ReviewJournal of the Royal Society of New Zealand2025
Distinguishing chronic pain from mechanical factors in chronic TMD: a narrative review.
Review in Journal of the Royal Society of New Zealand, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between temporomandibular disorders, sleep disturbance, and psychological distress in children and adolescents: a systematic review.BMC oral health · 2026Pooled it
- Electroacupuncture for temporomandibular disorder-related pain: clinical evidence, mechanisms, and safety-a narrative review.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The International Classification of Diseases-11 (ICD-11) defines chronic pain conditions as those that lack identifiable underlying pathology at the site of pain. In parallel, the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) system was developed as a comprehensive framework for diagnosing and managing conditions previously classified under the broader category of temporomandibular disorders (TMD). While the DC/TMD system provides a structured and clinically useful approach, it does not fully distinguish between pain-related disorders and mechanical dysfunction associated with TMD. Specifically, mechanical temporomandibular joint (TMJ) conditions, as described in the DC/TMD, are distinct from chronic pain present in chronic TMD (cTMD). These mechanical issues may or may not involve chronic pain, and despite often coexisting with chronic facial pain, they represent separate diagnostic entities that necessitate individualised management strategies. This differentiation is essential for accurate diagnosis and effective treatment of chronic TMD patients. This review provides a comprehensive analysis of cTMD, synthesising evidence from genotyping studies, systemic inflammation, immune dysregulation, endocrine disturbances, advanced imaging, and the biopsychosocial model. By integrating these diverse perspectives, it explores the complex interplay between genetic predisposition, anatomical factors, systemic inflammation, immune and endocrine imbalances, and biopsychosocial influences in cTMD.
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What OpenQuestion holds
Registered trials
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.