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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 totally new book is focused on answering a single broad question: What is currently happening in various research areas that will be clinically applicable to the management of temporomandibular disorders (TMDs) in the near future? Clearly, much of the information discovered about musculoskeletal disorders through the application of new research tools and innovative experimental designs can be directly or indirectly applied to the TMJ. However, many dental clinicians are unaware of this type of information because it is presented mainly in medical publications or nonclinical scientific journals. This book bridges the gap for the clinician, applying the latest scientific research to the clinical treatment of TMDs, with focus on the anatomy, biochemistry, neurophysiology, and psychology of the common disorders. Each chapter discusses present knowledge in the particular field before explaining how it may apply to the diagnosis and treatment of TMD patients. In addition, every chapter provides an overview of new research in the field and its potential for changing future patient care. Covering such clinically relevant topics as the relation of abnormal joint function to joint pathology, the prediction of treatment responsiveness, how sleep disorders affect TMJ and facial pain, the role of comorbid conditions in pain response and management, and the evolving field of pharmacotherapeutics, this book is sure to transform the way clinicians think about TMDs and how they approach TMD treatment.
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.
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.
Part I: Biologic Basis Section A: Anatomy and Function 1. Functional Anatomy and Biomechanics of the Masticatory Apparatus?William L. Hylander 2. Anatomy and Function of the TMJ?Ales Obrez & Luigi M. Gallo 3. TMJ Growth, Adaptive Modeling and Remodeling, and Compensatory Mechanisms?Boudewijn Stegenga & Lambert G.M. de Bont 4. Sensory and Motor Neurophysiology of the TMJ?Barry J. Sessle Section B: Pathophysiology of the TMDs 5. Persistent Orofacial Pain?Ronald Dubner & Ke Ren 6. Muscular Pain and Dysfunction?James P. Lund 7. TMJ Osteoarthritis?Stephen B. Milam 8. TMJ Disc Derangements?Boudewijn Stegenga & Lambert G.M. de Bont 9. Systemic Conditions Affecting the TMJ?Mauno Kononen & Bengt Wenneberg Part II: Clinical Management Section A: Diagnostic Modalities 10. TMJ Imaging?Tore A. Larheim & Per-Lenn.
Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
The purpose of this book was to offer an overview of recent insights into the current state of arthroplasty. The tremendous long term success of Sir Charnley's total hip arthroplasty has encouraged many researchers to treat pain, improve function and create solutions for higher quality of life. Indeed and as described in a special chapter of this book, arthroplasty is an emerging field in the joints of upper extremity and spine. However, there are inborn complications in any foreign design brought to the human body. First, in the chapter on infections we endeavor to provide a comprehensive, up-to-date analysis and description of the management of this difficult problem. Second, the immune system is faced with a strange material coming in huge amounts of micro-particles from the tribology code. Therefore, great attention to the problem of aseptic loosening has been addressed in special chapters on loosening and on materials currently available for arthroplasty.
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.
Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition, presents clear and consistent guidance on all aspects of both common and less common, minor and major complications encountered in oral and maxillofacial surgery (OMS) practice. In-depth chapters provide thorough descriptions of each complication and recommend treatment strategies for associated complications of anesthesia, implant surgery, maxillofacial trauma, and more, using easy to read algorithms. Fully revised and expanded, the Second Edition incorporates the most current evidence and advances in the specialty, including implementation of virtual surgical planning for orthognathic and reconstructive surgery. Nine entirely new chapters address complications in minimally invasive cosmetic surgery, lip cancer, dermatopathology and skin cancer, microneurosurgery for trigeminal nerve injuries, transoral robotic surgery (TORS), sialoendoscopy complications, perioperative navigation for dental implants, head and neck radiotherapy, and ambulatory anesthesia in pediatric and geriatric patients. Highlights include: Provides a systematic, easy-to-read approach to complication prevention, recognition, and management Covers most potential complications, ranging from the routine to the complex Features more than 500 high-quality clinical images demonstrating all concepts discussed in the text Includes keywords, tables, learning objectives, and further readings in each chapter Includes treatment algorithms to guide clinical decision-making Edited by prominent oral and maxillofacial surgeons with contributions by leading experts in their respective areas Management of Complications in Oral and Maxillofacial Surgery, Second Edition is a must-have for all oral and maxillofacial surgeons, residents, and trainees, and a valuable resource for dental students and dental practitioners, for clinical practice, and for examination preparation.
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).