The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 13 , ISSUE 5 ( September-October, 2012 ) > List of Articles


The Interrelationship between Dentistry and Physiotherapy in the Treatment of Temporomandibular Disorders

Evane Gonçalves de Toledo, Daniel Piccinini Silva, Juliane Alvarez de Toledo, Ivone Oliveira Salgado

Citation Information : de Toledo EG, Silva DP, de Toledo JA, Salgado IO. The Interrelationship between Dentistry and Physiotherapy in the Treatment of Temporomandibular Disorders. J Contemp Dent Pract 2012; 13 (5):579-583.

DOI: 10.5005/jp-journals-10024-1190

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2012; The Author(s).



This study aimed to compare the effectiveness of interdisciplinary work between dentistry and physiotherapy as well as to determine the temporomandibular disorders (TMD) patients’ treatment plan.

Materials and methods

The sample consisted of 300 patient records from the ATM service (Faculty of Dentistry, Federal University of Juiz de Fora) file. Three factors were analyzed: (1) Therapy, which were transcribed physical therapy modalities used; 2) If there were any guidelines or procedures for home exercises without the professionals presence; 3) the temporomandibular joint (TMJ) palpation pain rates, transferred to a pain level measurements table according to visual analog scale (VAS). The Chi-square test was applied for statistical analysis with a significance level p ≤ 0.05.


All physiotherapy modalities used separately or mixed contributed to TMJ pain relief. Guidelines for physical therapy at home proved to be very useful to pain decreasing.


It was concluded that the effectiveness of an interdisciplinary work in dentistry and physiotherapy treatments for TMD has been properly verified. It is essential to have an interdisciplinary treatment plan, where the physical therapy helps the pain relief and dentistry treats the disorders related to the stomatognathic system.

Clinical significance

The interdisciplinary work between dentistry and physiotherapy is more effective in TMD treatment.

How to cite this article

de Toledo EG Jr, Silva DP, de Toledo JA, Salgado IO. The Interrelationship between Dentistry and Physiotherapy in the Treatment of Temporomandibular Disorders. J Contemp Dent Pract 2012;13(5):579-583.

PDF Share
  1. Effect of occlusal splint treatment on the temperature of different muscles in patients with TMD. J Prosthod Res 2011;55:19-23.
  2. Physiotherapeutic treatment for temporomandibular disorders (TMD). Braz J Oral Sci 2004;3(10):492-97.
  3. Treatment effects of maxillary flat occlusal splints for painful clicking of the temporomandibular joint. Kaohsiung J Med Sci 2010;26:299-307.
  4. Treatment of headache associated with myofascial pain: Case report. Rev Odontol UNESP 2005;34(1):31-36.
  5. A quantitative analysis of splint therapy of displaced temporomandibular joint disc. Annals of anatomy. Anatomischer Anzeiger 2009;191(3):280-88.
  6. Clinical factors affecting the outcome of occlusal splint therapy of temporomandibular joint disorders. J Oral Rehabil 2006;33:393-401.
  7. Measurement of pain. Surg Clin North Am 1999;79(2):231-52.
  8. Evaluation of temporomandibular dysfunction at initial orthodontic examination. Rev Dent Press Ortodon Ortop Facial 2000;5(1):12-16.
  9. Orofacial pain and temporomandibular disorders— A multidisciplinary approach to treatment. Rev Dent on Line 2008;8(17):38-42.
  10. MRI findings of patients with temporomandibular joint internal derangement: Before and after performance of arthrocentesis and stabilization splint. J Oral Maxillofac Surg 2009;67:314-17.
  11. Protocol for diagnosis and treatment of temporomandibular disorders (TMD). J Bras Ortodon Ortop Facial 2001;6(34):317-24.
  12. Insufficient evidence to support the use of stabilization splint therapy over other active interventions in the treatment of temporomandibular myofascial pain. J Am Dent Assoc 2009;140;1524-25.
  13. Temporomandibular disorder: Analysis of frequency and severity of signs and symptoms before and after the stabilization appliance. J Bras Ortodon Ortop Facial 2003;8(43):48-57.
  14. Effectiveness of exercise therapy in patients with internal derangement of the temporomandibular joint. J Oral Rehabil 2001;28(12):1158-64.
  15. The effect of physiotherapy on posttemporomandibular joint surgery patients. J Oral Rehabil 2002;29(5):441-46.
  16. Diadynamic and galvanic currents for the temporomandibular dysfunction treatment. Cubana Estomatol Rev 1998;35(3):73-79.
  17. Isokinetic exercises in Treatment of TMJ Clicks. Rev Odontol UNESP 2003;32(1):55-59.
  18. Comparative study of repositioning splint therapy and passive manual range of motion techniques for anterior displaced temporomandibular discs with unstable excursive reduction. Physiotherapy 2000;87(1):26-36.
  19. Global body posture evaluation in patients with temporomandibular joint disorder. Clinics 2009;64(1):35-39.
  20. A homeexercise regimes for the management of nonspecific temporomandibular disorders. J Oral Rehabil 2005;32:779-85.
  21. Low intensity laser therapy for the treatment of temporomandibular disorders. Rev Fac Odontol Porto Alegre 2007;48(1/3):88-91.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.