhampton 247-252 £10 single article
Temporomandibular dysfunction among working Australian adults and association with workplace effort-reward imbalance 253-259 £10 single article
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Experience of collaboration at a family centre for preschool children in Sweden 269-274 £10 single article
Dental Public Health Education in Europe: a survey of European Dental Schools to determine current practice and inform a core undergraduate programme 275-280 £10 single article
Caries prevalence in 6- to 10-year-old German schoolchildren with and without disability 281-286 Download
Recruitment and Consent in an observational study 287-292 Download
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