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[Masticatory apparatus disorder: how can rehabilitation treatment help?]
Isabelle Breton-Torres1, Manon Serre2, Patrick Jammet1
1Département d'ORL, chirurgie cervico-faciale, chirurgie maxillo-faciale et stomatologie, Structure Fédérative de Recherche - AMES, Hôpital Gui de Chauliac, 80 avenue Augustin Fliche, 34295 Montpellier cedex 5, France.
Introduction:
The temporomandibular joint is highly adaptive and masticatory apparatus disorders (MAD) can occur when its ability to adapt is overwhelmed. Occlusal etiologies were long pinpointed as the sole culprits. However, a consensus now exists which minimizes their involvement. It is recognized that the etiology of MAD is multifactorial, combining occlusal problems, parafunctions, postural anomalies, orofacial dyspraxia and stress.
Materials And Methods:
In this article, the authors review the role of physiotherapy in managing these pathologies.
Results:
While it remains essential to treat the symptoms in order to relieve pain, optimum treatment requires the underlying pathogenic mechanisms to be identified. Rehabilitation treatment, therefore, offers a physiotherapy-based approach providing an etiological solution. By reeducating function, physiotherapy produces lasting results.
Discussion:
Given the multifactorial nature of MAD etiologies, maxillofacial rehabilitation is an indispensible ally for odontologists or orthodontists adopting a multidisciplinary approach in their treatment of this disorder.
