{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:55:48Z","timestamp":1790668548597,"version":"4.1.0"},"reference-count":3,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Evid Based Dent"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>A Commentary on<\/jats:title>\n                    <jats:p>\n                      <jats:bold>Ferland G, Vincent R, Desmeules F, Cormier AA, Huon M, Pitance L<\/jats:bold>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      Patient Education and Self-Management in Adults With Temporomandibular Disorders: Results From a Systematic Review With Meta-Analysis. J Oral Rehabil. 2026;53:1394-1408.\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"10.1111\/joor.70187\" ext-link-type=\"doi\">https:\/\/doi.org\/10.1111\/joor.70187<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis of randomized controlled trials evaluating patient education and self-management interventions for adults with temporomandibular disorders (TMDs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case selection<\/jats:title>\n                    <jats:p>MEDLINE, PubMed, Embase, Cochrane CENTRAL, CINAHL, and PsycINFO were searched from inception to March 2025. Eligible randomized controlled trials included adults diagnosed with TMD according to RDC\/TMD or DC\/TMD criteria and evaluated patient education and\/or self-management interventions, either alone or in combination with another conservative therapy. Forty-seven trials involving 3238 participants were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data analysis<\/jats:title>\n                    <jats:p>Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Cochrane Risk of Bias tool. Random-effects meta-analyses were performed using standardized mean differences (SMDs) for pain, mandibular function, and health-related quality of life (HRQoL). Certainty of evidence was assessed using the GRADE approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Other conservative interventions demonstrated greater short-term pain reduction than education\/self-management alone (SMD 0.79; 95% CI 0.27 to 1.32) and greater short-term improvement in HRQoL (SMD 0.61; 95% CI 0.20 to 1.01). However, no significant differences were observed for medium-term pain or mandibular function. Adding education\/self-management to other conservative interventions did not improve short-term pain outcomes. Similarly, combining education\/self-management with oral appliances, manual therapy, exercise, or electrotherapy was not consistently superior to education\/self-management alone in reducing medium- and long-term\u00a0pain or functional limitation. Most included trials exhibited substantial methodological limitations and considerable clinical heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Education and self-management appear to provide clinical outcomes comparable to those of many other conservative treatments for TMDs, particularly beyond the short term. While some interventions may offer greater short-term pain relief or HRQoL improvement, the evidence does not support consistent additional benefit from combining education\/self-management with other conservative therapies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41432-026-01273-5","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:09:14Z","timestamp":1790665754000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["More therapy is not necessarily better: patient education and self-management perform similarly to other conservative interventions for temporomandibular disorders"],"prefix":"10.1038","author":[{"given":"Jens Christoph","family":"T\u00fcrp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"1273_CR1","doi-asserted-by":"publisher","first-page":"1394","DOI":"10.1111\/joor.70187","volume":"53","author":"G Ferland","year":"2026","unstructured":"Ferland G, Vincent R, Desmeules F, Cormier AA, Huon M, Pitance L. Patient education and self-management in adults with temporomandibular disorders: results from a systematic review with meta-analysis. J Oral Rehabil. 2026;53:1394\u2013408.","journal-title":"J Oral Rehabil"},{"key":"1273_CR2","unstructured":"Klasser GD, Romero Reyes M (eds) Orofacial Pain. Guidelines for Assessment, Diagnosis, and Management. Seventh Edition. The American Academy of Orofacial Pain. Chicago: Quintessence; 225\u20136 (2023)."},{"key":"1273_CR3","unstructured":"Stohler CS: Clinical Decision-making in Occlusion: A Paradigm Shift. In: McNeill C (ed): Science and Practice of Occlusion. Quintessence, Chicago: 294\u2013305, here: 295 (1997)."}],"container-title":["Evidence-Based Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01273-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01273-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01273-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:09:15Z","timestamp":1790665755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41432-026-01273-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":3,"alternative-id":["1273"],"URL":"https:\/\/doi.org\/10.1038\/s41432-026-01273-5","relation":{},"ISSN":["1462-0049","1476-5446"],"issn-type":[{"value":"1462-0049","type":"print"},{"value":"1476-5446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"21 August 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The author declares no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Ethics"}}]}}