(English) Episode 28-New Hope for Chronic Jaw Pain - Unpacking the Latest Evidence-Based TMD Guidelines

This source presents a clinical practice guideline for managing chronic pain associated with temporomandibular disorders (TMD), which affects a significant portion of adults globally. Developed by an international panel, the guidelines are evidence-based, utilizing a systematic review and network meta-analysis of 153 randomized trials. They provide strong and conditional recommendations for or against various treatments, emphasizing interventions with clear benefits like cognitive behavioral therapy and jaw exercises, while advising against others like irreversible oral splints due to potential harms or lack of efficacy. The document also highlights the importance of shared decision-making between clinicians and patients, acknowledging the variability in patient preferences and the need for further research, particularly regarding the effects of treatments on different TMD subtypes and various patient outcomes beyond pain relief.(Busse JW, Casassus R, Carrasco-Labra A, Durham J, Mock D, Zakrzewska JM, et al. Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. BMJ [Internet]. 2023;383:e076227. Available from: http://dx.doi.org/10.1136/bmj-2023-076227)