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[Chronic temporomandibular disorders].

J C Türp¹, H J Schindler

¹Zentrum für Zahnmedizin, Universität Basel. jens.tuerp@unibas.ch

Schmerz (Berlin, Germany)

|April 7, 2004

Summary

Approximately 5% of adults experience painful temporomandibular disorders (TMDs). While the exact causes remain unclear, effective treatments like occlusal appliances and multimodal pain management offer relief for this common condition.

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Area of Science:

Dental Medicine
Pain Management
Psychosomatic Medicine

Context:

The 3rd German Oral Health Study (1999) indicates a 5% prevalence of painful temporomandibular disorders (TMDs).
Limited data exists on healthcare utilization and costs for TMD patients, suggesting a considerable financial burden.
The exact causes and progression of chronic TMDs remain unclear, though central nervous system, psychosocial, and hormonal factors are implicated.

Purpose:

To review the current scientific evidence for temporomandibular disorders (TMDs) treatments.
To identify established management strategies for musculoskeletal facial pain associated with TMDs.

Summary:

Strong scientific evidence supports treatments such as occlusal appliances (stabilization appliances).
Pharmacological interventions like clonazepam, diazepam, and meprobamate are noted.
Behavioral and multimodal approaches, including EMG biofeedback and integrated somatic and psychological pain management, are also supported.

Impact:

Provides clinicians and researchers with an evidence-based overview of TMD treatments.
Highlights the need for further research into the etiology and economic impact of TMDs.
Informs patient management strategies for musculoskeletal facial pain.

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