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[Occlusion and temporomandibular dysfunction].

M H Steenks1

  • 1Vakgroep Mondziekten/Kaakchirurgie en Bijzondere Tandheelkunde, Universiteit Utrecht, postbus 80.037, 3508 TA Utrecht.

Nederlands Tijdschrift Voor Tandheelkunde
|July 1, 1996
PubMed
Summary
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Preventive selective grinding is not recommended for temporomandibular disorders due to questionable occlusion roles. However, grinding may be a therapeutic option for masticatory system overload, following splint therapy to assess occlusal changes.

Area of Science:

  • Dentistry
  • Biomedical Engineering
  • Orthodontics

Context:

  • Temporomandibular disorders (TMD) are complex conditions affecting the jaw joint and muscles.
  • The role of occlusion (how teeth fit together) in TMD etiology remains debated.
  • Current preventive strategies for TMD require critical evaluation.

Purpose:

  • To critically assess the role of occlusion in the etiology of temporomandibular disorders.
  • To evaluate the efficacy and indications for selective grinding as a preventive or therapeutic intervention for TMD.
  • To determine the appropriate sequence of treatments, including splint therapy, prior to occlusal adjustments.

Summary:

  • The etiological contribution of occlusion to temporomandibular disorders is uncertain, thus preventive selective grinding is not advised.

Related Experiment Videos

  • Selective grinding may be considered a treatment of choice for signs and symptoms of masticatory system overloading.
  • Splint therapy should precede selective grinding to evaluate potential occlusal changes and treatment outcomes.

    • Impact:

    • This research challenges the routine use of preventive selective grinding for TMD.
    • It provides evidence-based guidance for the therapeutic application of selective grinding in specific TMD cases.
    • Highlights the importance of diagnostic splint therapy before irreversible occlusal modifications.