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Temporomandibular Disorders An Evidence Based Approach To Diagnosis And Treatment Pdf

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Temporomandibular disorder TMD is one of the most common disorders in the maxillofacial region which usually presents with pain, unusual sounds, discomfort in chewing and locking of the jaw. TMD patients comprise a considerable proportion of patients seeking treatment; early diagnosis is important because it is proven that acute TMD responds well to treatment in contrast to chronic TMD.

Diagnosis and Management of Temporomandibular Disorders

View My Stats. Background: Temporomandibular disorder TMD is a common term used to describe the problems related to masticatory muscles, joints, and supporting tissues. TMD commonly causes orofacial pain and has been the subject of considerable research in the field of dentistry. The treatment chosen for patients who have TMD is largely determined by the knowledge of general dental practitioners. Objectives: The purpose of this research was to assess the understanding of TMD pathophysiology by such practitioners.

Diagnosis and Treatment of Temporomandibular Disorders

Patient information : See related handout on temporomandibular disorders , written by the authors of this article. Temporomandibular disorders TMD are a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, and surrounding musculature and osseous components. TMD is classified as intra-articular or extra-articular. Common symptoms include jaw pain or dysfunction, earache, headache, and facial pain. The etiology of TMD is multifactorial and includes biologic, environmental, social, emotional, and cognitive triggers. Diagnosis is most often based on history and physical examination. Diagnostic imaging may be beneficial when malocclusion or intra-articular abnormalities are suspected.

Examination of temporomandibular disorders in the orthodontic patient: a clinical guide. The possible association between orthodontic treatment and temporomandibular disorders TMD is a topic of great interest in the current literature. The true role of orthodontic therapy on the etiology of TMD, however, is still uncertain. From the clinical prospective, a thorough examination of the stomatognathic system is always necessary in order to detect possible TMD signs and symptoms prior to the beginning of the orthodontic therapy. Caution should be exercised when planning, performing and finalizing orthodontics, especially in patients who with history of signs and symptoms of TMD. The clinician must always eliminate patient's pain and dysfunction before initiating any type of orthodontic mechanics.

Table of Contents

This article traces the history of the development of the current diagnostic and therapeutic approaches to the management of temporomandibular disorders, with emphasis on the mistakes or misconceptions that occurred during their development and the lessons that can be learned from these errors. It also makes recommendations for future areas of investigation, and methods for facilitating such studies, in order to improve the future treatment of these patients. This is a preview of subscription content, access via your institution.

Diagnosis and Treatment of Temporomandibular Disorders

Temporomandibular disorders: improving outcomes using a multidisciplinary approach

It is a common experience for most dental practitioners to meet patients seeking treatment for temporo-mandibular disorders TMDs. Due to the complexity of the temporomandibular system and uncertain aetiology, these disorders are often treated with radically different approaches, depending upon the clinicians' education and beliefs. Theoretically, the best way to provide basic guidelines for the management of these difficult patients would be to collect exhaustively and to examine systematically, the large body of evidence arising from the most up to date scientific research available in the literature. This excellent textbook can be considered the successful result of such a challenge, which was fulfilled by an expert team that included 42 of the most eminent researchers and clinicians in the field. Apart from a few exceptions, each chapter has been written according to an evidence-based approach rather than an opinion-based approach. The textbook is divided into two main parts: 1 biological basis and 2 clinical management.

This book continues the tradition established by 4 editions of the classic monograph, The Temporomandibular Joint: A Biological Basis for Clinical Practice , which was coedited by Daniel Laskin, the senior editor of this book. Temporomandibular Disorders is written primarily for oral and maxillofacial surgeons and other clinicians and researchers interested in the etiology, pathogenesis, and treatment of temporomandibular joint TMJ disorders. It integrates the contributions of basic scientists and clinicians in an evidence-based approach to temporomandibular disorders TMDs. The book consists of 36 well-referenced chapters grouped in 2 parts.

Patients with temporomandibular disorders TMD can become very complex. This article aims to highlight the importance of the multimodal and multidisciplinary approach in this type of patients to improve clinical outcomes. At present we have innumerable techniques and tools to approach this type of patients from a biopsychosocial model where active and adaptive type treatments are fundamental. There are various health professions that have competence in the treatment of TMD, however, although in the most complex cases should be treated simultaneously, still too many patients receive unique treatments and only from one point of view. This review exposes the treatments available from a clinical-scientific perspective and also emphasizes the importance of working in specialized units with those professionals who have competencies on the different conditions that may occur. Temporomandibular disorders TMDs present a challenge for health professionals, due to the great complexity of the condition. This complexity is evident in various aspects, including accurate diagnostic methods, treatment, associated comorbidities and the socioeconomic impact they entail.


Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment Author(s)/Editor(s): Laskin, Daniel M.; Greene, Charles S.; Hylander.


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Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. Many patients here and around the world are lost, forgotten, and suffering. Historically, the care of some individuals with temporomandibular disorders TMDs , especially those with chronic and painful TMDs, has been fraught with challenges and complications. This chapter discusses these challenges and describes the current state of prevention, detection, assessment, diagnosis, and treatment of TMDs. The final section of the chapter explores approaches for improving the evidence base for TMD treatments and patient care: conducting clinical trials, building a TMD patient registry, and developing clinical practice guidelines. Chapter 6 addresses other challenges to the caring for individuals with a TMD, including provider education, the medical—dental divide, the lack of access to specialty care, and payment and coverage issues.

Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment

Okeson, DMD Perhaps the preeminent text book currently available for the serious student of masticatory function and disorders, Dr. Okeson brings to this field a unique balance of clinical and academic erudition. Wright, DDS This manual is very much focused on the clinical practice of temporomandibular disorders and can provide a quite clear, yet academically rigorous, guide to the clinical dentist.

Temporomandibular Disorders

Int Arch Oral Maxillofac Surg To study the short-term effect of corticosteroid injection on temporomandibular joint structures.

Buy this product from the following publishers:. KVM - Der Medizinverlag. Home Books Temporomandibular Disorders. Laskin, Daniel M. Information Downloads Reviews.

Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment

Despite continuing research, which is providing an increasing evidence base, the dental profession still does not have a standard of care for diagnosing or managing temporomandibular disorders TMDs. Although guidelines have been published by organizations including the American Academy of Orofacial Pain 1 and the American Academy of Oral Medicine, which has published a handbook 2 for managing various orofacial conditions causing pain, these are not officially recognized as authoritative documents by national associations. The Canadian Dental Association and American Dental Association have not established clinical guidelines for this segment of dental practice.

2 Comments

Dingragfioplat 18.05.2021 at 08:07

Request PDF | On Jan 1, , Daniel Laskin and others published Temporomandibular Disorders: An Evidence-Based Approach to Diagnosis and Treatment.

Eric A. 18.05.2021 at 12:22

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