TEMPOROMANDIBULAR DISORDERS AND PRINCIPLES OF REHABILITATION

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TEMPOROMANDIBULAR DISORDERS

Hatice Betigül Meral

Medipol Mega University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, İstanbul, Türkiye

Meral HB. Temporomandibular Disorders. In: Coşar SN, Afşar Sİ editors. Temporomandibular Disorders and Principles of Rehabilitation. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.15-27.

ABSTRACT

Temporomandibular disorders (TMDs) refer to a group of conditions affecting the temporomandibular joint (TMJ), masticatory muscles, and associated structures, often leading to pain and functional limitations. Common symptoms include orofacial pain, restricted jaw movement, and joint sounds such as clicking, all of which can significantly reduce quality of life. TMDs arise from multiple etiological factors, including structural abnormalities, trauma, hormonal changes, and psychosocial influences. Current diagnostic and classification criteria for TMDs provide a comprehensive framework by incorporating diagnostic approaches, physical symptoms, and psychosocial dimensions. The classification of TMDs includes muscle disorders, joint dysfunctions, and inflammatory conditions, emphasizing the complex interplay between local and systemic factors. This chapter highlights the importance of understanding the multifaceted nature of TMDs for accurate diagnosis and effective management.

Keywords: Temporomandibular joint disorders; Facial pain; Temporomandibular joint; Masticatory muscles

Referanslar

  1. Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Ann Otol Rhinol Laryngol. 1997;106(10 Pt 1):805819. [Crossref]  [PubMed]
  2. Shore NA. Occlusal equilibration and temporomandibular joint dysfunction. Philadelphia: JB Lippincott Co; 1959.
  3. Bell WE. Clinical Management of Temporomandibular Disorders. 1st ed. Chicago, IL: Year Book Medical Publishers; 1982.
  4. Slade GD, Fillingim RB, Sanders AE, et al. Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder: implications and future directions. J Pain. 2013;14(12 Suppl):T116– T124. [Crossref]  [PubMed]  [PMC]
  5. Helkimo M. Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. Sven Tandlak Tidskr. 1974;67(2):101-121. [PubMed]
  6. 6. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations, and specifications, critique. J Craniomandib Disord. 1992;6(4):301-355. [PubMed]
  7. Schiffman EL, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6-27. [Crossref]  [PubMed]  [PMC]
  8. Ohrbach R, Gonzalez Y, List T, Michelotti A, Schiffman E. Diagnostic Criteria for Temporomandibular Disorders (DC/ TMD) Clinical Examination Protocol: Version January 6, 2014. J Oral Facial Pain Headache. 2014;28(1):6-27. [Crossref]  [PubMed]  [PMC]
  9. Macfarlane TV, Gray RJM, Kincey J, Worthington HV. Factors associated with the temporomandibular disorder, pain dysfunction syndrome (PDS): Manchester case-control study. Oral Dis. 2001;7(6):321-330. [Crossref]  [PubMed]
  10. Wassell RW, Adams N, Kelly PJ. The treatment of temporomandibular disorders with stabilizing splints in general dental practice: one-year follow-up. J Am Dent Assoc. 2006;137(8):1089-1169. [Crossref]  [PubMed]
  11. Okeson JP. Management of temporomandibular disorders and occlusion. 8th ed. St. Louis: Elsevier Health Sciences; 2019. [Crossref]  [PubMed]
  12. Pariante CM, Lightman SL. Stress response and the hypothalamic-pituitary-adrenal axis: from molecule to melancholia. QJM. 2008;93(6):323–333. [Crossref]  [PubMed]
  13. Okeson JP. Joint intracapsular disorders: diagnostic and nonsurgical management considerations. Dent Clin North Am. 2007;51(1):85-103. [Crossref]  [PubMed]
  14. Stohler CS. Muscle-related temporomandibular disorders. J Orofac Pain. 1999;13(4):273-284. [Crossref]
  15. De Leeuw R. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 5th ed. Chicago: Quintessence Publishing Co; 2013.
  16. Passatore M, Grassi C, Filippi GM. Sympathetically induced development of tension in jaw muscles: the possible contraction of intrafusal muscle fibres. Pflugers Arch. 1985;405(4):297-304. [Crossref]  [PubMed]
  17. Roatta S, Windhorst U, Djupsjobacka M, Lytvynenko S, Passatore M. Effects of sympathetic stimulation on the rhythmical jaw movements produced by electrical stimulation of the cortical masticatory areas of rabbits. Exp Brain Res. 2005;162(1):14-22. [PubMed]
  18. Carlson CR, Okeson JP, Falace DA, Nitz AJ, Lindroth JE. Reduction of pain and EMG activity in the masseter region by trapezius trigger point injection. Pain. 1993;55(3):397-400. [Crossref]  [PubMed]
  19. Hubbard DR, Berkoff GM. Myofascial trigger points show spontaneous needle EMG activity. Spine (Phila Pa 1976). 1993;18(13):1803-7. [PubMed]
  20. Fernández-de-las-Peñas C, Galán-del-Río F, Alonso-Blanco C, Jiménez-Sánchez C, Arendt-Nielsen L, Svensson P. Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disorders. J Pain. 2010;11(12):1295-304. [Crossref]  [PubMed]
  21. Eisenlohr-Moul TA, Crofford LJ, Howard TW, Sherwin LB, Goggin PM, Girdler SS. Parasympathetic reactivity in fibromyalgia and temporomandibular disorder: Associations with sleep problems, symptom severity, and functional impairment. J Pain. 2015;16(3):247-57. [Crossref]  [PubMed]  [PMC]
  22. Korszun A, Papadopoulos E, Demitrack MA, Engleberg NC, Crofford LJ. The relationship between temporomandibular disorders and stress-associated syndromes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(4):416–20. [Crossref]  [PubMed]
  23. McNeill C, ed. Temporomandibular Disorders: Guidelines for Classification, Assessment and Management. 2nd ed. Chicago: Quintessence Publishing Co; 1993.
  24. Bell WH, Ware WH. Management of temporomandibular joint pain dysfunction syndrome. Dent Clin North Am. 1971;15(2):487-506. [Crossref]  [PubMed]
  25. Taskaya-Yilmaz N, Ogutcen-Toller M. Clinical correlation of MRI findings of internal derangements of the temporomandibular joints. Br J Oral Maxillofac Surg. 2002;40(4):317-321. [Crossref]  [PubMed]
  26. Wilkinson TM. The relationship between the disk and the lateral pterygoid muscle in the human temporomandibular joint. J Prosthet Dent. 1988;60(6):715-724. [Crossref]  [PubMed]
  27. Young AL. Internal derangements of the temporomandibular joint: A review of the anatomy, diagnosis, and management. J Indian Prosthodont Soc. 2015;15(1):2-7. [Crossref]  [PubMed]  [PMC]
  28. Manfredini D. Etiopathogenesis of disk displacement of the temporomandibular joint: A review of the mechanisms. Indian J Dent Res. 2009;20(2):212-21.9290.51365. [Crossref]  [PubMed]
  29. Sato S, Goto S, Nasu F, Motegi K. Natural course of disc displacement with reduction of the temporomandibular joint: Changes in clinical signs and symptoms. J Oral Maxillofac Surg. 2003;61(1):32–4. [Crossref]  [PubMed]
  30. Luder HU, Bobst P, Schroeder HE. Histometric study of synovial cavity dimension of human temporomandibular joints with normal and anterior disc position. J Orofac Pain. 1993;7(3):263-74. [Crossref]
  31. Katzberg RW, Westesson PL, Tallents RH, Drake CM. Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg. 1996;54(2):147-53. [Crossref]  [PubMed]
  32. Yura S. Natural course of acute closed lock of the temporomandibular joint. Br J Oral Maxillofac Surg. 2012;50(7):646-9. [Crossref]  [PubMed]
  33. Al-Baghdadi M, Durham J, Araujo-Soares V, Robalino S, Steele J. TMJ disc displacement without reduction management: A systematic review. J Dent Res. 2014;93(7 Suppl):37S-51S. [Crossref]  [PubMed]  [PMC]
  34. Nitzan DW, Mahler Y, Simkin A, Dolwick MF. Intra-articular pressure measurements in patients with sudden on set, severely limited mouth opening. J Oral Maxillofac Surg. 1992;50(10):1038-42. [Crossref]  [PubMed]
  35. Murakami K, Segami N, Moriya Y, Iizuka T. Correlation between pain and dysfunction and intra-articular adhesions in patients with internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 1992;50(7):705-8. [Crossref]  [PubMed]
  36. Hirsch C, John MT, Stang A, Lobbezoo F. Association between generalized joint hypermobility and signs and diagnoses of temporomandibular disorders. Eur J Oral Sci. 2008;116(6):525-30. [Crossref]  [PubMed]
  37. Kavuncu V, Sahin S, Kamanli A, Karan A, Aksoy C. The role of systemic hypermobility and condylar hypermobility in temporomandibular joint dysfunction syndrome. Rheumatol Int. 2006;26(3):257-60. [Crossref]  [PubMed]
  38. Kai S, Kai H, Nakayama E, Tabata O, Tashiro H, Miyajima T, et al. Clinical symptoms of open lock position of the condyle: relation to anterior dislocation of the temporomandibular joint. Oral Surg Oral Med Oral Pathol. 1992;74(2):143-8. [Crossref]  [PubMed]
  39. Nitzan DW. Temporomandibular joint “open lock” versus condylar dislocation: signs and symptoms, imaging, treatment, and pathogenesis. J Oral Maxillofac Surg. 2002;60(5):506-11. [Crossref]  [PubMed]
  40. O’Connor RC, Fawthrop F, Salha R, Sidebottom AJ. Management of the temporomandibular joint in inflammatory arthritis: involvement of surgical procedures. Eur J Rheumatol. 2017;4(2):151-6. [Crossref]  [PubMed]  [PMC]
  41. Murakami K, Segami N, Fujimura K, Iizuka T. Correlation between pain and synovitis in patients with internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 1991;49(11):1159-61. [Crossref]  [PubMed]
  42. Malik P, Rathee M, Sehrawat R. Temporomandibular disorders and their management. Am J Public Health Res. 2015;3(3-2):1-5. [Crossref]  [PubMed]
  43. Marinho LH, McLoughlin PM. Lateral open bite resulting from acute temporomandibular joint effusion. Br J Oral Maxillofac Surg. 1994;32(2):127-8. [Crossref]  [PubMed]
  44. Cardoneanu A, Macovei LA, Burlui AM, Mihai IR, Bratoiu I, Rezus II, et al. Temporomandibular Joint Osteoarthritis: Pathogenic Mechanisms Involving the Cartilage and Subchondral Bone, and Potential Therapeutic Strategies for Joint Regeneration. Int J Mol Sci. 2022;24(1):171. [Crossref]  [PubMed]  [PMC]
  45. Felstead AM, Revington PJ. Surgical management of temporomandibular joint ankylosis in ankylosing spondylitis. Int J Rheumatol. 2011;2011:854167. [Crossref]  [PubMed]  [PMC]
  46. Yan YB, Liang SX, Shen J, Zhang JC, Zhang Y. Current concepts in the pathogenesis of traumatic temporomandibular joint ankylosis. Head Face Med. 2014;10:35. Published 2014 Sep 4. [Crossref]  [PubMed]  [PMC]
  47. Rios D, Magalhães AC, Honório HM, Buzalaf MA, Lauris JR, Machado MA. The prevalence of deciduous tooth wear in six-year-old children and its relationship with potential explanatory factors. Oral Health Prev Dent. 2007;5(3):167-171. [Crossref]  [PubMed]
  48. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211. [Crossref]  [PubMed]