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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.
This book covers some biostatistical methods and several case studies useful to interpret and analyze dental research in the areas of orofacial pain and temporomandibular disorders. It will guide practitioners in these fields who would like to interpret research findings or find examples on the design of clinical investigations. After an introduction dealing with the basic issues, the central sections of the textbook are dedicated to the different types of investigations in sight of specific goals researchers may have. The final section contains a recent approach based on nonparametric permutation tests which can be adopted in many practical situations. The field of orofacial pain and temporomandibular disorders is emerging as one of the most critical areas of clinical research in dentistry. Due to the complexity of clinical pictures, the multifactorial etiology, and the importance of psychosocial factors in all aspects of the TMD practice, clinicians often find it hard to appraise their modus operandi, and researchers must constantly increase their knowledge in epidemiology and medical statistics. Indeed, proper methodological designs are fundamental to reaching high levels of internal and external validity of findings in this specific area.
This book provides up-to-date information on all aspects of orofacial pain biomarkers. It opens by presenting background information on clinical phenotypes and the neurobiological substrates underlying chronic orofacial pain and by explaining the potential role of biomarkers in the diagnosis, prognostic evaluation, and treatment of orofacial pain. The main section of the book examines the contribution of human and animal studies to the field of biomarkers for orofacial pain and discusses biomarkers for masticatory muscle pain, temporomandibular joint pain, neuropathic face pain, and autonomic nervous system involvement in trigeminal facial pain. The potential impacts of the immune system on orofacial pain biomarkers and candidate gene phenotypes with possible links to chronic orofacial pain conditions are also addressed, and differences and similarities between saliva and serum biomarkers for pain are explained as well. The final section covers research-related issues in assessment methods and statistical analyses used in evaluating biomarkers, identifies future challenges and suggests new directions in the field.
HauptbeschreibungCompletely revised and updated, this new edition of the AAOP Guidelines educates readers on evidence-based assessment, diagnosis, and management of orofacial pain conditions based on the latest scientific knowledge. While the structure of the previous edition has been maintained, this book offers evidence-based concepts where available and reflects many significant changes in the field of orofacial pain. Important topics covered in detail include TMDs, neuropathic pain conditions, odontogenic pain, and mucogingival disorders.(Quintessenz Verlag / Quintessence Publishing).
The treatment of temporomandibular disorders requires a multidisciplinary approach, involving the participation of dentists, oral and maxillofacial surgeons, radiologists, and others. This lavishly illustrated text/atlas provides a wealth of valuable information for specialists who need to enhance their understanding of TMJ disorders. TMJ Disorders and Orofacial Pain is the invaluable diagnostic guide all dentists and related specialists need to provide optimize the care and treatment of patients in this condition. It ties together the anatomic, physiologic, and psychological aspects of TMJ to help you confidently reach an accurate diagnosis.MRI has proven to be the most reliable imaging modality for the diagnosis of TMJ disorders. A key benefit of this text is teaching dentists how to interpret MRIs, and also to provide the required knowledge for informed communication with radiologists. Throughout the text, you'll find exquisitely detailed, full-color photographs which take you step-by-step through the clinical examination of the jaw. The book teaches you how to analyze information as it comes in to select the proper course of treatment based on the patient's history and clinical data.Written in a clear and easy-to-follow format, the text presents state-of-the-art approaches to managing TMJ disorders. With this book, dentists and related specialists will gain the essential skills and knowledge needed to ensure their patients receive the best possible care!
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, written by world authorities in the field, is a comprehensive, up-to-date guide to the specialty of Oral Medicine, which is concerned with the diagnosis, prevention, and predominantly non-surgical management of medically related disorders and conditions affecting the oral and maxillofacial region. The pathophysiology, clinical presentation, diagnostic evaluation, and treatment of all relevant diseases and disorders are described with the aid of a wealth of clinical cases and illustrations that enable the reader to appreciate the diversity and potential complexity of Oral Medicine. In addition to the wide-ranging coverage of oral conditions, separate sections are devoted to bone and cutaneous pathology and to orofacial pain and its management, in addition to dental sleep medicine. The clinician who treats Oral Medicine patients will find this book to be an excellent aid to optimal management grounded in a sound knowledge of basic science and the dental and medical aspects of each disorder. In addition, it will serve as an outstanding textbook for undergraduate and postgraduate students.
OROFACIAL PAIN AND HEADACHE is a timely, comprehensive and instructive addition to the pain literature; in particular the important and truly multidisciplinary area of orofacial pain. Based on their extensive clinical experience and a thorough understanding of pain mechanisms specific to the trigeminal system, the editors, Yair Sharav and Rafael Benoliel, have integrated knowledge from the areas of headache and orofacial pain and have succinctly explained common mechanisms involved in the two phenomena, with important implications for pain diagnosis and management. Internationally renowned editors and contributor teamIntegrated approach to the diagnosis and treatment of oral and facial pain syndromes as well as common primary headaches A thorough review of the four majorclinical entities of orofacial pain: acute dental, neurovascular, musculoskeletal and neuropathicComprehensive coverage of the pharmacotherapy of acute and chronic painChapters on the psychological, neurosurgical and otolaryngological aspects of orofacial painAn in depth discussion of facial pain and headaches secondary to medical co-morbiditiesExploration of complementary and alternative methods of pain control including acupuncture, food additives and hypnosis