Diagnostic Considerations in TMD patients

Shin,  Su-Yun

J Korean Dent Assoc > Volume 49(2); 2011 > Article

The Journal of The Korean Dental Association 2011;49(2):72-76.
Published online February 28, 2011.

전악수복 후 발생한 TMD에 대한 검사법의 유용성

신수연

단국대학교 치과대학 치과보철학교실

Diagnostic Considerations in TMD patients

Su-Yun Shin

Department of Prosthodontics, College of Dentistry, Dankook University

Abstract

Temporomandibular disorders refer to a large group musculoskeletal disorders that originate from the masticatory structures. The AADR recognize that temporomandibular (TMDs) encompass a group of musculoskeletal and neuromuscular conditions that involve the temporomandibular joints (TMJs), the masticatory muscles, and all associated tissues. The signs and symptoms associated with these disorders are diverse, and may include difficulties with chewing, speaking, and other orofacial functions. They also are frequently associated with acute or persistent pain, and the patients often suffer from other painful disorders. The chronic forms of TMD pain may lead to absence from or impairment of work or social interactions, resulting in an overall reduction in the quality of life. However, the consensus of recent scientific literature about currently available technological diagnostic devices for TMDs is that, except for various imaging modalities, none of them shows the sensitivity and specificity required to separate normal subjects from TMD patients or to distinguish among TMD subgroups. This article reviews the various instruments to aid in the diagnosis of TMDs, and the overall validity and practical use of the Electromyography.

Key Words: TMD;full mouth rehabilitation;EMG;