Acta clinica Croatica, Vol. 51. No. 3., 2012.
Review article
Temporomandibular Disorders and Occlusion
Tomislav Badel
orcid.org/0000-0001-5872-1132
Miljenko Marotti
Ivana Savić Pavičin
Vanja Bašić-Kes
Abstract
Occlusion has an important place within the multifactorial concept of the temporomandibular disorder (TMD ) etiopathogenesis as well as in every form of dental treatment. The modern concept of treatment of these disorders differentiates initial and definitive forms of treatment. The aim of this paper is to analyze recent viewpoints on the role of occlusion in the etiopathogenesis and treatment of TMD s. Masticatory muscles and temporomandibular joints are directly connected with occlusal relations and TMD s are traditionally linked with occlusal disorders. The initial occlusal treatment can be applied to all TMD patients, regardless of their having intact teeth with respect to physiological occlusal relations and in patients in need of orthodontic or prosthodontic treatment or an oral surgical procedure. On managing TMD patients, there are doubts about the indications for definitive treatment and whether there has been a possibility of treating a painful TMD by reversible treatment modalities, that is, by initial treatment. Other types of orofacial pain such as trigeminal neuralgia can be comorbid with TMD s but also result in unnecessary procedures on the teeth and prosthodontic work if they are not recognized. Although dental profession mainly recognizes the importance of occlusal treatment of TMD problems, their relationship is controversial because it is not strictly demonstrated in numerous scientific studies. Occlusion is not the dominant cause of TMD problems.
Keywords
Dental occlusion; Temporomandibular disorders; Splint; Prosthodontic treatment; Orofacial pain
Hrčak ID:
107232
URI
Publication date:
1.10.2012.
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