J Durham

V Aggarwal

S Davies

S D Harrison

R G Jagger

R Leeson

R Lloyd

T Thayer

H Underhill

R W Wassell

J M Zakrzewska

A Begley

A R Loescher

E Murphy

R McMillan

T Renton

Contents

Contents ................................................................................................................................................................................... 1

Abstract ..................................................................................................................................................................................... 1

Background ............................................................................................................................................................................... 1

Demographics of TMDs ........................................................................................................................................................ 1

Acute and chronic TMD ........................................................................................................................................................ 2

Aetiology ................................................................................................................................................................................... 2

History and Examination ....................................................................................................................................................... 2

Management for TMDs .......................................................................................................................................................... 4

Irreversible Therapies ............................................................................................................................................................ 7

Outcome assessment ............................................................................................................................................................. 8

Conclusion ................................................................................................................................................................................ 9

Acknowledgements ................................................................................................................................................................ 9

Key fact box 1 Signs and symptoms of TMDs and key questions in taking a history from a patient with a

suspected TMD. .................................................................................................................................................................... 10

Key fact box 2 Red flag signs and symptoms 111-115 ................................................................................................... 11

Key fact box 3 Reference material available on web ................................................................................................ 12

Figure 1 Flowchart for management of TMDs in Primary Care ............................................................................ 13

Figure 2 - Self care programme and home physiotherapy .......................................................................................... 14

References .............................................................................................................................................................................. 15

Abstract

Background

Demographics of TMDs

Acute and chronic TMD

Aetiology

History and Examination

Diagnoses of TMDs

Management for TMDs

Self-management with explanation

Physical therapies

Pharmacotherapy

Occlusal splint (orthotic) therapy

Psychological interventions

Application of Local anaesthetic or Botulinum Toxin

to the muscles of mastication

Summary of reversible, non-invasive therapy

Irreversible Therapies

Occlusal therapy

Prosthodontic reconstruction

Pharmacotherapy

Orthodontics

Surgery

Outcome assessment

Conclusion

Acknowledgements

Key fact box 1 Signs and symptoms of TMDs and key questions in taking a history from a patient

with a suspected TMD.

http://www.medicalmnemonics.com/

Key fact box 2 Red flag signs and symptoms 111-115

Key fact box 3 Reference material available on web

http://www.nidcr.nih.gov/oralhealth/topics/tmj/tmjdisorders.htmhttp://www.nidcr.nih.gov/oralhealth/topics/tmj/tmjdisorders.htmhttp://www.aaop.org/content.aspx?page_id=22&club_id=508439&module_id=108085http://www.aaop.org/content.aspx?page_id=22&club_id=508439&module_id=108085http://www.eacmd.org/patient.phphttp://cks.nice.org.uk/tmj-disordershttp://www.ncl.ac.uk/dental/AppliedOcclusion/assets/TMD%20info%20and%20exercise%20sheet.pdfhttp://www.ncl.ac.uk/dental/AppliedOcclusion/assets/TMD%20info%20and%20exercise%20sheet.pdfhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://www.rdc-tmdinternational.org/OtherResources/TrainingReliability/RDCExaminerTraining.aspxhttp://portal.e-lfh.org.uk/http://www.ncl.ac.uk/dental/AppliedOcclusion/http://www.paincommunitycentre.org/article/diagnosis-and-treatment-non-dental-facial-painhttp://www.paincommunitycentre.org/article/diagnosis-and-treatment-non-dental-facial-pain

Figure 1 Flowchart for management of TMDs in Primary Care

Figure 2 - Self care programme and home

physiotherapy

Simple self-physiotherapeutic techniques

References

http://www.ebm-guidelines.com/ebmg/ltk.avaa?p_artikkeli=ebm00465http://www.ebm-guidelines.com/ebmg/ltk.avaa?p_artikkeli=ebm00465