PAIN DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINT: PATHOGENESIS, CLINICAL AND DIAGNOSTIC CRITERIA, AND MODERN TREATMENT APPROACHES
DOI:
https://doi.org/10.55640/Keywords:
TMJ, pain dysfunction, temporomandibular disorders, myofascial pain syndrome, occlusion, bruxism, splint therapy, central sensitization, arthralgia.Abstract
Pain dysfunction of the temporomandibular joint (TMJ) belongs to the group of temporomandibular disorders and is a multifactorial disease characterized by a combination of articular and myofascial pain, impaired function of the masticatory muscles and changes in the biomechanics of the mandible. The high prevalence of the pathology, its chronic course and its tendency to relapse determine its importance in clinical dentistry. The purpose of this work is to summarize current data on the pathogenesis, clinical picture, diagnostic criteria and principles of complex treatment of TMJ pain dysfunction. The article discusses occlusive, muscular, neurogenic, and psychoemotional factors that determine the development of the disease. Modern diagnostic algorithms based on DC/TMD criteria and evidence-based methods of conservative therapy are presented. The need for an interdisciplinary approach to achieve a sustainable clinical outcome is emphasized.
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1.F. А. Khаmitоvа, & Z. D. Rаkhimоvа. (2024). FЕАTURЕS ОF THЕ USЕ ОF PLАTЕLЕT АUTОPLАSM IN THЕ TRЕАTMЕNT ОF DУSFUNСTIОN ОF THЕ TЕMPОRОMАNDIBULАR JОINT. ЕURОPЕАN JОURNАL ОF MОDЕRN MЕDIСINЕ АND PRАСTIСЕ, 4(1), 20–23. Rеtriеvеd frоm https://inоvаtus.еs/indеx.php/еjmmp/аrtiсlе/viеw/2296
2.F. А. Khаmitоvа. (2024). ОPTIMIZАTIОN ОF СОMPLЕX TRЕАTMЕNT ОF ОSTЕОАRTHRITIS ОF THЕ TЕMPОRОMАNDIBULАR JОINT. Rеsеаrсh Jоurnаl оf Trаumа аnd Disаbilitу Studiеs, 3(2), 224–226. Rеtriеvеd frоm https://jоurnаls.асаdеmiсzоnе.nеt/indеx.php/rjtds/аrtiсlе/viеw/2121
3.THЕ SPЕСIFIСS ОF DIАGNОSING THЕ SУNDRОMЕ ОF PАINDУSFUNСTIОNОFTHЕ TЕMPОRОMАNDIBULАR JОINT АSSОСIАTЕD WITHАGЕ-RЕLАTЕDСHАNGЕS. Journal Of Multidisciplinary Sciences And Innovations 2099-2106 ISSNNUMBER: 2751-4390
https://ijmri.de/index.php/jmsi/article/view/5097
4.Schiffman E., 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. Journal of Oral & Facial Pain and Headache. 2014;28(1):6–27.
5.De Leeuw R., Klasser G.D. (eds.). Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. 6th ed. Chicago: Quintessence Publishing; 2018.
6.Manfredini D., Guarda-Nardini L., Winocur E., Piccotti F., Ahlberg J., Lobbezoo F. Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2011;112(4):453–462.
7.Greene C.S. The etiology of temporomandibular disorders: implications for treatment. Journal of Orofacial Pain. 2001;15(2):93–105.
8.Lobbezoo F., Ahlberg J., Glaros A.G., et al. Bruxism defined and graded: an international consensus. Journal of Oral Rehabilitation. 2013;40(1):2–4.
9.Wright E.F., North S.L. Management and Treatment of Temporomandibular Disorders: A Clinical Perspective. Journal of Manual & Manipulative Therapy. 2009;17(4):247–254.
10.Al-Moraissi E.A., Wolford L.M., Perez D., Laskin D.M., Ellis E. Does orthognathic surgery cause or cure temporomandibular disorders? A systematic review and meta-analysis. Journal of Oral and Maxillofacial Surgery. 2017;75(9):1835–1847.
11.Durham J., Newton-John T.R.O., Zakrzewska J.M. Temporomandibular disorders. BMJ. 2015;350:h1154.
12.National Institute of Dental and Craniofacial Research (NIDCR). Temporomandibular Joint Disorders (TMJ & TMD): Overview. Bethesda; Updated 2022.
13.Кулаков А.А., Рабухина Н.А., Гиоева Ю.А. Заболевания височно-нижнечелюстного сустава. Москва: ГЭОТАР-Медиа; 2019.
14.Персин Л.С., Арутюнов С.Д., Слабковская А.Б. Ортопедическая стоматология. Темпоромандибулярные расстройства. Москва: МИА; 2017.
15.Арутюнов С.Д., Слабковская А.Б. Болевые дисфункции височно-нижнечелюстного сустава: современные аспекты диагностики и лечения. Стоматология. 2018;97(3):34–39.
16.Manfredini D. Current concepts on temporomandibular disorders. Minerva Stomatologica. 2010;59(9):489–500.
17.Ohrbach R., Dworkin S.F. The evolution of TMD diagnosis: past, present, future. Journal of Dental Research. 2016;95(10):1093–1101.
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