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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Temporomandibular disorders and occlusion.

Tomislav Badel1, Miljenko Marotti, Ivana Savić Pavicin

  • 1Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Croatia. badel@sfzg.hr

Acta Clinica Croatica
|January 23, 2013
PubMed
Summary

Occlusion plays a role in temporomandibular disorder (TMD) but is not the primary cause. Initial occlusal treatments are applicable to all TMD patients, offering reversible options.

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Area of Science:

  • Dental Science
  • Oral Medicine
  • Temporomandibular Joint Disorders

Background:

  • Occlusion is considered in temporomandibular disorder (TMD) etiopathogenesis and dental treatments.
  • TMDs are traditionally linked with occlusal disorders, involving masticatory muscles and temporomandibular joints.
  • Modern TMD treatment distinguishes between initial and definitive approaches.

Purpose of the Study:

  • To analyze current perspectives on occlusion's role in TMD.
  • To evaluate the significance of occlusion in the development and management of TMDs.

Main Methods:

  • Literature review of recent viewpoints on occlusion and TMD.
  • Analysis of the relationship between occlusal relations and TMD symptoms.
  • Consideration of initial (reversible) versus definitive (irreversible) treatment modalities.

Main Results:

  • Occlusion is not the dominant cause of TMD.
  • Initial occlusal treatment is applicable to all TMD patients.
  • The relationship between occlusion and TMD is controversial and not definitively proven in all studies.
  • Comorbid orofacial pain conditions can mimic TMDs, potentially leading to unnecessary dental procedures.

Conclusions:

  • Occlusion is a factor, but not the sole or primary driver of TMD.
  • Reversible, initial occlusal treatments are a viable option for many TMD patients.
  • Accurate diagnosis is crucial to differentiate TMD from other orofacial pain conditions and avoid inappropriate interventions.