[Diagnosis and therapy of temporomandibular dysfunctions. The experience of the Clinique de Stomatologie et de Chirurgie Maxillo-Faciale de Lyon].
Temporomandibular dysfunction is a relatively frequent disorder, affecting mainly young women, that remains a poorly recognized entity. Clinical symptoms usually associate pain and cracking of the jaw, frequently accompanied by limitation of opening of the mouth. Occlusal injury is the cause of the dysfunction in every case. Two panoramic radiographs, one in the usual terminal occlusion and the other with the mouth open, provide evidence of the amount of condylar movement and the morphology of the condyles. Active mandibular movements provide muscular re-education. The inhibitors of occlusion (palatine plate to increase incisor elevation or covering plate) have the objective of reducing muscle spasm. Treatment of the cause of the disorder is based on occlusal rehabilitation, surgery of the temporomandibular joint being doomed to failure as it attacks the consequences and not the origin of the occlusal dysfunction.
D003725:Dental Articulators; D003740:Dental Clinics; D003766:Dental Occlusion; D003817:Dentition; D005602:France; D006782:Hospitals, Special; D006801:Humans; D013515:Surgery, Oral; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy
Diagnostic et thérapeutique des dysfonctionnements temporo-mandibulaires. Expérience de la Clinique de Stomatologie et de Chirurgie Maxillo-Faciale de Lyon.