International Journal of Innovation and Applied Studies
ISSN: 2028-9324     CODEN: IJIABO     OCLC Number: 828807274     ZDB-ID: 2703985-7
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In Press: The clinical effectiveness of cognitive behavioral therapy in the management of temporomandibular disorders: Systematic review of the literature

[ L’efficacité clinique de la thérapie cognitivo-comportementale dans la gestion des troubles temporo-mandibulaires : Revue systématique de la littérature ]


B. Mbarki1, I. Boujoual2, B. Ouallal3, and A. Andoh4

1 Département de prothèse fixée, Faculté de Médecine dentaire, Université Hassan II, Casablanca, Morocco
2 Département de prothèse fixée, Faculté de Médecine dentaire, Université Hassan II, Casablanca, Morocco
3 Département de prothèse fixée, Faculté de Médecine dentaire, Université Hassan II, Casablanca, Morocco
4 Département de BMF, Faculté de Médecine dentaire, Université Hassan II, Casablanca, Morocco

Original language: French

Received 17 June 2020

Copyright © 2020 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cognitive Behavioral Therapy (CBT), represents today the psychotherapeutic current most widely validated by the methods of Evidence Based Medicine. The aim of this work is to evaluate the clinical efficacy of this therapy in the management of temporomandibular disorders, which are pathologies of multifactorial origin, in which the psychic factor plays an important role.The collection of data from the scientific literature was carried out among the scientific production published during the period from 2004 to 2019 through research on the PubMed database.Articles published and meeting the eligibility criteria were identified after reading their titles and abstracts by 3 readers.A manual search covering the same period was conducted to expand the bibliography.Through this systematic review, we can abstract the following conclusions:- Temporomandibular joint disorders are pathologies with various origins, in which the psychic factor plays an important role in the appearance and maintenance of the disorder, as well as during treatment.-In front of this pathology which is multifactorial, medical care must address all of the elements responsible of the disorder.- The treatment plan must be adapted to each patient, promoting the non-invasive conservative therapeutic means (drug treatments, occlusal splints).-The combination of the standard conservative therapy with Cognitive Behavioral Therapy (CBT), which is a psychotherapy that focuses on the patient's wrong and negative thoughts and beliefs, allows to increases the effectiveness of treatment, accelerates healing and prevents relapse.- Further studies are needed, with a longer observation period and a large sample size. In order to make a better analysis of this effectiveness, not only on temporomandibular joint disorders, but also for the various oral and dental pathologies which are related to the psychology of the patients. In addition, the oral cavity represents an organ with high psychological importance, and the dentist must today know how to approach a patient as a globality for a better care.

Author Keywords: clinical efficacy, therapy, cognitive behavioral, disorder, temporomandibular.

Abstract: (french)

La thérapie cognitivo-comportementale (TCC), représente aujourd’hui le courant psychothérapique le plus largement validé par les méthodes de l’Evidence Based Médecine. L’objectif de ce travail est d’évaluer l’efficacité clinique de cette thérapie dans la gestion des troubles temporo-mandibulaires, qui sont des pathologies d’origine multifactorielle, dont le facteur psychique joue un rôle important. La collection des données a été effectuée via PubMed.A travers cette revue systématique, il nous est possible de dégager les conclusions suivantes:- Les troubles d’articulation temporo-mandibulaires sont des pathologies d’origines diverses, dont le facteur psychique joue un rôle important.- Le plan du traitement doit être adapté à chaque patient, tout en favorisant des moyens thérapeutiques conservateurs non invasifs- L’association du traitement conservateur standard avec La TCC qui est une psychothérapie centrée sur les pensées et les croyances erronées et négatives du patient, permet d’augmenter l’efficacité du traitement, d’accélérer la guérison et de prévenir les rechutes.

Author Keywords: efficacité clinique, thérapie, cognitivo-comportementale, trouble, temporo-mandibulaire.