Evidence map›Paper›PMID 39041325›Full record

SynthesisJournal of oral rehabilitation2025

Comparative evaluation of cognitive behavioural therapy versus standard treatment in temporomandibular disorders: A systematic review.

Sahana Shivakumar, Nishath Sayed Abdul, Bhuvan Jyoti, Veena Kalburgi, Marco Cicciù, Giuseppe Minervini

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Impaired Adaptive Learning in Chronic Pain Contributes to Apathy.medRxiv : the preprint server for health sciences · 2025
    Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sahana ShivakumarPublic Health Dentistry, Peoples College of Dental Sciences and Research Centre Peoples University Bhopal, Bhopal, India.
Nishath Sayed AbdulFaculty of Oral Pathology, Department of OMFS and Diagnostic Sciences, Riyadh Elm University Riyadh, Riyadh, Saudi Arabia.
Bhuvan JyotiDental Surgeon and Consultant, Oral Medicine and Radiology Ranchi Institute of Neuropsychiatry and Allied Sciences (RINPAS), Ranchi, India.
Veena KalburgiPeriodontics, Peoples College of Dental Sciences and Research Centre Peoples University Bhopal, Bhopal, India.
Marco CicciùDepartment of Biomedical and Surgical and Biomedical Sciences, Catania University, Catania, Italy.
Giuseppe MinerviniSaveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporomandibular disorders (TMDs) are musculoskeletal and neuromuscular conditions affecting the temporomandibular joint and associated structures. Cognitive-behavioural therapy (CBT) has emerged as a potential intervention for TMDs, but its comparative effectiveness against standard treatments remains unclear. This systematic review aimed to evaluate and compare the efficacy of CBT versus standard treatment interventions in managing TMDs.

methodsA comprehensive search was conducted across multiple databases using MeSH keywords and Boolean operators. Inclusion criteria encompassed clinical trials comparing CBT/CBT in combination with standard treatment interventions or a control group in individuals with TMDs. The primary outcome measured was pain. Secondary outcomes such as disability, depression and jaw function were also looked into. Two reviewers independently assessed for the eligibility of the articles and conducted data extraction. Quality assessments were performed using RoB 2.0 for randomised clinical trials.

resultsThe initial search identified 623 articles, of which a total of eight clinical studies met the inclusion criteria and were included in the systematic review. Seven out of eight studies demonstrated improvements in outcomes related to TMD. Pain was significantly decreased in studies that showed a positive outcome. Jaw function, quality of life and psychological well-being were superior among individuals receiving CBT alone or in combination with conventional modalities, as well as hypnotic therapy coupled with CBT-based interventions. The quality of studies assessed showed all articles to be of good quality as per RoB-2 evaluation.

conclusionThis systematic review highlights the potential benefits of CBT in managing TMDs, suggesting its effectiveness in improving pain outcomes and enhancing overall well-being. The findings indicate that CBT may be a valuable adjunct or alternative to standard treatment interventions for individuals with TMDs. However, further research with larger sample sizes and standardised outcome measures is warranted to establish definitive conclusions regarding the comparative efficacy of CBT versus standard treatments in TMD management.

Indexed as

Cognitive Behavioral TherapyFacial PainTemporomandibular Joint DisordersHumansPain MeasurementQuality of LifeRandomized Controlled Trials as TopicTreatment Outcomecognitive‐behavioural therapypaintemporomandibular disorders

Identifiers

PMID39041325
PMCPMC11934845

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.