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Göteborgs universitets publikationer

Occlusion and temporomandibular disorders: past and present opinions on management

Författare och institution:
Gunnar E Carlsson (Institutionen för odontologi)
Publicerad i:
Journal of the Pakistan Prosthodontics Association (JPPA), 2013 ( 2 ) s. 81-86
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
The role of occlusal factors in temporomandibular disorders (TMDs) has been a much-discussed topic for long, and it still is. This article will briefly present the development of opinions on the relationship between occlusion and TMDs and how this has affected the management. The early belief that deviations from an ideal occlusion would imply a risk of creating TMDs has gradually been abandoned. Today most TMD experts de-emphasize the importance of occlusion in the aetiology of TMD. Available evidence-based knowledge has suggested that occlusal interventions are not justified for treatment of TMDs since occlusion is in general not at all or only weakly associated with TMDs. Instead counselling and simple reversible methods should be the first choice in management of TMD patients. Oral appliances / splints are frequently used and can often effectively reduce signs and symptoms in TMD patients. However, they are not always necessary and a low-cost, non-splint self-care treatment should be the first choice in management of the majority of primary TMD patients. Conclusion. TMDs will often improve with simple treatment that can be performed in general dental practice, without occlusal interventions. Educating patients about their disorder is an important part of the management. Only few TMD patients need more extensive treatment and / or referral to orofacial or medical specialists.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Annan medicin och hälsovetenskap
Concepts of Occlusion, Differential Diagnosis, Oral Appliances, Orofacial Pain, TMJ Disorders
Postens nummer:
Posten skapad:
2014-08-22 14:55
Posten ändrad:
2015-01-09 08:58

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