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Temporomandibular Disorders: Fundamental Questions and Answers.
Frantzeska Karkazi1, Fulya Özdemir1
1Department of Orthodontics, Marmara University, Istanbul, Turkey.
Turkish Journal of Orthodontics
|January 15, 2021
Summary
This review clarifies temporomandibular disorder (TMD) knowledge for dental professionals. It highlights TMD
Area of Science:
- Dental Science
- Pain Management
- Psychology
Background:
- Dental professionals' understanding of temporomandibular disorder (TMD) is crucial for patient care.
- Existing knowledge gaps may impact diagnosis and management of TMD.
- TMD etiology is multifactorial, involving physical and psychological components.
Purpose of the Study:
- To provide evidence-based answers regarding TMD diagnosis, causes, management, and consequences.
- To evaluate current beliefs and knowledge of dental professionals concerning TMD.
- To identify areas for improved clinical practice and patient referral.
Main Methods:
- Comprehensive literature review of PubMed/MEDLINE, Cochrane, Google Scholar, and Scopus.
- Inclusion of articles published from January 1980 to June 2020.
- Selection of 50 relevant articles for full review on TMD.
Main Results:
- Orthodontic treatment shows limited impact on preventing or relieving TMD.
- Condylar and occlusal stability are key factors in reducing TMD risk.
- Psychological disorders are strongly linked to TMD-related facial and joint pain.
Conclusions:
- Pre-orthodontic assessment of masticatory system function is essential.
- Management of TMD symptoms should precede orthodontic interventions.
- Awareness of psychological factors in chronic TMD pain necessitates appropriate referrals.
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