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Craniomandibular disorders: a controversy.

D M Roessler

    Australian Prosthodontic Journal
    |January 1, 1989
    PubMed
    Summary

    Clinical opinion on craniomandibular disorders is divided. This study examines research on occlusion, trauma, cervical issues, orthodontic therapy, and internal derangements to assess their role.

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    Area of Science:

    • Dental Science
    • Orthodontics
    • Physical Therapy

    Background:

    • Craniomandibular disorders (CMD) have multifactorial etiologies.
    • Clinical perspectives on CMD causes are diverse.
    • Commonly cited factors include occlusion, trauma, cervical issues, orthodontic treatment, and internal derangements.

    Purpose of the Study:

    • To critically evaluate the scientific evidence supporting commonly cited factors in craniomandibular disorders.
    • To determine the justification for the prevalent clinical opinions on CMD etiology.

    Main Methods:

    • Systematic review of existing research literature.
    • Analysis of studies investigating occlusion, trauma, cervical spine, orthodontic therapy, and internal derangements in relation to CMD.
    • Evidence synthesis to assess the strength of association.

    Main Results:

    • Research findings on the contribution of each factor to CMD etiology were compiled.
    • The level of scientific support for each cited factor was assessed.
    • Variability in research outcomes and methodologies was noted.

    Conclusions:

    • The evidence supporting the role of occlusion, trauma, cervical problems, orthodontic therapy, and internal derangements in CMD requires careful interpretation.
    • Further high-quality research is needed to definitively establish the etiological significance of these factors.
    • A nuanced understanding of CMD causation, beyond simplistic attribution, is warranted.

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