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Therapeutic challenges in temporomandibular disorders
Smaranda Buduru1, Oana Almăşan1, Daniela Condor2
1Prosthetic Dentistry and Dental Materials Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Medicine and Pharmacy Reports
|September 5, 2024
Summary
Temporomandibular disorders (TMDs) often stem from muscle or joint issues, with iatrogenic causes prevalent. Treatment is complex, requiring multiple therapies, but most patients achieve symptom relief.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pain Management
Background:
- Temporomandibular disorders (TMDs) encompass a range of conditions affecting the jaw joint and muscles.
- Etiology is multifactorial, including muscle impairment, joint issues, and iatrogenic factors.
Purpose of the Study:
- To evaluate the causes and treatment complexities of temporomandibular disorders (TMDs).
- To analyze treatment outcomes and challenges in a cohort of TMD patients.
Main Methods:
- A cohort of 160 subjects (76.3% female) diagnosed with TMDs was studied.
- A personalized coefficient assessed symptom resolution, secondary symptoms, patient collaboration, treatment duration, and cost.
Main Results:
- Muscle impairment (42.5%) and joint impairment (23.1%) were primary complaints.
- Iatrogenic etiology (69.4%) and untreated missing teeth (66.9%) were significant contributing factors.
- 82.3% of patients experienced primary symptom relief, with a 15.7% recurrence rate.
Conclusions:
- TMD treatment is complex, time-consuming, and demanding.
- Patients often require multiple therapies (4-7 types), increasing cost, duration, and patient discomfort.
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