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OSTEOPATHIC APPROACHES IN THE DIAGNOSIS AND TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION: AN INTERDISCIPLINARY
T Makichyan1, V Frolov2, Z Habadze3
11Medical Clinic «Osteopolyclinic», Moscow, Russia.
Georgian Medical News
|December 10, 2025
Summary
Osteopathic manipulative treatment (OMT) effectively complements conventional therapies for temporomandibular joint dysfunction (TMJD), reducing pain and improving function. Further research with standardized methods is needed to confirm these benefits for TMJD management.
Area of Science:
- Integrative medicine
- Osteopathic medicine
- Cranio-cervico-mandibular disorders
Background:
- Temporomandibular joint dysfunction (TMJD) is a complex condition with multifactorial origins, involving articular, neuromuscular, postural, and psychosomatic aspects.
- Multidisciplinary approaches are crucial for effective TMJD management, integrating various therapeutic modalities.
Purpose of the Study:
- To analyze the integration of osteopathic medicine into the multidisciplinary management of TMJD.
- To explore the clinical significance of five osteopathic models in the functional rehabilitation of the cranio-cervico-mandibular system.
Main Methods:
- Literature review analyzing the role of osteopathic medicine in TMJD management.
- Exploration of five osteopathic models: biomechanical, neurological, metabolic-energetic, respiratory-circulatory, and behavioral-psychosocial.
Main Results:
- Osteopathic manipulative treatment (OMT) shows promise in reducing pain and improving mandibular mobility and neuromuscular balance when combined with conventional treatments.
- Evidence suggests OMT contributes to functional rehabilitation within the cranio-cervico-mandibular system.
Conclusions:
- Osteopathic medicine offers a valuable addition to multidisciplinary TMJD treatment strategies.
- Further high-quality randomized controlled trials with standardized protocols and advanced assessment tools are necessary to validate the efficacy of OMT for TMJD.

