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Articulatia Temporo Mandibulara 10 Cauze A Problemelor

Temporomandibular disorders (TMDs) are musculo-skeletal conditions with multifactorial etiologies rather than occlusal pathologies. TMD diagnosis is based on clinical assessment and history taking rather than technological devices, as symptoms do not correlate with test results. Imaging may be used in select cases or unresponsive patients, while treatment focuses on symptom management through reversible and conservative approaches like counseling, physiotherapy, appliances, and pharmacotherapy rather than irreversible occlusal treatments or searching for an ideal bite. Patients with chronic pain require a multimodal approach managed by an orofacial pain expert focusing on central sensitization and maladaptive pain experiences.

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Melania Zorila
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34 views2 pages

Articulatia Temporo Mandibulara 10 Cauze A Problemelor

Temporomandibular disorders (TMDs) are musculo-skeletal conditions with multifactorial etiologies rather than occlusal pathologies. TMD diagnosis is based on clinical assessment and history taking rather than technological devices, as symptoms do not correlate with test results. Imaging may be used in select cases or unresponsive patients, while treatment focuses on symptom management through reversible and conservative approaches like counseling, physiotherapy, appliances, and pharmacotherapy rather than irreversible occlusal treatments or searching for an ideal bite. Patients with chronic pain require a multimodal approach managed by an orofacial pain expert focusing on central sensitization and maladaptive pain experiences.

Uploaded by

Melania Zorila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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1.

Temporomandibular disorders (TMDs) are musculo-skeletal conditions…not


occlusal pathologies [AADR Statement, 2010]!
2. The onset of TMD signs and symptoms is rarely attributable to a single
etiological factor (multifactorial etiopathogenesis) [Klasser et al., 2017].
3. TMD diagnosis is based on clinical assessment and history taking [Schiffman
et al., 2014].
4. None of the available “technological” devices (e.g., electromyography,
kinesiography, postural platforms, condilography, other electronical recordings)
has diagnostic value, because they do not correlate with symptoms [Manfredini et
al., 2011]. The best diagnostic instrument is our brain!
5. Imaging techniques (Magnetic Resonance [MRI], Computerized
Tomography [CT]) are required in selected cases and/or as a second-step
diagnostic assessment in individuals who do not respond to common
conservative treatment [Petersson, 2010].
6. TMD treatment is seldom a true causal therapy [Greene, 2001].
7. TMD treatment is often provided in the form of symptoms management, with
focus on the psychosocial correlates of pain [List & Axelsson, 2010].
8. Symptoms management can be usually achieved by means
of conservative and reversible approaches (e.g., counseling; physiotherapy;
cognitive-behavioral treatments; physical therapy; oral appliances without
predetermined occlusal designs; pharmacotherapy for pain control;
arthrocentesis) [Manfredini et al., 2011].
9. Irreversible occlusal treatments (e.g., orthodontics; prosthodontics; occlusal
adjustments; oral appliances to search for an “ideal” interarch relationship) are
not recommended and should not be used to prevent and/or treat
TMDs [Manfredini et al., 2016].
10. Patients with chronic pain require a multimodal approach managed by an
expert in orofacial pain, with focus on phenomena of central sensitization and
maladaptive pain experience [Harper et al., 2016].
10bis. Evidence-based dentistry and professional deontology require clinicians to
consider the patient (and his/her pain), and not the dentist (and his/her unuseful
technicisms and dogmaticms), as the fulcrum of the diagnostic and treatment
program [Reid & Greene, 2013]!

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