Management of Temporomandibular Joint Pain: Smile Wand, the Medico Dental Device
DOI:
https://doi.org/10.54536/ajmsi.v5i1.6391Keywords:
Psychological Distress, Quality of life, Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome, Temporomandibular JointAbstract
Temporomandibular joint pain involves neurological, physiological, and biomechanical relationships of the temporomandibular disorders. Symptoms of TMD significantly impact a patient’s day-to-day life. The aim of the study was to investigate whether SmileWand may be effective in clinical terms to enhance the pain, psychological, and systemic health outcomes and respiratory-related quality of life in patients who have TMJ. The researchers monitored changes in the pain experiences of participants prior to the intervention and after it. A total of 2,700 individuals from a private clinic were chosen. Informed consents were taken. Pre-test and post-test information collected included physical examination and a structured face-to-face questionnaire. The duration of the intervention was 15 minutes, and the device was placed between the arches of the teeth. Data were analysed with descriptive and inferential statistics. Stunning changes in pain (p < 0.001) were observed in the post-test, with the masseter (30.1%), temporalis (27.4%), and headache (24.8%) muscles showing significant improvements. Better psychological parameters when compared to the p-value of less than 0.01 were observed in insomnia (33.6%), anxiety (41%), and depression (35%). A major percentage (39.6) of the patients without symptoms mentioned improved symptom resolutions. Better breathing comfort, vision, sleep, and respiratory quality were meaningful systemic health and life quality domains. The results distinctly depict effectiveness in pain and symptom treatment in TMD patients. To clarify the physiological, biomechanical, and psychosocial foundations of the SmileWand, including its mechanism of action and long-term effectiveness, further research is necessary.
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Al-Moraissi, E. A., Christidis, N., & Ho, Y.-S. (2023). Publication performance and trends in temporomandibular disorders research: A bibliometric analysis. Journal of Stomatology, Oral and Maxillofacial Surgery, 124(1), 101273.
Al-Moraissi, E. A., Conti, P. C. R., Alyahya, A., Alkebsi, K., Elsharkawy, A., & Christidis, N. (2022). The hierarchy of different treatments for myogenous temporomandibular disorders: a systematic review and network meta-analysis of randomized clinical trials. Oral and maxillofacial surgery, 26(4), 519–533.
Al Hayek, S. O., Al-Thunayan, M. F., AlGhaihab, A. M., AlReshaid, R. M., & Omair, A. (2019). Assessing stress associated with temporomandibular joint disorder through Fonseca’s anamnestic index among the Saudi physicians. Clinical and experimental dental research, 5(1), 52–58.
Albagieh, H., Alomran, I., Binakresh, A., Alhatarisha, N., Almeteb, M., Khalaf, Y., Alqublan, A., & Alqahatany, M. (2023). Occlusal splints-types and effectiveness in temporomandibular disorder management. Saudi Dent J, 35(1), 70–79. https://doi.org/10.1016/j.sdentj.2022.12.013
Aldayel, A. M., AlGahnem, Z. J., Alrashidi, I. S., Nunu, D. Y., Alzahrani, A. M., Alburaidi, W. S., Alanazi, F., Alamari, A. S., & Alotaibi, R. M. (2023). Orthodontics and Temporomandibular Disorders: An Overview. Cureus, 15(10), e47049. https://doi.org/10.7759/cureus.47049
Almashraqi, A. A. (2021). Dimensional and positional associations between the mandibular condyle and glenoid fossa: a three-dimensional cone-beam computed tomography-based study. The Journal of Contemporary Dental Practice, 21, 1075–1083.
Alowaimer, H. A., Al Shutwi, S. S., Alsaegh, M. K., Alruwaili, O. M., Alrashed, A. R., AlQahtani, S. H., & Batais, M. S. (2024). Comparative Efficacy of Non-Invasive Therapies in Temporomandibular Joint Dysfunction: A Systematic Review. Cureus, 16(3), e56713. https://doi.org/10.7759/cureus.56713
Alqutaibi, A. Y., Alhammadi, M. S., Hamadallah, H. H., Altarjami, A. A., Malosh, O. T., Aloufi, A. M., Alkahtani, L. M., Alharbi, F. S., Halboub, E., & Almashraqi, A. A. (2025). Global prevalence of temporomandibular disorders: a systematic review and meta-analysis. Journal of Oral & Facial Pain & Headache, 39(2).
Ângelo, D. F., Mota, B., João, R. S., Sanz, D., & Cardoso, H. J. (2023). Prevalence of Clinical Signs and Symptoms of Temporomandibular Joint Disorders Registered in the EUROTMJ Database: A Prospective Study in a Portuguese Center. Journal of clinical medicine, 12(10), 3553.
Baroni, A., Severini, G., Straudi, S., Buja, S., Borsato, S., & Basaglia, N. (2020). Hyperalgesia and Central Sensitization in Subjects With Chronic Orofacial Pain: Analysis of Pain Thresholds and EEG Biomarkers. Frontiers in Neuroscience, Volume 14 - 2020. https://doi.org/10.3389/fnins.2020.552650
Bender, S. D. (2012). Temporomandibular disorders, facial pain, and headaches. Headache: The Journal of Head and Face Pain, 52, 22–25.
Bordoni, B., & Varacallo, M. A. (2023). Anatomy, head and neck, temporomandibular joint. In StatPearls [Internet]. StatPearls Publishing.
Calixtre, L. B., Grüninger, B. L. d. S., Chaves, T. C., & Oliveira, A. B. d. (2014). Is there an association between anxiety/depression and temporomandibular disorders in college students? Journal of Applied Oral Science, 22(1), 15–21.
Chisnoiu, A. M., Picos, A. M., Popa, S., Chisnoiu, P. D., Lascu, L., Picos, A., & Chisnoiu, R. (2015). Factors involved in the etiology of temporomandibular disorders - a literature review. Clujul Med, 88(4), 473–478. https://doi.org/10.15386/cjmed-485
Crespo Reinoso, P. A., Ruiz Delgado, E., & Jerez Robalino, J. (2022). Biomechanics of the Temporomandibular Joint. In R. K. Kummoona (Ed.), Temporomandibular Joint - Surgical Reconstruction and Managements. IntechOpen. https://doi.org/10.5772/intechopen.103836
de Godoi Gonçalves, D. A., Dal Fabbro, A. L., Campos, J. A. D. B., Bigal, M. E., & Speciali, J. G. (2010). Symptoms of temporomandibular disorders in the population: an epidemiological study. Journal of orofacial pain, 24(3).
Di Fabio, R. P. (1998). Physical therapy for patients with TMD: a descriptive study of treatment, disability, and health status. Journal of orofacial pain, 12(2).
Dinsdale, A., Atkins, C., Golds, L., Gough, A., Jessen, K., & Forbes, R. (2025). The effectiveness of conservative interventions on temporomandibular disorder-related kinesiophobia and pain catastrophizing: a systematic review. Musculoskeletal Science and Practice, 77, 103328. https://doi.org/https://doi.org/10.1016/j.msksp.2025.103328
Dos Santos Bento, A. P., Filho, N. M., Ferreira, A. S., Cassetta, A. P., & de Almeida, R. S. (2023). Sleep quality and polysomnographic changes in patients with chronic pain with and without central sensitization signs. Braz J Phys Ther, 27(3), 100504. https://doi.org/10.1016/j.bjpt.2023.100504
Durham, J., Newton-John, T. R., & Zakrzewska, J. M. (2015). Temporomandibular disorders. Bmj, 350.
Ey-Chmielewska, H., Teul, I., & Lorkowski, J. (2014). Functional disorders of the temporomandibular joints as a factor responsible for sleep apnoea. Pomeranian Journal of Life Sciences, 60(2), 65–68.
Ferendiuk, E., Zajdel, K., & Pihut, M. (2014). Incidence of otolaryngological symptoms in patients with temporomandibular joint dysfunctions. BioMed Research International, 2014(1), 824684.
Ferrillo, M., Giudice, A., Marotta, N., Fortunato, F., Di Venere, D., Ammendolia, A., Fiore, P., & de Sire, A. (2022). Pain Management and Rehabilitation for Central Sensitization in Temporomandibular Disorders: A Comprehensive Review. Int J Mol Sci, 23(20). https://doi.org/10.3390/ijms232012164
Garrigós-Pedrón, M., Elizagaray-García, I., Domínguez-Gordillo, A. A., Del-Castillo-Pardo-de-Vera, J. L., & Gil-Martínez, A. (2019). Temporomandibular disorders: improving outcomes using a multidisciplinary approach. Journal of multidisciplinary healthcare, 733–747.
Garstka, A. A., Brzózka, M., Bitenc-Jasiejko, A., Ardan, R., Gronwald, H., Skomro, P., & Lietz-Kijak, D. (2022). Cause-Effect Relationships between Painful TMD and Postural and Functional Changes in the Musculoskeletal System: A Preliminary Report. Pain Res Manag, 2022, 1429932. https://doi.org/10.1155/2022/1429932
Gauer, R. L., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular disorders. American family physician, 91(6), 378–386.
Giannakopoulos, H. E., Quinn, P. D., Granquist, E., & Chou, J. C. (2009). Posttraumatic temporomandibular joint disorders. Craniomaxillofac Trauma Reconstr, 2(2), 91–101. https://doi.org/10.1055/s-0029-1215872
Gil-Martínez, A., Paris-Alemany, A., López-de-Uralde-Villanueva, I., & La Touche, R. (2018). Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. Journal of pain research, 571–587.
González-Sánchez, B., García Monterey, P., Ramírez-Durán, M. d. V., Garrido-Ardila, E. M., Rodríguez-Mansilla, J., & Jiménez-Palomares, M. (2023). Temporomandibular Joint Dysfunctions: A Systematic Review of Treatment Approaches. Journal of clinical medicine, 12(12), 4156.
Gonzalez, Y. M., Schiffman, E., Gordon, S. M., Seago, B., Truelove, E. L., Slade, G., & Ohrbach, R. (2011). Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. The Journal of the American Dental Association, 142(10), 1183–1191.
Guarda-Nardini, L., De Almeida, A. M., & Manfredini, D. (2021). Arthrocentesis of the Temporomandibular Joint: Systematic Review and Clinical Implications of Research Findings. Journal of Oral & Facial Pain & Headache, 35(1).
Häggman-Henrikson, B., Lövgren, A., Wu, W. Y., Peck, C., Westergren, H., & List, T. (2025). Prevalence of Temporomandibular Disorder Symptoms After Whiplash Trauma-A Systematic Review and Meta-Analysis. Eur J Pain, 29(3), e4792. https://doi.org/10.1002/ejp.4792
Hanna, K., Nair, R., Amarasena, N., Armfield, J. M., & Brennan, D. S. (2021). Temporomandibular dysfunction experience is associated with oral health-related quality of life: an Australian national study. BMC Oral Health, 21(1), 432.
Huqh, M., Hassan, R., Azhar, M., Rahman, R., Asif, J., Yusof, A., & Quadri, S. (2020). Effect of orthodontic treatment on temporomandibular joint: A review. Eur. J. Mol. Clin. Med, 7, 1000–1010.
Ingawalé, S., & Goswami, T. (2009). Temporomandibular Joint: Disorders, Treatments, and Biomechanics. Annals of Biomedical Engineering, 37(5), 976–996. https://doi.org/10.1007/s10439-009-9659-4
Johansson Cahlin, B., Samuelsson, N., & Dahlström, L. (2006). Utilization of pharmaceuticals among patients with temporomandibular disorders: a controlled study. Acta Odontologica Scandinavica, 64(3), 187–192.
Khijmatgar, S., Tartaglia, G. M., Sardella, A., Marchesi, A., Marchesi, R., & Pellegrini, C. (2025). Occlusal splint effects on visual capacities in patients with temporomandibular disorders (TMD): a prospective interventional cohort study. BDJ Open, 11(1), 56. https://doi.org/10.1038/s41405-025-00337-5
Kitsoulis, P., Marini, A., Iliou, K., Galani, V., Zimpis, A., Kanavaros, P., & Paraskevas, G. (2011). Signs and symptoms of temporomandibular joint disorders related to the degree of mouth opening and hearing loss. BMC Ear, Nose and Throat Disorders, 11(1), 5.
Klasser, G., & Murchison, D. (2025). Overview of Temporomandibular Disorders (TMDs). MSD Manual Professional Edition; Merck & Co., Inc.: Rahway, NJ, USA.
Klasser, G. D., Goulet, J.-P., & Moreno-Hay, I. (2023). Classification and diagnosis of temporomandibular disorders and temporomandibular disorder pain. Dental Clinics, 67(2), 211–225.
Li, D. T. S., & Leung, Y. Y. (2021). Temporomandibular Disorders: Current Concepts and Controversies in Diagnosis and Management. Diagnostics (Basel), 11(3). https://doi.org/10.3390/diagnostics11030459
List, T., & Jensen, R. H. (2017). Temporomandibular disorders: Old ideas and new concepts. Cephalalgia, 37(7), 692–704.
Ma, Y., Yu, M., & Gao, X. (2023). Role of craniofacial phenotypes in the response to oral appliance therapy for obstructive sleep apnea. Journal of oral rehabilitation, 50(4), 308–317.
Małgorzata, P., Małgorzata, K.-M., Karolina, C., & Gala, A. (2020). Diagnostic of temporomandibular disorders and other facial pain conditions—narrative review and personal experience. Medicina, 56(9), 472.
Manfredini, D., Ahlberg, J., Winocur, E., Guarda-Nardini, L., & Lobbezoo, F. (2011). Correlation of RDC/TMD axis I diagnoses and axis II pain-related disability. A multicenter study. Clinical oral investigations, 15(5), 749–756.
Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J. M., & Luque-Suarez, A. (2020). Which Psychological Factors Are Involved in the Onset and/or Persistence of Musculoskeletal Pain? An Umbrella Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies. Clin J Pain, 36(8), 626–637. https://doi.org/10.1097/ajp.0000000000000838
Mérida-Velasco, J. R., Rodríguez-Vázquez, J. F., Mérida-Velasco, J. A., Sánchez-Montesinos, I., Espín-Ferra, J., & Jiménez-Collado, J. (1999). Development of the human temporomandibular joint. The Anatomical Record, 255(1), 20–33. https://doi.org/https://doi.org/10.1002/(SICI)1097-0185(19990501)255:1<20::AID-AR4>3.0.CO;2-N
Minervini, G., Franco, R., Marrapodi, M. M., Fiorillo, L., Cervino, G., & Cicciù, M. (2023). Prevalence of temporomandibular disorders in children and adolescents evaluated with Diagnostic Criteria for Temporomandibular Disorders: a systematic review with meta-analysis. Journal of oral rehabilitation, 50(6), 522–530.
Murphy, M. K., MacBarb, R. F., Wong, M. E., & Athanasiou, K. A. (2013). Temporomandibular joint disorders: a review of etiology, clinical management, and tissue engineering strategies. The International journal of oral & maxillofacial implants, 28(6), e393.
Ohrbach, R., & Sharma, S. (2024). Temporomandibular disorders: definition and etiology. Seminars in Orthodontics,
Öztürk, K., Danışman, H., & Akkoca, F. (2024). The effect of temporomandibular joint dysfunction on the craniocervical mandibular system: A retrospective study. J Oral Rehabil, 51(3), 469–475. https://doi.org/10.1111/joor.13622
Peck, C. C., Goulet, J. P., Lobbezoo, F., Schiffman, E. L., Alstergren, P., Anderson, G. C., de Leeuw, R., Jensen, R., Michelotti, A., & Ohrbach, R. (2014). Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. Journal of oral rehabilitation, 41(1), 2–23.
Prada, S. G., de Siqueira, A. U. B., Camargo, G. M., Roesler, C., de Oliveira Silva, E. E., Junior, O. C., Saba, F. S., Moura, R. Z. S., Nobre, S. Y., & Zanetti, C. (2024). The anxiety, depression, and TMD: Multidisciplinary therapy. Headache Medicine, 15(4), 274–286.
Saito, E. T., Akashi, P. M., & Sacco Ide, C. (2009). Global body posture evaluation in patients with temporomandibular joint disorder. Clinics (Sao Paulo), 64(1), 35–39. https://doi.org/10.1590/s1807-59322009000100007
Schiffman, E., & Ohrbach, R. (2016). Executive summary of the Diagnostic Criteria for Temporomandibular Disorders for clinical and research applications. The Journal of the American Dental Association, 147(6), 438–445.
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.-P., List, T., Svensson, P., Gonzalez, Y., & Lobbezoo, F. (2014). Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. Journal of oral & facial pain and headache, 28(1), 6.
Speculand, B., Hughes, A. O., & Goss, A. N. (1984). Role of recent stressful life events experience in the onset of TMJ dysfunction pain. Community Dent Oral Epidemiol, 12(3), 197–202. https://doi.org/10.1111/j.1600-0528.1984.tb01439.x
Vinayak, V., Ram, K. A., & Chandran, J. (2024). Exploring the Complexities of Temporomandibular Joint Function and Dysfunction: A Contemporary Review. Odovtos International Journal of Dental Sciences, 26(3), 79–98.
Wan, J., Lin, J., Zha, T., Ciruela, F., Jiang, S., Wu, Z., Fang, X., Chen, Q., & Chen, X. (2025). Temporomandibular disorders and mental health: shared etiologies and treatment approaches. J Headache Pain, 26(1), 52. https://doi.org/10.1186/s10194-025-01985-6
Wani, P., & Anand, R. (2025). Neuroplasticity and Pain Perception: Exploring the Complexities of Temporomandibular Disorders. Cureus, 17(2), e79098. https://doi.org/10.7759/cureus.79098
Woolf, C. J. (2011). Central sensitization: implications for the diagnosis and treatment of pain. Pain, 152(3 Suppl), S2–s15. https://doi.org/10.1016/j.pain.2010.09.030
Xiao, M., & Ni, S. (2025). Different effects of abnormal mechanical stress on temporomandibular joint cartilage, subchondral bone, and discs [Review]. Frontiers in Physiology, 16. https://doi.org/10.3389/fphys.2025.1539342
Yap, A. U., & Lee, D. Z. R. (2023). Painful temporomandibular disorders in Confucian-heritage cultures: Their inter-relationship with bodily pain, psychological well-being and distress. Journal of oral rehabilitation, 50(10), 948–957.
Yost, O., Liverman, C. T., English, R., Mackey, S., & Bond, E. C. (2020). Temporomandibular disorders: priorities for research and care.
Zieliński, G., Pająk-Zielińska, B., & Ginszt, M. (2024). A meta-analysis of the global prevalence of temporomandibular disorders. Journal of clinical medicine, 13(5), 1365.
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