ArticleSchmerz (Berlin, Germany)2026
[Recommendations for practitioners managing temporomandibular pain : On the shortcomings of a physician list].
Article in Schmerz (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors.
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Abstract
backgroundTemporomandibular disorders (TMDs) affect nearly 4% of the population in Germany. Temporomandibular pain is the main clinical manifestation and requires guideline-based diagnosis and management. The Stern Physician List 2026 is intended to help patients identify qualified healthcare providers. This study examined whether orthodontists listed as offering TMD therapy provide evidence-based care for TMD patients.
methodsWebsites of all orthodontists mentioned in the 2026 list with the designation "TMD therapy" were systematically analyzed. Information on symptoms, etiology, diagnosis, and therapy was evaluated against the guidelines of the American Academy of Orofacial Pain.
resultsOf 104 orthodontists, 70 (67%) reported offering TMD therapy, but only 32 websites (46%) provided relevant information. Most content deviated from current evidence. Occlusal factors were frequently presented as the primary cause, while history-taking and psychosocial assessment were not addressed.
conclusionsThe self-reported TMD therapy designation does not indicate provider qualification or guidelines adherence. The analyzed websites showed substantial discrepancies from evidence-based care standards and may contribute to over-, under-, or mistreatment. Unverified self-report information should therefore be omitted from such lists.
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