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Muscle disorders and dentition-related aspects in temporomandibular disorders: controversies in the most commonly used treatment modalities

Jerjes, W; Upile, T; Abbas, S; Kafas, P; Vourvachis, M; Rob, J; McCarthy, E; ... Hopper, C; + view all (2008) Muscle disorders and dentition-related aspects in temporomandibular disorders: controversies in the most commonly used treatment modalities. International Archives of Medicine , 1 , Article 23. 10.1186/1755-7682-1-23. Green open access

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Abstract

This review explores the aetiology of temporomandibular disorders and discusses the controversies in variable treatment modalities. Pathologies of the temporomandibular joint (TMJ) and its' associated muscles of mastication are jointly termed temporomandibular disorders (TMDs). TMDs present with a variety of symptoms which include pain in the joint and its surrounding area, jaw clicking, limited jaw opening and headaches. It is mainly reported by middle aged females who tend to recognize the symptoms more readily than males and therefore more commonly seek professional help. Several aetiological factors have been acknowledged including local trauma, bruxism, malocclusion, stress and psychiatric illnesses. The Research Diagnostic Criteria of the Temporomandibular Disorders (RDC/TMD) is advanced to other criteria as it takes into consideration the socio-psychological status of the patient. Several treatment modalities have been recommended including homecare practices, splint therapy, occlusal adjustment, analgesics and the use of psychotropic medication; as well as surgery, supplementary therapy and cognitive behavioural therapy. Although splint therapy and occlusal adjustment have been extensively used, there is no evidence to suggest that they can be curative; a number of evidence-based trials have concluded that these appliances should not be suggested as part of the routine care. Surgery, except in very rare cases, is discouraged since it is the most invasive alternative; recent studies have shown healthier outcome with cognitive behavioural therapy.

Type: Article
Title: Muscle disorders and dentition-related aspects in temporomandibular disorders: controversies in the most commonly used treatment modalities
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1755-7682-1-23
Publisher version: http://dx.doi.org/10.1186/1755-7682-1-23
Language: English
Additional information: © 2008 Jerjes et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Disorders, MS, Muscle, October, Other, Temporomandibular, Temporomandibular disorders, Treatment
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI MaxFac, Diagnostic, Med and Surg Sci
URI: https://discovery.ucl.ac.uk/id/eprint/178624
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