[Relationship between occlusion and myoarthropathy. Introduction of an integrating neurobiological model].
For many decades, the relationship between occlusal factors and temporomandibular disorders has been discussed controversially in the dental literature. After a brief description of current points of view about this topic, a recently published clinical trial by Le Bell et al. (2002) is summarized. The results of this study are discussed on the basis of a novel neurobiologic model, which is based on the heterogeneous activation of the masticatory musculature. This model appears to be suitable to explain the pathogenic and therapeutic effects due to occlusal management of patients with myofascial facial pain.
Türp
Jens Christoph
JC
Klinik für Prothetik und Kaufunktionslehre Zentrum für Zahnmedizin, Universität Basel Hebelstrasse 3, CH-4056 Basel. jens.tuerp@unibas.ch
Schindler
Hans Jürgen
HJ
D000328:Adult; D003769:Dental Occlusion, Traumatic / Q000150:complications* / Q000628:therapy; D004311:Double-Blind Method; D005157:Facial Pain / Q000209:etiology / Q000628:therapy; D006801:Humans; D008410:Masticatory Muscles / Q000503:physiopathology; D008954:Models, Biological; D009043:Motor Activity; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D011446:Prospective Studies; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000209:etiology* / Q000628:therapy