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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Craniomandibular Dysfunction and Stress | Research

Patients’ experiences of temporomandibular disorders and related treatment

Authors: Aurelia Ilgunas, Anncristine Fjellman-Wiklund, Birgitta Häggman-Henrikson, Frank Lobbezoo, Corine M. Visscher, Justin Durham, Anna Lövgren

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

Temporomandibular disorders (TMD) are common and therefore managed by dentists on a daily basis. However, patients with TMD consistently go undetected and therefore untreated in dentistry. The reasons for these shortcomings have not been fully explored, specifically with regard to patients’ perspectives. Therefore, this study aimed to explore patients’ experiences of TMD and related treatment, with special focus on the experiences of having TMD, factors related to seeking care, and perspectives on received treatment.

Methods

Purposive sampling was used to recruit adult patients at the Public Dental Health services (PDHS) in the Region of Västerbotten, Sweden, during 2019. Individual semi-structured interviews were conducted and analysed using Qualitative Content Analysis. Sixteen patients were interviewed (ten women and six men, 20–65 years). The interviews probed the patients’ perspectives of having TMD, seeking care, and receiving treatment. All participants were also examined according to the Diagnostic Criteria for TMD (DC/TMD) and qualified for at least one DC/TMD diagnosis.

Results

The data analysis led to the main theme Seeking care when the situation becomes untenable, but dental care fails to meet all needs. The patients expressed worry and social discomfort because of the symptoms but still strived to have an as normal daily life as possible. However, severe symptoms and associated consequences compelled them to seek professional help. Experiences of distrust together with challenges to access the PDHS were identified and related to the patients’ unfulfilled expectations.

Conclusions

Patients’ reported experiences indicate that receiving timely and appropriate care is more of an unfulfilled expectation than the current state of management of patients with TMD in dentistry.
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Metadata
Title
Patients’ experiences of temporomandibular disorders and related treatment
Authors
Aurelia Ilgunas
Anncristine Fjellman-Wiklund
Birgitta Häggman-Henrikson
Frank Lobbezoo
Corine M. Visscher
Justin Durham
Anna Lövgren
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03230-5

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