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Diagnosis and Treatment of Temporomandibular Disorders  

Choi, Young-Chan (Department of Oral medicine, college of dentistry, Yonsei University)
Kim, Seong-Taek (Department of Oral medicine, college of dentistry, Yonsei University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.25, no.4, 2009 , pp. 319-328 More about this Journal
Abstract
Temporomandibular disorders(TMD) have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory muscles, and associated structures. Since Dr. Costen, an otolaryngologist, published his article in 1934 claiming that pain in and around the jaw and "related ear symptoms" improved with alteration of the bite, diagnosis and treatment of temporomandibular disorders(TMD) have been within the concept of occlusion. However most of the modern descriptions for TMD no longer include occlusal disorders within their domain. Despite this trend toward the exclusion of occlusal disorders from TMD domain, the historical linkages between TMD and occlusal therapy are still strong. Currently the most popular theories regarding TMD etiology are based on the biopsychosocial model. In the future, treatment modalities should be directed at the pathophysiological processes of joint and muscle pain as well as the psychosocial aspects of chronic pain.
Keywords
Temporomandibular disorders(TMD); orofacial pain; chronic pain;
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