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Diagnostic and therapeutic-restorative procedures for masticatory dysfunctions

Freesmeyer WB, Fussnegger MR, Ahlers MO - GMS Curr Top Otorhinolaryngol Head Neck Surg (2005)

Bottom Line: It has been shown in recent years that psychological, social and general medical influences are of enormous importance in the etiology of TMD in addition to anatomical, physiological, parafunctional and other biological causes.This signifies that therapists confronted with TMD should already include at an early stage other specialists such as pain therapists, neurologists, ENT physicians, psychotherapists and physiotherapists.Patients need to be referred to dentists specializing in TMD when ENT examinations yield no pathological findings.

Affiliation: Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin University, School of Dental Medicine, Division of Restorative Dentistry, Berlin.

ABSTRACT

Temporomandibular disorders (TMD) or craniomandibular disorders, respectively, involve diseases of the teeth and periodontia as well as the masticatory muscles, temporomandibular joints and associated structures. It has been shown in recent years that psychological, social and general medical influences are of enormous importance in the etiology of TMD in addition to anatomical, physiological, parafunctional and other biological causes. This signifies that therapists confronted with TMD should already include at an early stage other specialists such as pain therapists, neurologists, ENT physicians, psychotherapists and physiotherapists. Patients need to be referred to dentists specializing in TMD when ENT examinations yield no pathological findings. The treatment of TMD is subdivided into the following steps that are always related to underlying diagnoses: informing patients, self-observation, relaxation therapy, behavioral therapy, physiotherapy, drug therapy, therapeutic local anesthesia, splint therapy, and, if necessary, prosthetic and/or orthodontic therapy to restore a stable occlusion.

Anterior open bite
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Figure 8: Anterior open bite

Mentions: Even if less importance is given today to occlusion in the development and maintenance of TMD than a few years ago, the results of the occlusal examination still plays a central role in the clinical examination with regard to dental orthopedic stability [23], [24]. Certain malocclusions seem to be more important in TMD. These include an anterior open bite (Figure 8 (Fig. 8)), an overjet larger than 6 mm (Figure 9 (Fig. 9)), and a coincidence of the retral and habitual contact positions, since the joint is in a border position. The absence of more than 4 posterior teeth (loss of posterior supporting zones) also seems to increase the likeliness to develop TMD [25], [26].

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Diagnostic and therapeutic-restorative procedures for masticatory dysfunctions

Freesmeyer WB, Fussnegger MR, Ahlers MO - GMS Curr Top Otorhinolaryngol Head Neck Surg (2005)

Anterior open bite
© Copyright Policy
Figure 8: Anterior open bite
Mentions: Even if less importance is given today to occlusion in the development and maintenance of TMD than a few years ago, the results of the occlusal examination still plays a central role in the clinical examination with regard to dental orthopedic stability [23], [24]. Certain malocclusions seem to be more important in TMD. These include an anterior open bite (Figure 8 (Fig. 8)), an overjet larger than 6 mm (Figure 9 (Fig. 9)), and a coincidence of the retral and habitual contact positions, since the joint is in a border position. The absence of more than 4 posterior teeth (loss of posterior supporting zones) also seems to increase the likeliness to develop TMD [25], [26].

Bottom Line: It has been shown in recent years that psychological, social and general medical influences are of enormous importance in the etiology of TMD in addition to anatomical, physiological, parafunctional and other biological causes.This signifies that therapists confronted with TMD should already include at an early stage other specialists such as pain therapists, neurologists, ENT physicians, psychotherapists and physiotherapists.Patients need to be referred to dentists specializing in TMD when ENT examinations yield no pathological findings.

Affiliation: Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin University, School of Dental Medicine, Division of Restorative Dentistry, Berlin.

ABSTRACT

Background: Temporomandibular disorders (TMD) or craniomandibular disorders, respectively, involve diseases of the teeth and periodontia as well as the masticatory muscles, temporomandibular joints and associated structures. It has been shown in recent years that psychological, social and general medical influences are of enormous importance in the etiology of TMD in addition to anatomical, physiological, parafunctional and other biological causes. This signifies that therapists confronted with TMD should already include at an early stage other specialists such as pain therapists, neurologists, ENT physicians, psychotherapists and physiotherapists. Patients need to be referred to dentists specializing in TMD when ENT examinations yield no pathological findings. The treatment of TMD is subdivided into the following steps that are always related to underlying diagnoses: informing patients, self-observation, relaxation therapy, behavioral therapy, physiotherapy, drug therapy, therapeutic local anesthesia, splint therapy, and, if necessary, prosthetic and/or orthodontic therapy to restore a stable occlusion.

View Similar Images In: Results  - Collection
View Article: Pubmed Central - HTML -  PubMed
Show All Figures - Show MeSH
getmorefigures.php?pmc=3201006&rFormat=json&query=null&req=5