Diagnosis and Treatment of the Temporomandibular Disorder

Kim,  Chul-Hoon

J Korean Dent Assoc > Volume 50(5); 2012 > Article

The Journal of The Korean Dental Association 2012;50(5):244-255.
Published online May 31, 2012.

임상가를 위한 특집 1 - 측두 하악 장애의 진단과 치료

김철훈

동아대학교 의료원 치과학교실 구강악안면외과

Diagnosis and Treatment of the Temporomandibular Disorder

Chul-Hoon Kim

Department of Oral and Maxillofacial Surgery, School of Dentistry, Dona-A University Medical Center

Abstract

Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance. The primary goal in treatment of TMD is to alleviate pain and lor mandibular dysfunction. TMD treatment can be divided into 2 categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.

Key Words: Temporomandibular disorder;diagnosis;treatment;arthrocentesis and lavage;