The effectiveness of orthotics in the treatment of temporomandibular joint disorder A scoping review

Background The temporomandibular joint (TMJ) pathology and masticatory muscle dysfunction, as well as the influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas, are important and interesting subjects in the field of medicine. Aim Evaluate the existing evidence base regarding the use of foot orthotics in the treatment of temporomandibular disorders (TMDs). Methods Two studies were conducted to evaluate the efficacy of a new complex approach to the treatment of TMJ pathology and masticatory muscle dysfunction, including myofascial exercises and posture correction insoles. The influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas was also evaluated. Results From 23 initial registrations, 2 studies fulfilled the inclusion criteria. One article was an RTC and one a case series. The first study showed a significant increase in treatment efficacy compared to the control group. The second study showed that the Atlas was the point of greatest movement in terms of frontal position and that the sphenoid was the point of least movement. Conclusions These two studies are important for the development of new and effective treatments for TMJ pathology and masticatory muscle dysfunction, as well as for understanding the influence of proprioceptive and dental treatments on the position of cranial bones and the Atlas. It will be interesting to see how these findings will influence future clinical practice and patient care for these conditions.