{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:23:13Z","timestamp":1790720593965,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Chronic pain in the orofacial region affects 10%\u201315% of the general population. It is most often related to temporomandibular disorders (TMD): pain in the masticatory muscles and the temporomandibular joints. Managing chronic pain conditions requires a biopsychosocial, evidence\u2010based and patient\u2010centred approach. Accordingly, self\u2010management has been advocated for TMD. This umbrella review aimed to evaluate existing evidence in systematic reviews (SRs) on self\u2010management therapy for TMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review was carried out in accordance with the PRISMA and PRIOR guidelines, with a pre\u2010registered protocol (PROSPERO CRD42021276856). PubMed, Scopus, LILACS and the Cochrane Library were searched until December 1st 2023 to identify SRs that evaluated self\u2010management for TMD. Two independent reviewers screened titles and abstracts, performed full\u2010text assessments, extracted all data and performed risk of bias assessment with AMSTAR 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1740 studies were identified. After title and abstract screening, 399 studies underwent full\u2010text assessment and 11 SRs comprising 49 unique primary studies were included. Of these, six SRs reported favorable results for self\u2010management for TMD, whereas five reported insufficient evidence either for or against the use of self\u2010management compared to other interventions. The overlap of primary studies between the SRs was 53%, and the main evidence gaps were related to quality of life and adverse effects outcomes. The methodological shortcomings of the SRs primarily stem from insufficient primary\u2010study design criteria or not providing references for excluded studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Existing evidence generally suggests beneficial effects from self\u2010management strategies such as patient education, behavioural therapy and jaw exercises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70074","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T07:21:29Z","timestamp":1759908089000},"page":"265-281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Self\u2010Management Therapies for Temporomandibular Disorders\u2014Evidence From Systematic Reviews"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4147-1420","authenticated-orcid":false,"given":"Tessa","family":"Bijelic","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambrosina","family":"Michelotti","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Reproductive Science and Oral Science University of Naples Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-2949","authenticated-orcid":false,"given":"Rosaria","family":"Bucci","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Reproductive Science and Oral Science University of Naples Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Del Sorbo","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Reproductive Science and Oral Science University of Naples Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EwaCarin","family":"Ekberg","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6088-3739","authenticated-orcid":false,"given":"Birgitta","family":"H\u00e4ggman\u2010Henrikson","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"issue":"4","key":"e_1_2_10_3_1","first-page":"301","article-title":"Research Diagnostic Criteria for Temporomandibular Disorders: Review, Criteria, Examinations and Specifications, Critique","volume":"6","author":"Dworkin S. 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