Boston Collaborative for TMD Research

波士顿颞颌关节疾患合作(BCTMD)由预先存在的， 目前在马萨诸塞州综合医院内运行的相互关联的组件 (MGH)、哈佛牙科医学院(HSDM)和塔夫茨大学牙科学院 医药(TUSDM)。BCTMD合作包括一个强有力的临床实践-口腔面部疼痛 (OFP)和颞颌关节(TMJ)手术，这是一项研究合作，该小组 已经建立了几个基于证据的本地登记处，一个关于TMJ滑膜和 联合活检，一家专注于细胞和分子TMJ的再生医学实验室 研究、社区推广计划和培训计划学生、研究员和 执业临床医生。BCTMD的目标是了解TMJ患者的需求， TMD中的牙科学校课程，医疗保健提供方面的差距影响获得护理的机会，需要 进一步的基础和应用研究，以增进我们对TMJ病的了解，并确保 TMD服务，无论是诊断还是治疗，都是针对每个患者的，并且是经过验证的 做到安全、准确、有效。BCTMD打算通过在以下方面开展工作来实现这些目标 TMD影响利益攸关方的国家框架，以阐明这些障碍，制定国家 登记以更好地了解我们的患者和疾病过程，有针对性的治疗 通过基础和临床研究的战略，加强循证研究成果的转化 临床护理，最后，利用这个国家TMD Impact框架来培养下一代 研究人员和临床医生。要实现这些主要的协作目标，需要 基础设施，由临床医生、研究人员、教育工作者以及资源和BCTMD组成的团队 完全有能力实现这些目标。TMD影响研究将是一项为期5年的研究。我们的 第一年的目标将是1。通过科学会议在全国范围内建立合作，形成一个 中央执行委员会，并确定研究的优先事项。2.将这些调查结果提交给 国家会议和出版物3.规划发展基础设施 基于证据的国家患者登记处，用于实现数据共享、协调、 TMD内部的协调和互操作性影响4.加强教育和行政首长 具有先前确定的协作者的计划。未来四年将用于实施 这些全国性的注册，开发用于加强临床和基础科学研究的工具 利用这些登记处，开发战区导弹防御系统培训课程，增加社区宣传， 以及患者权益倡导团体的参与。

The Boston Collaborative for Temporomandibular Disorders (BCTMD) consists of preexisting, interrelated components which currently function within the Massachusetts General Hospital (MGH), Harvard School of Dental Medicine (HSDM), and Tufts University School of Dental Medicine (TUSDM). The BCTMD collaborative consist of a robust clinical practice - Orofacial Pain (OFP) and Temporomandibular Joint (TMJ) surgery, a research collaborative where the group has developed several evidence-based local registries, a large data bank of TMJ synovial and joint biopsies, a regenerative medicine laboratory focused on cellular and molecular TMJ research, community outreach programs, and training programs students, research fellows and practicing clinicians. The goal of the BCTMD is to understand TMJ patient needs, the gaps in dental school curricula in TMD, gaps in healthcare delivery affecting access to care, the need for further basic and applied research to advance our knowledge of TMJ disease, and to ensure that TMD services, both diagnostic and treatment, are the right ones for each patient, and are proven to be safe, accurate and effective. The BCTMD intends to achieve these goals by working within a national framework of TMD IMPACT stakeholders to elucidate these barriers, develop national registries for a better understanding of our patients and disease processes, target treatment strategies through basic and clinical research, enhance translation of evidence-based findings to clinical care, and lastly, use this national TMD IMPACT framework to train the future generation of researchers and clinicians. Implementation of these main goals of the collaborative requires infrastructure, a team of clinicians, researchers, educators as well as resources and BCTMD is perfectly positioned to meet these goals. The TMD IMPACT study will be a 5-year study. Our goals for Year 1 will be 1. To build collaborations nationally through scientific meetings, form a central Executive Committee and establish priorities for research. 2. Present these findings at national meetings and generate publications 3. Planning infrastructure for development of evidence based national patient registries for implementing data sharing, coordination, harmonization and interoperability within the TMD IMPACT 4. Fortify the education and CE programs with previously identified collaborators. The next four years will be used in implementing these nationwide registries, developing tools for enhancing clinical and basic science research using these registries, developing curriculum for TMD training, increasing community outreach, and participation of patient advocacy groups.