title: Diagnostic and therapeutic-restorative procedures for masticatory dysfunctions.
abstract: Temporomandibular disorders (TMD) or craniomandibular disorders, respectively, involve diseases of the teeth and periodontia as well as the masticatory muscles, temporomandibular joints and associated structures. It has been shown in recent years that psychological, social and general medical influences are of enormous importance in the etiology of TMD in addition to anatomical, physiological, parafunctional and other biological causes. This signifies that therapists confronted with TMD should already include at an early stage other specialists such as pain therapists, neurologists, ENT physicians, psychotherapists and physiotherapists. Patients need to be referred to dentists specializing in TMD when ENT examinations yield no pathological findings. The treatment of TMD is subdivided into the following steps that are always related to underlying diagnoses: informing patients, self-observation, relaxation therapy, behavioral therapy, physiotherapy, drug therapy, therapeutic local anesthesia, splint therapy, and, if necessary, prosthetic and/or orthodontic therapy to restore a stable occlusion.
authors.affiliation: Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin University, School of Dental Medicine, Division of Restorative Dentistry, Berlin.
authors.forename: Wolfgang B
authors.initials: WB
authors.lastname: Freesmeyer
authors.forename: M R
authors.initials: MR
authors.lastname: Fussnegger
authors.forename: M O
authors.initials: MO
authors.lastname: Ahlers
references.citation: J Am Dent Assoc. 1969 Jul;79(1):147-53
references.pmid: 5254545
references.citation: J Oral Rehabil. 2002 Sep;29(9):810-5
references.pmid: 12366533
references.citation: Schmerz. 2000 Dec;14(6):416-28
references.pmid: 12800014
references.citation: J Prosthet Dent. 1987 Oct;58(4):495-8
references.pmid: 3478483
references.citation: Cranio. 1987 Jul;5(3):254-9
references.pmid: 3476212
references.citation: Dtsch Zahnarztl Z. 1990 Jan;45(1):9-13
references.pmid: 2257805
references.citation: Int Dent J. 1990 Dec;40(6):347-53
references.pmid: 2276832
references.citation: Dtsch Zahnarztl Z. 1985 Mar;40(3):177-81
references.pmid: 3862523
references.citation: Am J Orthod Dentofacial Orthop. 1991 Nov;100(5):401-15
references.pmid: 1951193
references.citation: Cranio. 1988 Jul;6(3):256-70
references.pmid: 3251659
references.citation: Schmerz. 2002 Sep;16(5):373-80
references.pmid: 12235501
references.citation: Zahnarztl Mitt. 1985 Mar 1;75(5):420-6
references.pmid: 3859109
references.citation: Zahnarztl Prax. 1991 Dec 13;42(12):458-60, 462
references.pmid: 1818460
references.citation: J Oral Rehabil. 2002 Dec;29(12):1181-6
references.pmid: 12472855
references.citation: Dtsch Zahnarztl Z. 1970;25(3):422-36
references.pmid: 5264685
references.citation: Cranio. 1990 Oct;8(4):301-6
references.pmid: 2098191
references.citation: J Craniomandib Disord. 1989 Fall;3(4):227-36
references.pmid: 2639160
references.citation: Cephalalgia. 1988;8 Suppl 7:1-96
references.pmid: 3048700
references.citation: Oral Surg Oral Med Oral Pathol. 1989 Jul;68(1):14-22
references.pmid: 2755684
references.citation: Dtsch Zahnarztl Z. 1989 Nov;44(11 Spec No):S14-6
references.pmid: 2637815
references.citation: J Oral Rehabil. 2004 Apr;31(4):311-9
references.pmid: 15089935