Evidence map›Paper›PMID 40256847›Full record

Trial reportJournal of oral rehabilitation2025

Internet-Based Behavioural Therapy for Adolescents With Temporomandibular Disorder Pain: A Feasibility Multicenter Randomised Controlled Trial.

Tessa Bijelic, Ing-Marie Nilsson, Thomas List, EwaCarin Ekberg

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Tessa BijelicDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0009-0004-4147-1420
Ing-Marie NilssonDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
Thomas ListDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
EwaCarin EkbergDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.

Funding

The Public Dental Service in Östergötland, Sweden 3-17-22The Regional Board of Public Dental Service Skåne, the Oral Health-Related Research by Region Skåne, Sweden.
6 · The paper itself

Abstract

backgroundTemporomandibular disorder (TMD) pain in adolescents is common, has a negative impact on quality of life, and is a predictor of pain in young adulthood. A common and symptomatic treatment is occlusal appliance therapy (OAT). Internet-based behavioural therapy (IBT) is a novel, multimodal, and patient-centred self-management therapy for adolescents with TMD pain.

objectiveTo evaluate the adherence and effect of IBT compared to OAT in adolescents with TMD pain.

methodsParticipants were recruited from public dental care and specialist clinics in orofacial pain in Sweden between January 2016 and March 2020. Screening of adolescents, 13-19 years, was performed using three questions for TMD (3Q/TMD). Eligible subjects were examined according to the DC/TMD and randomly allocated to IBT or OAT. The IBT group performed the 7-week programme online with individualised feedback through phone after each section. The OAT group used a stabilisation splint night time for 3 months. A 3-month questionnaire follow-up on pain intensity, pain disability, and psychosocial outcomes was conducted.

resultsIn total, 52 patients were randomised to IBT and 48 to OAT. There was a low adherence to IBT with a 75% drop-out. Positive expectations of treatment were significantly (p = 0.001) greater in the OAT group. OAT was related to better outcomes for characteristic pain intensity (p = 0.047) and pain-related disability (p = 0.049) when compared to IBT. No significant difference within or between the groups regarding the psychosocial outcomes was observed.

conclusionsThe current version of IBT was overly comprehensive for adolescents with TMD pain and needs to be revised.

Indexed as

Behavior TherapyFacial PainInternet-Based InterventionOcclusal SplintsTemporomandibular Joint DisordersAdolescentFeasibility StudiesFemaleHumansInternetMalePain MeasurementPatient ComplianceQuality of LifeSwedenTreatment Outcomeadolescentscognitive behavioural therapyinternet‐based therapyocclusal appliance therapyrandomised controlled trialtemporomandibular disorders

Identifiers

PMID40256847
PMCPMC12408963

What OpenQuestion holds

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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.