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J Durham
V Aggarwal
S Davies
S D Harrison
R G Jagger
R Leeson
R Lloyd
T Thayer
H Underhill
R W Wassell
J M Zakrzewska
A Begley
A R Loescher
E Murphy
R McMillan
T Renton
Contents
Contents ................................................................................................................................................................................... 1
Abstract ..................................................................................................................................................................................... 1
Background ............................................................................................................................................................................... 1
Demographics of TMDs ........................................................................................................................................................ 1
Acute and chronic TMD ........................................................................................................................................................ 2
Aetiology ................................................................................................................................................................................... 2
History and Examination ....................................................................................................................................................... 2
Management for TMDs .......................................................................................................................................................... 4
Irreversible Therapies ............................................................................................................................................................ 7
Outcome assessment ............................................................................................................................................................. 8
Conclusion ................................................................................................................................................................................ 9
Acknowledgements ................................................................................................................................................................ 9
Key fact box 1 Signs and symptoms of TMDs and key questions in taking a history from a patient with a
suspected TMD. .................................................................................................................................................................... 10
Key fact box 2 Red flag signs and symptoms 111-115 ................................................................................................... 11
Key fact box 3 Reference material available on web ................................................................................................ 12
Figure 1 Flowchart for management of TMDs in Primary Care ............................................................................ 13
Figure 2 - Self care programme and home physiotherapy .......................................................................................... 14
References .............................................................................................................................................................................. 15
Abstract
Background
Demographics of TMDs
Acute and chronic TMD
Aetiology
History and Examination
Diagnoses of TMDs
Management for TMDs
Self-management with explanation
Physical therapies
Pharmacotherapy
Occlusal splint (orthotic) therapy
Psychological interventions
Application of Local anaesthetic or Botulinum Toxin
to the muscles of mastication
Summary of reversible, non-invasive therapy
Irreversible Therapies
Occlusal therapy
Prosthodontic reconstruction
Pharmacotherapy
Orthodontics
Surgery
Outcome assessment
Conclusion
Acknowledgements
Key fact box 1 Signs and symptoms of TMDs and key questions in taking a history from a patient
with a suspected TMD.
http://www.medicalmnemonics.com/
Key fact box 2 Red flag signs and symptoms 111-115
Key fact box 3 Reference material available on web
http://www.nidcr.nih.gov/oralhealth/topics/tmj/tmjdisorders.htmhttp://www.nidcr.nih.gov/oralhealth/topics/tmj/tmjdisorders.htmhttp://www.aaop.org/content.aspx?page_id=22&club_id=508439&module_id=108085http://www.aaop.org/content.aspx?page_id=22&club_id=508439&module_id=108085http://www.eacmd.org/patient.phphttp://cks.nice.org.uk/tmj-disordershttp://www.ncl.ac.uk/dental/AppliedOcclusion/assets/TMD%20info%20and%20exercise%20sheet.pdfhttp://www.ncl.ac.uk/dental/AppliedOcclusion/assets/TMD%20info%20and%20exercise%20sheet.pdfhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://portal.e-lfh.org.uk/http://www.ncl.ac.uk/dental/AppliedOcclusion/http://www.paincommunitycentre.org/article/diagnosis-and-treatment-non-dental-facial-painhttp://www.paincommunitycentre.org/article/diagnosis-and-treatment-non-dental-facial-pain
Figure 1 Flowchart for management of TMDs in Primary Care
Figure 2 - Self care programme and home
physiotherapy
Simple self-physiotherapeutic techniques
References
http://www.ebm-guidelines.com/ebmg/ltk.avaa?p_artikkeli=ebm00465http://www.ebm-guidelines.com/ebmg/ltk.avaa?p_artikkeli=ebm00465