Current practice in the management of temporomandibular disorders

There has been much debate and conflicting opinion on the appropriate management of temporomandibular disorders (TMDs). However, the question of the relevance of occlusion in both the aetiology and management of TMD has been somewhat clarified in recent years and this article attempts to summarize current thinking on this issue and also to provide practical guidance on the construction of stabilization splints. Various other forms of treatment are discussed and evidence is presented to help in judging their relevance. Bruxism is relatively common in patients with TMD and guidance relating to the management of this problem is also presented.

Temporomandibular disorders are common, so knowledge of their treatment is of relevance to the primary care practitioner.