Algorithm for Temporomandibular Disorders With Osteopathic Manipulative Therapy: An Expert Consensus

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.