title: [Therapy of temporomandibular joint pain: recommendations for clinical management].
abstract: Arthralgias of the temporomandibular joint occur rarely in their isolated form, in contrast to myalgias of the jaw muscles. Most often, arthralgias are combined with myofascial pain. Here we define relevant terms (arthralgia, arthropathy, arthritis, osteoarthritis/osteoarthrosis), describe special diagnostic aspects and provide diagnosis-related specifications. We then present current information on the clinical management of temporomandibular joint pain. A systematic literature search revealed that pain reduction or pain relief can be achieved with non-invasive reversible methods for the majority of patients. Results from short and long-term longitudinal studies show that different therapeutic methods are similarly effective. For the management of chronic forms with extensive psychosocial impairment a multidisciplinary approach is essential.
authors.affiliation: Poliklinik für Zahnärztliche Prothetik, Westdeutsche Kieferklinik, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland. hugger@uni-duesseldorf.de
authors.forename: A
authors.initials: A
authors.lastname: Hugger
authors.forename: H J
authors.initials: HJ
authors.lastname: Schindler
authors.forename: W
authors.initials: W
authors.lastname: Böhner
authors.forename: P
authors.initials: P
authors.lastname: Nilges
authors.forename: C
authors.initials: C
authors.lastname: Sommer
authors.forename: J C
authors.initials: JC
authors.lastname: Türp
authors.forename: S
authors.initials: S
authors.lastname: Hugger
mesh_terms: D018771:Arthralgia / Q000628:therapy*; D002908:Chronic Disease; D006801:Humans; D059408:Pain Management; D010348:Patient Care Team; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology* / Q000628:therapy