CLINICAL ASPECTS OF TEMPOROMANDIBLUAR JOINT DISORDERS – LITERATURE REVIEW
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 16, Issue 16
Abstract
Introduction The aetiology of temporomandibular disor- ders (TMD) is multifactorial and not fully understood. In the therapy of TMD is rec- ommended a multidisciplinary approach: counseling, exercises, occlusal splint thera- py, massage, manual therapy, prosthodontic treatment and physiotherapy. The need of early and rapid recognition of TMD result- ed in many schemes of research for detec- tion of symptoms. Objective signs of TMD may be evaluated using the Helkimo Clin- ical Dysfunction Index Di and subjective symptoms with the Gsellmann’s Occlusal Index, Helkimo Anamnestic Index Ai and Fonseca’s anamnestic index FAI. Currently the most recommended among diagnostic classifications are The Research Diagnos- tic Criteria for TMD (RDC/TMD). Aim The aim of the study is to present differ- ent clinical aspects of TMD based on the literature review with particular emphasis on diagnostics. Material and methods Literature review has been performed with the use of PubMed database while the Pol- ish literature has been reviewed manually. Following key words were used: TMD, RDC/TMD, Helkimo Indexes. Among more than six hundred articles found, twenty five of them were chosen as suitable to the topic of this publication. Results The literature search has been mostly lim- ited to the years 2005–2016. The literature review has been performed using Mesh Terms. Overall 624 articles resulted in twen- ty five included publications: original ar- ticles and review papers which presented etiology, symptoms, diagnostic methods and treatment of TMD. Conclusions Research Diagnostic Criteria for TMD (RDC/ TMD) is considered as a golden standard among diagnostic classification tools. TMD treatment is complex and long-lasting and it depends on the diagnosis made. Depending on the cause of the disease, treatment may include: prosthetic treatment, usage of oc- clusal splints, masticatory muscles therapy and other physiotherapeutic methods.
Authors and Affiliations
Anna Sójka, Yasmin Abu-Fillat, Wiesław Hędzelek
Keywords
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- EP ID EP197545
- DOI 10.19271/IRONS-00018-2016-16
- Views 89
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