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This book is a comprehensive, state of the art guide to the contemporary non-surgical treatment of temporomandibular disorders (TMDs) that will help to compensate for the frequent lack of experience and inadequate training among health professionals who encounter patients with jaw joint problems. After an opening section outlining special considerations relating to bruxism and trauma in TMDs, medical management and dental treatment are explained in detail, with coverage of various perspectives such as those of the orthodontist and prosthodontist. Psychiatric considerations and adjunctive therapies are also thoroughly discussed and the importance of a team approach to the management of temporomandibular disorders is highlighted. Complementary volumes are devoted to anatomy, pathophysiology, evaluation, and diagnosis and to total temporomandibular joint replacement and other surgical procedures, respectively. Each book will therefore be of high value for the multidisciplinary team necessary for successful management of TMDs, including dentists, surgeons, primary care doctors, pain doctors, and allied health professionals.
This book is a comprehensive, state of the art guide to the contemporary diagnosis of temporomandibular disorders (TMDs) that will help to compensate for the frequent lack of experience and inadequate training among health professionals who encounter patients with jaw joint problems. The opening section describes the whole patient philosophy essential for treatment success, examines ethical and legal considerations, and discusses all aspects of anatomy. Pathophysiology, clinical assessment, and imaging evaluation, including by means of modern MR imaging and CBCT, are then considered in detail. Finally, the diagnostic criteria for the full range of TMDs are thoroughly explained and the urgent need to appreciate temporomandibular disorders as the chronic pain conditions they are is addressed. Complementary volumes are devoted to non-surgical treatment of TMDs and to total temporomandibular joint replacement and other surgical procedures, respectively. Each book will be of high value for the multidisciplinary team necessary for successful management of TMDs, including dentists, surgeons, primary care doctors, pain doctors, and allied health professionals.
Surgery for the Internal Derangement of the TMJ is explored in this important issue in the Oral and Maxillofacial Surgery Clinics. Articles will include: Condylectomies in condylar hyperplasia of the TMJ: Are they necessary?; Acute and chronic dislocation of the temporomandibular joint: What options do we have?; Ankylosis of the temporomandibular joint: How do we treat it?; Adjunct medical management for temporomandibular joint disorders: Where are we going?; Orthognathic surgery in the TMD patient: What happens later?; Missing temporomandibular joint congenital conditions: when do we operate?; Articular disc repositioning of the TMJ: does it really work?; Idiopathic condylar resorption of the temporomandibular joint: How do we stop it?; TMJ surgical complications; Connective tissue autoimmune disease: How does it affect the TMJ and where are we going?; and more.
Temporomandibular disorders (TMDs), are a set of more than 30 health disorders associated with both the temporomandibular joints and the muscles and tissues of the jaw. TMDs have a range of causes and often co-occur with a number of overlapping medical conditions, including headaches, fibromyalgia, back pain and irritable bowel syndrome. TMDs can be transient or long-lasting and may be associated with problems that range from an occasional click of the jaw to severe chronic pain involving the entire orofacial region. Everyday activities, including eating and talking, are often difficult for people with TMDs, and many of them suffer with severe chronic pain due to this condition. Common social activities that most people take for granted, such as smiling, laughing, and kissing, can become unbearable. This dysfunction and pain, and its associated suffering, take a terrible toll on affected individuals, their families, and their friends. Individuals with TMDs often feel stigmatized and invalidated in their experiences by their family, friends, and, often, the health care community. Misjudgments and a failure to understand the nature and depths of TMDs can have severe consequences - more pain and more suffering - for individuals, their families and our society. Temporomandibular Disorders: Priorities for Research and Care calls on a number of stakeholders - across medicine, dentistry, and other fields - to improve the health and well-being of individuals with a TMD. This report addresses the current state of knowledge regarding TMD research, education and training, safety and efficacy of clinical treatments of TMDs, and burden and costs associated with TMDs. The recommendations of Temporomandibular Disorders focus on the actions that many organizations and agencies should take to improve TMD research and care and improve the overall health and well-being of individuals with a TMD.
Notwithstanding, difficulties in making a differential diagnosis with other orofacial pain, and in identifying those subjects at risk of chronic pains, are still present, and, importantly, it seems that the view of TMD as occlusion-related is hard to eradicate from the primary practitioner community. --
This evidence-based book, featuring contributions from world-renowned experts, discusses in detail the functional anatomy of the temporomandibular joint as well as the aetiology, diagnosis, treatment and medicolegal implications of patients with temporomandibular disorders (TMD).Despite advances in our understanding of the aetiology of TMD and in developing current treatment rationales, a number of issues remain controversial. These include the extent to which the temporomandibular joint should be a central focus of orthodontic diagnosis and treatment, as well as the role that occlusion and malocclusion play in precipitating TMD symptoms. Indeed, few subjects in dentistry and the specialty of orthodontics are open to as many interpretations or misinterpretations as TMD. This textbook provides clinical orthodontists with essential information and guidance that will assist them in understanding and effectively managing this complex multilayered problem. Throughout, clear clinical guidelines are presented on the basis of current scientific and clinical evidence. TMD and Orthodontics will be a highly valuable chairside resource for orthodontists everywhere.
This book is designed to provide a crisp and necessary information for all the under-graduate and post-graduate medical students, Oral and Maxillofacial Surgeons, ENT Surgeons, General Surgeons, General Dentists and other health care workers who deal with TMDs in their practise. It includes contributions from eminent surgeons across the world who treat TMJ disorders and diseases using various conventional to modern state of the art techniques. Temporomandibular joint disorders (TMDs) are familiar yet difficult to diagnose in routine practice due to the complexity of the joint and its surrounding structures. The symptoms usually associated with TMDs present with pain, joint sounds such as click or crepitus, difficulty during mastication, reduced mouth opening are some of the many presentations. Definite diagnosis of the TMDs can be challenging as the patients present with varying symptoms. These disorders of the joint can vary from a simple disc displacement to complex pathologies. Management of the TMDs can be tricky and hence need a thorough evaluation of the joint and surrounding structures. There has been a tremendous leap in managing these disorders from simple conservative management to several advanced surgeries to salvage the joint. This compilation highlights all the relevant details regarding TMDs and its management which will offer utmost details to practising surgeons who often deal with TMDs. This book will be a delight to read for all the clinicians and surgeons who are interested in treating the small yet complex jaw joint in the facial region.
Comprehensive and accessible resource that covers all crucial aspects of dentofacial and occlusal asymmetries Dentofacial and Occlusal Asymmetries covers all crucial aspects of asymmetries encountered in the stomatognathic region regarding diagnosis, treatment planning, management, and prognosis. Divided into three core sections, the first part focuses on the etiology of asymmetry and whether it is congenital or acquired through disease or trauma. The second and third sections go on to discuss localization and management, providing information on topics such as interception, correction, and camouflage. Specific sample topics covered in the book include: Treatment approaches: interceptive, tooth movements, goal-oriented biomechanics, and jaw repositioning Treatment principles: dentofacial orthopedics, camouflage, and orthodontic-surgical treatment Localization and problem list: medical and dental history, clinical examination, dental cast analysis, and radiographic/imaging assessment Medical, social and psychological aspects: growth disorders and helping children and their families with facial differences Written by a team of renowned experts in the field, Dentofacial and Occlusal Asymmetries will serve as an invaluable resource to postgraduates in orthodontic, pediatric dentistry, and oral and maxillofacial surgery programs as well as orthodontists, pediatric dentists, pediatricians, and oral and maxillofacial surgeons aiming for optimal results in the diagnosis and management of these complex malocclusions and dentofacial deformities.
Covering both new and proven techniques in this rapidly changing field, this classic text helps you provide solutions to many common occlusal and TMD problems. Clear descriptions and a new full-color design promote a complete understanding of normal, abnormal, and dysfunctional occlusal relationships and masticatory function and dysfunction. With its conservative, cost-effective approach, this book shows you how to achieve treatment goals while keeping your patients' best interests in mind. - Solid foundation of the anatomical, physiological, and biomechanical aspects of the masticatory system gives you the basic foundation for clinical use. - Detailed how-to information on clinical examination, data gathering, and differential diagnosis for temporomandibular disorders helps you learn to correctly plan treatment. - Clinical Comment boxes give you critical thinking points and instructions on how to apply these to everyday clinical practice. - NEW! Robust Q-website features an image library, case studies, and NBDE-style questions. - NEW! Full-color design offers more vivid clinical photos, illustrations, and information. - NEW! Major revisions to Part II with specific detail to Etiology provides more up-to-date information on this critical area. - NEW! Patient education sheets include the most common TMDs. - NEW! Updated treatment algorithms are included for each TMD.
This book is a comprehensive, state of the art guide to the contemporary surgical treatment of temporomandibular disorders (TMDs) that will help to compensate for the frequent lack of experience and inadequate training among health professionals who encounter patients with jaw joint problems. The opening section discusses the evolution of modern surgical management of TMDs, TMD diagnosis for surgical candidates, as well as anatomic pathways. Surgical procedures are then described and illustrated, with detailed coverage of total temporomandibular joint replacement and also other procedures such as surgical arthroscopy, intraoral vertical ramus osteotomy, discectomy, and arthroplasty. The volume closes by examining the future of the field, including the use of bioengineered constructs. Complementary volumes are devoted to anatomy, pathophysiology, evaluation, and diagnosis and to the nonsurgical treatment of TMDs, respectively. Each volume will be of high value for the multidisciplinary team necessary for successful management of TMDs, including dentists, surgeons, primary care doctors, pain doctors, and allied health professionals.