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Advanced, pharmacological and complementary interventions for chronic or recurrent orofacial pain conditions: a systematic evidence map with selective meta-analyses - PubMed

3 hours ago
  • #photobiomodulation
  • #meta-analysis
  • #orofacial pain
  • Systematic evidence map and meta-analyses on interventions for chronic or recurrent orofacial pain (OP).
  • Focus on temporomandibular disorders (TMD), burning mouth syndrome (BMS), trigeminal neuralgia (TN), and other OP phenotypes.
  • 130 studies included (n=6879 participants), with both randomized and non-randomized intervention studies.
  • Photobiomodulation or low-level laser therapy (PBM/LLLT) showed short-term pain reduction in BMS (moderate certainty).
  • Most pharmacologic and supplement interventions for BMS had uncertain or inconsistent effects.
  • Evidence for TMD varied by modality and comparator, generally low or very low certainty.
  • Sparse evidence for TN and digital therapeutics, with inconsistent adverse-event reporting.
  • Future trials should standardize outcomes, extend follow-up, and report harms transparently.