Prof. Daniele Manfredini
Italy
Temporomandibular Disorders: embedding evidence-based guidelines into clinical practice
Abstract
Temporomandibular Disorders’ (TMDs) etiology, assessment, and management have always been much debated in dentistry. Scientific knowledge in support of the biopsychosocial model of pain practice has grown over the last few decades, but dissemination and implementation of contemporary evidence-based practice in general dental practice has not been fully achieved.
Outside of the specialist orofacial pain field, dentistry based on out-dated and disproven concepts such as gnathological precepts still persists and has been reinforced by the use of electronic instruments that have debatable validity, sensitivity, specificity, and reliability. Ultimately, this persistence of a biomedical gnathological conceptually driven care model leads to overtreatment and potential iatrogenic damage.
Recent papers and some debates within some orofacial pain expert communities underlined the need to enhance the diffusion and implementation of contemporary evidence into general dental practice. A fundamental initial step of this process is to distil and chronicle contemporary evidence into evidence-based guidelines for general dental practice. This lecture will begin from the available evidence and will introduce some “good practice keypoints” to start constructing an agreed summary/guideline of these relevant to general dental practice.
Learning outcomes:
– Understanding the standard of care for temporomandibular disorders practice
– Getting dentists out of the old beliefs focused on the correction of dental occlusion
– Learning the conceptual background of prescribing and simplicity of delivering an oral appliance
– Discussing some everyday clinical cases
Daniele Manfredini received his DDS from the University of Pisa, Italy in 1999, the obtaining aa MSc in Occlusion and Craniomandibular Disorders from the same University, a PhD in Dentistry from the ACTA Amsterdam, The Netherlands, and a Post-Graduation Specialty in Orthodontics from the University of Ferrara, Italy. He achieved the Diplomate Status from the American Board of Orofacial Pain in 2021. He is the lifetime President of the Italian Study Group on Orofacial Pain (GSID).
From 2006 to 2016, Daniele Manfredini has been Assistant Professor at the School of Dentistry, Department of Maxillofacial Surgery, University of Padova, Italy
On January 2017, the Italian Ministry of University and Research (MIUR) appointed him as a Full Professor by scientific merit at the age of 41.
Since 2017, Daniele Manfredini has served as Professor at the School of Dentistry, Department of Medical Biotechnologies, University of Siena, Italy, where he holds teachings in Oral Physiol-ogy and in Clinical Gnathology. He is currently the Director of the Orofacial Pain Unit.
Daniele Manfredini authored more than 300 papers in journals indexed in the Medline and Scopus databases (Scopus H-index=63). He edited and co-authored several textbooks.
In November 2013, Prof. Manfredini was ranked as world #1 expert in the field of temporoman-dibular joint disorders (Expertscape, Science LeadR), and since then he has always been included in the top three experts in the field. Since November 2018, he has also been indicated by the same agencies as #1 in the field of bruxism, and he has maintained a top three position thereafter.
Since 2018, Daniele Manfredini is Member and Coordinator of the Bruxism Consensus Panel within the International Association for Dental Research, for which he currently serves in the IN-fORM Board of Directors.
Since January 1st, 2024, Daniele Manfredini acts as the Editor-in-Chief of the Journal of Cranio-mandibular and Sleep Practice.