Algorithm for temporomandibular disorders with osteopathic manipulative therapy: An expert consensus

Abstract

Objective The purpose of this study was to create a consensus algorithm for the osteopathic approach to temporomandibular dysfunctions. Methods A conventional Delphi method of at least 3 rounds of questionnaires was carried out by a panel of experts to reach a consensus on a flowchart algorithm for the diagnosis and treatment of temporomandibular disorders with osteopathic manipulative therapy. Results During the 3 rounds, a total of 7 panellists participated. Consensus was reached on 182 items (70.54% = 182/258). The algorithm has a numerical code with which the direction of each option can be followed, and a color code that shows the classification of each of the items (anamnesis, examination, observation, referral, palpation and treatment). The algorithm begins with 4 main categories: psychological aspects, exclusion criteria, physical aspects, and other issues, which are further subdivided into specific items that will be addressed according to the findings obtained during the patient visit. Conclusion This study created an algorithm for the osteopathic approach to temporomandibular dysfunctions.