open access
메뉴
open access
메뉴
ISSN : 0376-4672
Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance. The primary goal in treatment of TMD is to alleviate pain and /or mandibular dysfunction. TMD treatment can be divided into 2categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.
1. Peterson LJ et al. Contemporary oral and maxillofacaial surgery 2nd edition, St.Louis, Mosby. 1993:713-736.
2. JP Okeson. Management of temporomandibular disorders and occlusion. St Louis:Mosby-Year Book, 2008.
3. DW Nitzan, MF dolwick, GA Martivez. Temporomandibular joint arthrocentesis:A simplified treatment for severe, limited mouth opening. J oral maxillof surg 1991;49(11):1163-1167.
4. Dworkin SF, Huggins KH, Le Resche L, Von Korff M, et al. Epidemiology of signs and symptoms in temporomandibular disorders: clinica signs in cases and controls. J Am Dent Assoc 1990;120:273-81.
5. Vasiliki K, Robert G. Nonsurgical Management of Temporomandibular disorders: Peterson's principles of oral and maxillofacial surgery 2nd. edition. 2004:949-950.
6. Charles E. Fernandez, Abid Amiri, Joseph Jaime et al. The relationship of whiplash injury and temporomandibular disorders. J Chiroparactic Medicine 2009;8(4):171-186.